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There are recovery programs available in or near Lower Kalskag that cater to both methadone and buprenorphine clients only, controlled medications that are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors which make a person feel high from morphine or heroin are activated by these two drugs so that an opiate addicted client will ideally not become involved in addict behavior and won't have cravings and withdrawal. There are risks of drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be administered in a clinical setting.
Methadone and buprenorphine clients take these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also causing them to feel high. Euphoria can be experienced at a high dosage, more significantly with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the main treatment objective is to treat the withdrawal symptoms and put an end to the illicit drug use. Some programs do deliver a limited amount of counseling and group therapy as supplementary treatment, and it is recommended and encouraged.
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