Can you get high from Suboxone or Methadone?
- By Robert Mauer
- Reviewed by: Dr. Janaka Hanvey, PhD
- Last Updated: Jan 09, 2026
Suboxone and methadone are designed to prevent withdrawal and cravings rather than to produce a high, but their effects can feel different depending on a person’s opioid tolerance and how the medications are used. For individuals who are opioid-dependent and taking these medications as prescribed, they typically produce stabilization rather than euphoria.
Methadone is a full opioid agonist, so it activates opioid receptors in the brain. In people without opioid tolerance, or when taken in higher-than-prescribed amounts, it can produce opioid effects such as sedation or euphoria. In a therapeutic context, however, methadone is dosed to create steady receptor activation that prevents withdrawal without the rapid highs and lows associated with illicit opioid use.
Suboxone contains buprenorphine, a partial opioid agonist. Buprenorphine has a ceiling effect, meaning its opioid activity plateaus even as the dose increases. This significantly limits the ability to experience euphoria, especially in people with existing opioid tolerance. When taken as directed, Suboxone typically produces a feeling of normalcy rather than intoxication.
Perception also matters. Early in treatment, some people may interpret the relief from withdrawal, anxiety, or physical distress as feeling “high,” even though it reflects stabilization rather than intoxication. Over time, this sensation usually fades as the brain adjusts.
Overall, while misuse can produce opioid effects under certain conditions, Suboxone and methadone are intended to reduce compulsive use and physiological instability, not to recreate the highs associated with opioid addiction.
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Sources
Substance Abuse and Mental Health Services Administration (SAMHSA) — Medications for Substance Use Disorders
Federal overview of medications used to treat opioid and alcohol use disorders, including how MAT works.
National Institute on Drug Abuse
(NIDA) — Medications to Treat Opioid Use Disorder Research Report Scientific government resource explaining methadone, buprenorphine, naltrexone, effectiveness, and long-term outcomes.
Centers for Disease Control and Prevention (CDC) — Opioid Use Disorder Treatment
CDC guidance on medications for opioid use disorder and evidence
MedlinePlus — Opioid Use Disorder Treatment
Medical reference explaining medications, counseling, recovery support, and treatment expectations.
SAMHSA — Buprenorphine
Federal resource specifically explaining buprenorphine treatment, safety, access, and how it supports recovery.
