Hello! I can tell you everyone has different opinions on it so you will probably get very different answers on this. But I for one am on methadone and it has saved my life and turned it around completely. I was/am addicted to any kind of pills and got to the point of taking 20 or so a day just to feel normal. I finally realised I was in trouble! I tried many times c/t, and failed. I also have high blood pressure so c/t wasnt safe for me either as my b/p went up PAST stroke level during w/d's. So anyways I have started methadone treatment back in April and have been clean and even craving free sense then. At first I was still having cravings but they adjust your dose until you are comfortable and have no w/d symptoms or cravings. I was very scared to start methadone, because everyone told me the withdrawls from that in the end will be worse than the opiate w/d's. And it may be true! But when and if you come off of it from what I hear if you do a very slow taper (I mean like 1-2 mgs a week) it shouldnt be too bad. And everyone is different and some people need it forever. But I personally think of it this way. Addiction is a disease, and therefore some of us need medicine to help us with it. Just like someone with high blood pressure has to take there medicine for there disease. Good luck to your fiance in whatever choices you choose! ~Courtney~