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There are programs offered in or near Puyallup which service both methadone and buprenorphine clients only, medications which are dispensed in what is known as 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 that make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opiate dependent client will instead not become involved in drug seeking behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't at the same time causing them to feel euphoria. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond this and the main treatment goal is to handle the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a small amount of counseling and therapy as auxiliary treatment, and it is encouraged.
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