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There are programs available in or near Wheeler that cater to both methadone and buprenorphine clients only, controlled medications which are used 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 neural receptors that cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid addicted client will instead not engage 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 highly controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time causing them to feel high. Euphoria can be experienced at at higher dosages, 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 objective is to treat the physical symptoms of their dependence. Some programs do deliver a limited amount of counseling and group therapy as supplementary services, and it is encouraged.
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