There are programs available in or near Richmond which service both methadone and buprenorphine clients only, 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 make a person feel high from morphine or heroin are stimulated by these two drugs so that an opiate addicted client will ideally no longer engage in drug seeking behavior and won't have withdrawal symptoms. There are dangers with side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily regulated and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dose which isn't also causing them to feel euphoria. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the main treatment objective is to treat the physical symptoms of their dependence. Some centers do provide a limited amount of counseling and group therapy as supplementary treatment, and this is recommended and encouraged.
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