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There are recovery programs available in or near Tyonek which service both methadone and buprenorphine clients only, drugs which are dispensed 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 neural receptors which cause an individual to feel high from morphine or heroin are activated by these two drugs so that an opiate addicted client will instead not engage in drug seeking behavior and won't experience withdrawal symptoms. There are dangers with drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications daily 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 occurs at a high dosage, more so with methadone than buprenorphine. At programs 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 programs do provide a small amount of counseling and therapy as supplementary treatment, and it is encouraged.
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