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There are programs available in or near Kivalina that cater to both methadone and buprenorphine clients only, drugs which are dispensed in what is known as opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors which make a person feel high from morphine or heroin are stimulated by these two drugs so that an opioid dependent client will instead not become involved in addict behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are highly regulated and can only be administered in a clinical setting.
Buprenorphine and methadone clients take these medications daily so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't at the same time making them feel high. Euphoria can be experienced at at higher dosages, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the primary treatment goal is to handle the physical symptoms of their dependence. Some centers do provide a limited amount of counseling and therapy as supplementary services, and this is recommended and encouraged.
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