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There are substance abuse programs available in or near Port Alsworth that cater to 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 the same as heroin, and buprenorphine is a partial agonist, which means the same neural receptors that make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid dependent client will instead no longer become involved in drug seeking behavior and won't experience withdrawal symptoms. 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 dispensed in a clinical setting.
Buprenorphine and methadone clients take 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 can be experienced at a high dosage, more so with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the primary treatment goal is to manage the physical symptoms of their dependence. Some centers do provide a limited amount of counseling and therapy as secondary treatment, and it is recommended and encouraged.
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