There are programs available in or near Beverly which service both methadone and buprenorphine clients only, controlled medications that are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as 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 that an opioid dependent client will ideally not engage in addict behavior and won't experience withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are highly regulated 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 hopefully at a dose which isn't at the same time making them feel euphoria. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the main treatment objective is to treat the physical symptoms of their dependence. Some programs do deliver a small amount of counseling and therapy as auxiliary services, and it is recommended and encouraged.
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