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There are programs available in or near La Prairie that cater to both methadone and buprenorphine clients only, controlled medications that are dispensed in what is called 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 cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid dependent client will ideally not engage 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 highly controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients take these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't also making them feel high. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the main treatment objective is to treat the physical symptoms of their dependence. Some centers do provide a limited amount of counseling and group therapy as secondary treatment, and this is recommended and encouraged.
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