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There are substance abuse programs offered in or near Naknek which service both methadone and buprenorphine clients only, drugs that are dispensed in what is known as opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same neural receptors which make a person feel high from morphine or heroin are activated by these two drugs so that an opioid dependent client will ideally not become involved in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be administered in a clinical setting.
Buprenorphine and methadone clients are on these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't at the same time causing them to feel euphoria. Euphoria occurs 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 objective is to handle the withdrawal symptoms and put an end to the illicit drug use. Some centers do provide a limited amount of counseling and therapy as auxiliary treatment, and it is recommended and encouraged.
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