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There are programs offered in or near Allakaket that cater to both methadone and buprenorphine clients only, medications that are administered in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors that make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opioid addicted client will instead not become involved in addict behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even addiction and overdose with both methadone and buprenorphine, which is why they are highly regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't at the same time making them feel high. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond this and the main treatment goal is to treat the physical symptoms of their dependence. Some centers do offer a small amount of counseling and group therapy as auxiliary services, and this is encouraged.
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