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There are programs available in or near Tuluksak which service both methadone and buprenorphine clients only, controlled medications that 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, which means the same nerve cell receptors that cause an individual to feel high from morphine or heroin are activated by these two drugs so therefore an opiate addicted client will ideally no longer become involved in drug seeking behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't at the same time making them feel euphoria. Euphoria can be experienced at at higher dosages, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment objective is to handle the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a small amount of counseling and therapy as secondary services, and it is encouraged.
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