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There are addiction programs offered in or near Koosharem that cater to 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, which means the same neural receptors which make a person feel high from morphine or heroin are activated by these two drugs so that an opiate addicted client will instead not engage in addict behavior and won't have withdrawal symptoms. There are dangers with drug interactions, side effects, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily regulated and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients take these medications daily so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't at the same time causing them to feel high. Euphoria is possible at a high dosage, more so with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the main treatment objective is to manage the physical symptoms of their dependence. Some clinics do provide a small amount of counseling and therapy as secondary treatment, and this is encouraged.
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