The [North American Opiate Medication Initiative] numbers are striking: A year after the start of the study, nearly 90% of those given heroin remained in treatment, while just over half in the methadone group did. … HAT, also known as heroin maintenance, is based on the premise that while methadone treatment is effective by many standards, most methadone users end up back on heroin or other opiates eventually—either with or without methadone supplementing their habit. Since the search for heroin is, in many ways, more harmful to society than the use of it, methadone may have important limitations as a means of mitigating the damage done by heroin addiction.
"It’s not controversial in either [Switzerland or the Netherlands]," said Peter Reuter, a policy analyst at the University of Maryland’s School of Public Policy, "and in Switzerland it’s been there for so long that people have forgotten that it was once controversial."
The Village Voice covered a far more controversial approach to heroin addiction:
Taken in sufficient quantity, [root bark from the tabernanthe iboga plant] triggers a psychedelic experience that users say is more intense than LSD or psilocybin mushrooms.
Practitioners of the Bwiti religion in the West African nation of Gabon use iboga root bark as a sacrament to induce visions in tribal ceremonies, similar to the way natives of South and Central America use ayahuasca and peyote. [Claire] Wilkins is one of a few dozen therapists worldwide who specialize in the use of iboga (more specifically, a potent extract called ibogaine) to treat drug addiction. …
Ibogaine and iboga root bark are illegal in the United States but unregulated in many countries, including Canada and Mexico. Wilkins, though, is hardly alone in her belief that iboga-based substances can be used as a legitimate treatment for drug addiction. Researchers at respected institutions have conducted experiments and ended up with hard evidence that the compound works—as long as you don't mind the mindfuck.
Short sequence from my BBC broadcast documentary Detox or Die. This was for BBC's "ONE Life" strand. A documentary biopic of my junk addiction that culminates in my attempt to detox with ibogaine. This African visionary drug has, however, been linked to several fatalities and has some rather unpleasant side effects. Heavy stuff but ultimately redeeming.
(Video hat tip: IBO-Radio)