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There are programs offered in or near Tuscola that cater to both methadone and buprenorphine clients only, medications that are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors which make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opiate addicted client will instead not become involved in drug seeking behavior and won't experience withdrawal symptoms. There are dangers with drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dose which isn't at the same time causing them to feel euphoria. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the primary treatment goal is to address the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a limited amount of counseling and therapy as auxiliary treatment, and it is recommended and encouraged.
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