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There are programs offered in or near Sugar Tree which service both methadone and buprenorphine clients only, controlled medications which are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same neural receptors that cause an individual to feel high from morphine or heroin are activated by these two drugs so therefore an opiate dependent client will ideally no longer become involved in drug seeking behavior and won't have cravings and withdrawal. There are risks of drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't also making them feel euphoria. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the primary treatment objective is to manage the physical symptoms of their dependence. Some programs do offer a limited amount of counseling and therapy as supplementary services, and this is encouraged.
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