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There are addiction programs offered in or near Hannibal which service both methadone and buprenorphine clients only, controlled medications that are administered 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 which cause an individual to feel high from morphine or heroin are activated by these two drugs so that an opiate addicted 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 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 withdrawal symptoms, etc. but hopefully at a dosage which isn't also causing them to feel high. Euphoria occurs at a high dosage, more significantly 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 primary treatment goal is to address the withdrawal symptoms and put an end to the illicit drug use. Some programs do offer a limited amount of counseling and therapy as secondary treatment, and this is encouraged.
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