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One of the out-patient treatment options for individuals in Kaunakakai battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer certain medications to opioid dependent individuals, many of which are opioids themselves and are habit forming. With low amounts however, the user does not experience high feelings but also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first med used for this reason, but there are other options to select from.
Methadone is an opioid and can be taken at an outpatient clinic licensed to administer the med, that is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But different from Methadone that can only be given in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300.00 /month for the generic of the medication. There is also a type of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opiates. An individual consuming this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs about $450 /month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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