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One of the outpatient rehabilitation options for individuals in Kilauea struggling with opioid abuse and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to administer specific medications to opioid dependent clients, many that are opioid-based themselves and are addiction. With low amounts however, the individual does not experience high feelings but also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative options to pick from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the drug is around $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But unlike Methadone that is only be administered in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300.00 a month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opiates. Someone taking this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs about $450 monthly. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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