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There are programs offered in or near Zilwaukee which service both methadone and buprenorphine clients only, drugs that are administered in what is called 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 stimulated by these two drugs so that an opioid addicted client will instead not become involved in addict behavior and won't have cravings and withdrawal. There are risks of drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly 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 ideally at a dosage which isn't at the same time making them feel euphoria. Euphoria occurs at a high dosage, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond this and the primary treatment goal is to manage the withdrawal symptoms and put an end to the illicit drug use. Some programs do deliver a small amount of counseling and group therapy as secondary services, and it is recommended and encouraged.
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