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There are recovery programs available in or near Gustavus that cater to both methadone and buprenorphine clients only, drugs which are administered in what is known as 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 cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opiate addicted client will instead not become involved in drug seeking behavior and won't have withdrawal symptoms. There are risks of 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 administered in a clinical setting.
Buprenorphine and methadone clients take these medications daily so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also making them feel euphoria. Euphoria can be experienced at a high dosage, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment goal is to treat the physical symptoms of their dependence. Some centers do offer a limited amount of counseling and group therapy as auxiliary services, and this is recommended and encouraged.
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