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There are substance abuse programs available in or near Primghar which service both methadone and buprenorphine clients only, drugs which are dispensed in what is known as 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 make a person feel high from heroin or prescription pain killers are activated by these two drugs so that an opiate addicted client will ideally no longer become involved in addict behavior and won't experience withdrawal symptoms. There are dangers with drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily regulated and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications daily so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't at the same time causing them to feel high. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the primary treatment objective is to manage the physical symptoms of their dependence. Some clinics do provide a limited amount of counseling and group therapy as auxiliary treatment, and this is recommended and encouraged.
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