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There are programs offered in or near Fort Richardson that cater to 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, meaning the same neural receptors which cause an individual to feel high from morphine or heroin are activated by these two drugs so that an opiate addicted client will ideally not engage in drug seeking behavior and won't experience cravings and withdrawal. There are risks of drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also making them feel euphoria. Euphoria can be experienced at a high dosage, more significantly 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 primary treatment goal is to handle the physical symptoms of their dependence. Some programs do deliver a limited amount of counseling and therapy as secondary services, and this is recommended and encouraged.
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