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One of the out-patient rehab options for clients in Big Island battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to administer certain meds to opioid dependent clients, many that are opioids themselves and are habit forming. With low amounts however, the individual does not experience being high but also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are other choices to select from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to administer the med, which is taken daily in liquid or pill form. The cost of the med is approximately $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be given in well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is around $300 a month for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med which blocks the effects of opioids. An individual taking 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 per month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone 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 /month.
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