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There are addiction programs available in or near Nikolai which service both methadone and buprenorphine clients only, medications which are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so that an opiate dependent client will ideally not become involved in addict behavior and won't have cravings and withdrawal. There are dangers with drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications daily so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also causing them to feel high. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the main treatment objective is to handle the physical symptoms of their dependence. Some centers do offer a limited amount of counseling and group therapy as supplementary treatment, and this is encouraged.
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