While it would obviously be better to not use any opiates from an internal health standpoint, the TRUTH of the matter is that opiates really aren't that damaging to the internal organs--in comparison to most other drugs. Yes, they will fuck up your HPTA (but so do AAS, and far worse, so if they are a part of your life it doesn't really matter) and cause some digestive issues, but that's really about it in terms of what you'll notice. Most people could live a long life without any serious health issues while taking opiates every day.
Now, while I am NOT advising this course of action, the TRUTH of the matter is that it is better BY FAR to be on controlled opiates and NOT be in fucking misery every day of your life, than to be "clean" and be fucking miserable. Let me clarify that statement, as I am sure some guys here are thinking "what the fuck?"
My point is this. I have seen 100's of people (I used to work in the addiction field and was a hardcore addict myself) who are taught that they must be off "all" opiates--even opiate maintenance (i.e. methadone, buprenorphine)--in order to achieve recovery and live a good, healthy life. They are told they are not "really clean" if they use those prescriptions and consequently, are guilted into either forgoing opiate maintenance altogether, or employing it for only a short time...only to live an absolutely miserable life full of struggle and hardship for years, if not decades.
What fucking good is "being of all opiates" if you are a fucking miserable wreck who is constantly depressed, can't sleep, is struggling with constant cravings, never feels like they are "right" inside, and requires the constant assistance of support groups and other individuals just to get through "one day at a time", all while surrounding yourself with people who are continually focused on their addiction and preaching "recovery"? Sounds like a shitty fucking like to me...and it is...because I lived it...until the light bulb finally turned on and I realized I didn't have too.
I was already clean for 5 years when I realized this--and even after all that time I was still dealing with all the things I mentioned above...and more. Overall, I was not happy--because I couldn't be. The PERMANENT damage I had done to my brain through years of opiate abuse had taken their toll and I could never crawl out from under it...because it was not a choice, it was brain damage that could never be repaired. Sure, I could've fought to "stay off all opiates" and probably did it, but at what cost, especially when this path had already been proven a most difficult and unhappy one?
When I finally said "fuck this shit, it isn't worth it. I want to live life free of the bonds and pains of being "opiate free", it was then that my life improved immeasurably. in short, I went on buprenorphine...and have now been on it every day for the last 10 years. Aside from having to put a few pills under my tongue once per day, and having some digestive problems, I am happy as all hell. I feel GREAT! I sleep like a baby, I am always at peace (something I never had even after 5 years of being because my body could no longer attain peace, from a chemical standpoint, on its own steam), and every struggle or problem I had disappeared instantly. I haven't craved a single opiate, aside from buprenorphine, and this would only happen on the days I would run out, such as when I would go on vacation and accidentally forget to bring enough pills with me, etc). Aside from this my life isn't impaired in any way...and I take an absolutely massive dose of opiates (i.e. buprenorphine) every day.
So, for the people whose lives have turned into an absolute disaster devoid of happiness and internal contentment, even after being off all opiates for an extended period of time and earnestly applying oneself to the recovery process (support groups, 12-step programs, etc)A.A., N.A, etc)...perhaps these people would do WELL to STOP listening to anyone who tells them they can't find a true recovery with opiate maintenance.
In terms of opiate maintenance, buprenorphine is greatly preferable to methadone--for several reasons.
The bottom line is that we all need to do whatever it takes to live as normal of a life as possible. If that means opiate maintenance, then so be it. It is certainly better than allowing one's life to become a living hell just so that person can wave the "opiate free" flag. The bottom line is that being opiate free doesn't mean jack shit when life sucks....and sorry, but waiting around for 10-15 years in the hope that life's hell would eventually go away wasn't an appealing option. Life isn't long enough to throw away that much time.