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One of the outpatient treatment alternatives for clients in Salem struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense certain medications to opioid dependent clients, many of which are opioid-based themselves and are addictive. With low amounts however, the client doesn't feel high and also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are a few more options currently to select from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to dispense the med, which is taken on a daily basis as a pill or liquid. The cost of the med is about $150 per month. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But different from Methadone that can only be given in highly well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300.00 per month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med that reverses the effects of opioids. A person 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 on a daily basis, and costs approximately $450 /month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual 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 monthly.
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