There are recovery programs offered in or near Kinston 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 neural receptors that make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opiate addicted client will instead not become involved in addict behavior and won't experience withdrawal symptoms. There are risks of side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't also making them feel high. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the primary treatment objective is to manage the physical symptoms of their dependence. Some clinics do offer a small amount of counseling and therapy as supplementary services, and this is recommended and encouraged.
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