There are programs offered in or near Dewar that cater to both methadone and buprenorphine clients only, controlled medications that are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors that cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so that an opioid addicted client will instead no longer engage in addict behavior and won't have withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications regularly so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't also causing them to feel euphoria. Euphoria is possible at a high dosage, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a small amount of counseling and therapy as auxiliary services, and this is recommended and encouraged.
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