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There are programs available in or near Skandia which service both methadone and buprenorphine clients only, medications which 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, which means the same neural receptors which cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid addicted client will instead not become involved in addict behavior and won't experience withdrawal symptoms. 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 are on these medications regularly so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time making them feel high. Euphoria is possible at at higher dosages, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the main treatment goal is to address the physical symptoms of their dependence. Some clinics do offer a small amount of counseling and group therapy as supplementary services, and it is encouraged.
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