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There are programs offered in or near Noatak which service both methadone and buprenorphine clients only, controlled medications that are used in what is known as opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same neural receptors that make a person feel high from morphine or heroin are activated by these two drugs so therefore an opioid addicted client will ideally not become involved in addict behavior and won't experience withdrawal symptoms. There are risks of side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are highly controlled 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 hopefully at a dosage which isn't also causing them to feel high. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the main treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a limited amount of counseling and therapy as auxiliary treatment, and it is encouraged.
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