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There are addiction programs available in or near Kootenai that cater to both methadone and buprenorphine clients only, drugs that 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, which means the same neural receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid addicted client will instead no longer engage in addict behavior and won't have cravings and withdrawal. There are dangers with drug interactions, side effects, and even 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 consistently so they don't experience withdrawal symptoms, etc. but ideally at a dose which isn't also causing them to feel euphoria. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the main treatment objective is to manage the physical symptoms of their dependence. Some clinics do provide a small amount of counseling and therapy as supplementary services, and it is recommended and encouraged.
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