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There are substance abuse programs available in or near Republic 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 just like heroin, and buprenorphine is a partial agonist, which means the same neural receptors that cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opiate dependent client will instead no longer 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 buprenorphine and methadone, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients take these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't at the same time making them feel high. Euphoria can be experienced at at higher dosages, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the primary treatment objective is to address the physical symptoms of their dependence. Some clinics do offer a small amount of counseling and group therapy as supplementary treatment, and it is encouraged.
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