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There are programs offered in or near Shishmaref which service both methadone and buprenorphine clients only, drugs 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, meaning the same nerve cell receptors which cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so that an opiate addicted client will ideally no longer engage in addict behavior and won't have withdrawal symptoms. There are dangers with drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be administered in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't at the same time causing them to feel euphoria. Euphoria is possible at at higher dosages, more significantly with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment goal is to manage the withdrawal symptoms and put an end to the illicit drug use. Some clinics do offer a limited amount of counseling and group therapy as secondary treatment, and this is recommended and encouraged.
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