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There are addiction programs available in or near East Providence which service both methadone and buprenorphine clients only, medications which 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 that make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid dependent client will instead not engage in addict behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently 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 at higher dosages, more significantly with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the primary treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some centers do offer a small amount of counseling and therapy as auxiliary services, and this is encouraged.
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