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One of the outpatient treatment alternatives for individuals in Salem who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to administer certain medications to opioid dependent people, many of which are opioids also and are habit forming. In low amounts the individual does not experience being high and also does not have acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this purpose, but there are other options to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the med, that is taken daily as a pill or liquid. The cost of the med is approximately $150 per month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But unlike Methadone which can only be given in highly well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around just under $300 /month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a med that blocks the effects of opioids. A person consuming this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs around $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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