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There are recovery programs available in or near Johannesburg which service both methadone and buprenorphine clients only, drugs which are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors which make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opioid dependent client will ideally not engage in drug seeking behavior and won't experience cravings and withdrawal. 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 administered in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also making them feel euphoria. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, treatment 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 centers do offer a limited amount of counseling and therapy as supplementary treatment, and it is recommended and encouraged.
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