There are substance abuse programs offered in or near Roanoke that cater to both methadone and buprenorphine clients only, medications that are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as 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 therefore an opioid addicted client will ideally no longer engage in addict behavior and won't experience cravings and withdrawal. There are risks of drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time making them feel high. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the main treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a limited amount of counseling and therapy as supplementary services, and it is encouraged.
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