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One of the out-patient rehab alternatives for people in Koloa who are battling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to dispense specific meds to opioid dependent clients, many that are opioids also and are addictive. With low enough amounts the user does not experience being high but also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first med used for this reason, but there are alternative options to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the drug is approximately $150 a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone which is only be administered in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately $300 per month for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med 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 too is taken on a daily basis, and costs about $450 monthly. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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