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One of the out-patient rehabilitation alternatives for clients in Makawao who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense certain meds to opioid addicted people, many that are opioids themselves and are addiction. In low doses however, the client doesn't experience high feelings and also does not experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are alternative choices to pick from.
Methadone is an opiate and can be taken at an outpatient clinic certified to dispense the drug, which is taken on a daily basis as a pill or liquid. The price of the med is about $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But unlike Methadone that can only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about three hundred dollars per month for the generic of the drug. There is also a version of buprenorphine containing the drug naloxone, that is a drug that blocks the effects of opioids. An individual consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced about $450 per month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and is not an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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