There are programs available in or near Waianae that cater to both methadone and buprenorphine clients only, medications which are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same neural receptors which cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opioid dependent client will instead not engage in drug seeking behavior and won't have cravings and withdrawal. There are dangers with side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are heavily regulated and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't also causing them to feel euphoria. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally 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 provide a small amount of counseling and group therapy as supplementary services, and this is recommended and encouraged.
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