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There are recovery programs available in or near Shaktoolik which service both methadone and buprenorphine clients only, medications which are used 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 neural receptors which cause an individual to feel high from morphine or heroin are stimulated by these two drugs so that an opioid dependent client will instead not become involved in drug seeking behavior and won't have cravings and withdrawal. There are risks of drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be dispensed 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 making them feel high. Euphoria can be experienced at at higher dosages, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the primary treatment objective is to treat the physical symptoms of their dependence. Some clinics do provide a limited amount of counseling and therapy as secondary services, and this is recommended and encouraged.
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