There are substance abuse programs available in or near Ida Grove that cater to both methadone and buprenorphine clients only, medications that are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, meaning the same neural receptors which make a person feel high from morphine or heroin are activated by these two drugs so that an opioid dependent client will ideally no longer engage in drug seeking 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 highly regulated and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time making them feel high. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the primary treatment goal is to treat the physical symptoms of their dependence. Some programs do offer a limited amount of counseling and therapy as secondary treatment, and this is recommended and encouraged.
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