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One of the out-patient rehabilitation alternatives for individuals in Salem struggling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to dispense specific meds to opioid addicted people, many that are opioid-based themselves and are habit forming. With low enough amounts however, the user doesn't feel high and also doesn't have severe cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative choices to choose from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is approximately $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But different from Methadone which can only be administered in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately $300 /month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, which is a drug that blocks the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs approximately $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and isn't 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 a person from feeling 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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