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There are programs available in or near Bethpage which service both methadone and buprenorphine clients only, controlled medications that are dispensed in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors which make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid addicted client will ideally not engage in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily 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 hopefully at a dose which isn't also making them feel high. Euphoria occurs at a high dosage, more significantly with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond this and the primary treatment goal is to manage the physical symptoms of their dependence. Some centers do deliver a limited amount of counseling and group therapy as supplementary services, and it is encouraged.
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