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There are programs offered in or near Deckerville that cater to both methadone and buprenorphine clients only, medications that are used in what is known as 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 that make a person feel high from morphine or heroin are stimulated by these two drugs so that an opioid dependent client will instead not become involved in drug seeking behavior and won't experience cravings and withdrawal. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't also making them feel high. Euphoria can be experienced at a high dosage, more significantly with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the primary treatment goal is to manage 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 auxiliary treatment, and it is recommended and encouraged.
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