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There are programs available in or near Chignik Lake 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, meaning the same neural receptors that make a person feel high from morphine or heroin are activated by these two drugs so that an opioid addicted client will instead not become involved in drug seeking behavior and won't have cravings and withdrawal. There are dangers with side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be administered in a clinical setting.
Methadone and buprenorphine clients take these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't also making them feel high. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the main treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a small amount of counseling and group therapy as auxiliary services, and it is recommended and encouraged.
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