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There are recovery programs offered in or near Akiak which service both methadone and buprenorphine clients only, medications that are dispensed in what is known as 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 activated by these two drugs so therefore an opioid addicted client will instead no longer become involved in addict behavior and won't experience withdrawal symptoms. There are dangers with side effects, drug interactions, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients are on these medications daily so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also making them feel high. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the primary treatment goal is to address the withdrawal symptoms and put an end to the illicit drug use. Some programs do offer a small amount of counseling and therapy as auxiliary treatment, and it is recommended and encouraged.
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