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There are substance abuse programs offered in or near Kotlik that cater to both methadone and buprenorphine clients only, drugs that are dispensed in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same neural receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate addicted client will instead no longer engage in addict behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are highly regulated and can only be prescribed 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 causing them to feel high. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and 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 clinics do offer a limited amount of counseling and therapy as supplementary treatment, and this is recommended and encouraged.
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