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There are addiction programs offered in or near Mayo that cater to both methadone and buprenorphine clients only, controlled medications which 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, which means the same nerve cell receptors that cause an individual to feel high from morphine or heroin are activated by these two drugs so that an opiate addicted client will ideally not engage in addict behavior and won't have withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are heavily regulated and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't at the same time causing them to feel euphoria. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment goal is to handle the physical symptoms of their dependence. Some programs do provide a small amount of counseling and therapy as supplementary services, and it is encouraged.
