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One of the outpatient treatment options for clients in Kapaa battling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give certain medications to opioid dependent clients, many of which are opioids themselves and are addictive. In low enough amounts the client does not experience being high and also doesn't experience acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other choices currently to select from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to administer the drug, which is taken daily as a pill or liquid. The cost of the med is about $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone which can only be given in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300.00 per month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which blocks the effects of opiates. An individual consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced around $450 /month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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