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There are addiction programs offered in or near Unalaska which service both methadone and buprenorphine clients only, controlled medications that are administered in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate addicted client will ideally not engage in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications regularly so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't at the same time causing them to feel high. Euphoria can be experienced at a high dosage, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond this and the primary treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some programs do deliver a small amount of counseling and therapy as supplementary treatment, and this is encouraged.
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