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There are substance abuse programs offered in or near Pall Mall that cater to both methadone and buprenorphine clients only, medications that are dispensed 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 that cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate addicted client will ideally no longer become involved in addict behavior and won't have withdrawal symptoms. There are risks of drug interactions, side effects, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also making them feel high. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the main treatment objective is to manage the physical symptoms of their dependence. Some programs do deliver a small amount of counseling and therapy as auxiliary treatment, and it is encouraged.
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