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There are programs offered in or near Assaria which service both methadone and buprenorphine clients only, medications that are administered in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors that cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate addicted client will instead no longer engage in addict behavior and won't have cravings and withdrawal. There are dangers with side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't at the same time making them feel high. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the primary treatment objective is to treat the withdrawal symptoms and put an end to the illicit drug use. Some clinics do provide a limited amount of counseling and therapy as secondary treatment, and this is recommended and encouraged.
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