There are addiction programs offered in or near Nucla that cater to 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, which means the same neural receptors that make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opiate dependent client will ideally no longer engage in drug seeking 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 prescribed in a clinical setting.
Buprenorphine and methadone clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't at the same time making them feel high. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some programs do offer a limited amount of counseling and group therapy as auxiliary services, and it is encouraged.
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