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There are recovery programs offered in or near Nulato 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 just like 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 activated by these two drugs so therefore an opiate addicted client will instead no longer become involved in drug seeking behavior and won't have cravings and withdrawal. There are dangers with 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 dispensed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't also making them feel high. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment objective is to address the physical symptoms of their dependence. Some centers do offer a limited amount of counseling and group therapy as auxiliary services, and this is encouraged.
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