There are programs offered in or near Johnston which service both methadone and buprenorphine clients only, controlled medications which are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so that an opiate addicted client will ideally not engage in drug seeking behavior and won't experience cravings and withdrawal. There are risks of side effects, drug interactions, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients take these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't also causing them to feel euphoria. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the primary treatment objective is to treat the physical symptoms of their dependence. Some programs do offer a small amount of counseling and therapy as auxiliary treatment, and this is recommended and encouraged.
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