There are recovery programs available in or near St. John which service both methadone and buprenorphine clients only, drugs which are administered 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 make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opioid addicted client will ideally no longer engage in addict behavior and won't experience cravings and withdrawal. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are heavily regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also making them feel high. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the main treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some clinics do offer a small amount of counseling and group therapy as auxiliary services, and this is recommended and encouraged.
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