I've read through some of the other threads here on methadone and gotten some additional perspective on some of the issues and dangers surrounding it, but I still have a question. Once someone transitions off heroin to methadone, where do they go from there? My sister has started methadone treatment after several years of using heroin. When I try to talk to her about what the next step is she doesn't really tell me anything. I'm not sure if it's because she doesn't want to talk about it, or if the treatment center she's been going to hasn't addressed this yet. In either case, for my own piece of mind I'd like to know how someone transitions from methadone to being clean.