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There are recovery programs offered in or near Hilo which service both methadone and buprenorphine clients only, medications which are dispensed 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 nerve cell receptors which cause an individual to feel high from morphine or heroin are stimulated by these two drugs so that an opioid dependent client will ideally no longer become involved in drug seeking behavior and won't experience withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are heavily regulated and can only be administered in a clinical setting.
Buprenorphine and methadone clients are on these medications consistently so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't at the same time causing them to feel high. Euphoria can be experienced at at higher dosages, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the primary treatment goal is to manage the physical symptoms of their dependence. Some clinics do deliver a limited amount of counseling and therapy as secondary services, and it is encouraged.
There are 1 Alcohol and Drug Rehab Centers offering this service in Hilo, HI
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