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One of the out-patient rehab options for people in Pitcairn who are battling with opioid abuse and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to dispense certain meds to opioid addicted people, many that are opioids also and are addiction. With low enough doses however, the client doesn't feel high but also does not have acute cravings and is not in opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are other options currently to choose from.
Methadone is an opioid and can be taken at an outpatient clinic certified to administer the drug, which is taken on a daily basis as a pill or liquid. The price of the drug is around $150 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But unlike Methadone which is only be administered in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 monthly for the generic version of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opiates. A person taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 monthly. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and is not 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 being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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