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There are recovery programs available in or near Alma which service both methadone and buprenorphine clients only, medications that 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 cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid dependent client will ideally no longer 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 prescribed 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 making them feel euphoria. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the primary treatment goal is to manage the withdrawal symptoms and put an end to the illicit drug use. Some centers do offer a limited amount of counseling and therapy as auxiliary treatment, and it is encouraged.
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