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There are addiction programs available in or near Perkins 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, which means the same neural receptors which cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opioid addicted client will ideally no longer become involved in addict behavior and won't have withdrawal symptoms. There are risks of side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients are on these medications daily so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't at the same time causing them to feel high. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment objective is to handle the physical symptoms of their dependence. Some centers do deliver a small amount of counseling and therapy as auxiliary services, and it is recommended and encouraged.
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