There are programs offered in or near Monticello that cater to both methadone and buprenorphine clients only, drugs that are dispensed 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 nerve cell receptors which make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opiate addicted client will ideally no longer engage in addict behavior and won't have withdrawal symptoms. There are risks of side effects, drug interactions, and even addiction and 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 consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't also causing them to feel high. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the primary treatment goal is to address the physical symptoms of their dependence. Some centers do deliver a small amount of counseling and therapy as secondary treatment, and this is recommended and encouraged.
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