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There are programs offered in or near Mount Juliet which service both methadone and buprenorphine clients only, drugs that 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 nerve cell receptors which make a person feel high from heroin or prescription pain killers are activated by these two drugs so that an opioid addicted client will ideally not become involved in addict behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone 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 a high dosage, more significantly with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, treatment therapies are 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 therapy as supplementary treatment, and it is recommended and encouraged.
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