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There are programs available in or near Kingston which service both methadone and buprenorphine clients only, medications that are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors that make a person feel high from morphine or heroin are activated by these two drugs so that an opioid addicted client will instead not become involved in drug seeking behavior and won't experience withdrawal symptoms. There are risks of side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients are on these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't at the same time causing them to feel euphoria. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the primary treatment objective is to treat the withdrawal symptoms and put an end to the illicit drug use. Some centers do provide a limited amount of counseling and group therapy as supplementary services, and this is encouraged.
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