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There are recovery programs offered in or near Otsego which service both methadone and buprenorphine clients only, drugs that are dispensed 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 activated by these two drugs so that an opioid dependent client will instead not become involved in addict behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are heavily regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't at the same time making them feel high. Euphoria is possible at a high dosage, more so with methadone than buprenorphine. At clinics 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 physical symptoms of their dependence. Some programs do deliver a small amount of counseling and group therapy as secondary services, and this is recommended and encouraged.
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