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There are programs available in or near Silverton which service both methadone and buprenorphine clients only, medications that are administered 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 that make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid addicted client will ideally no longer become involved in addict behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients take these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't also causing them to feel high. Euphoria is possible at at higher dosages, more so with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some programs do deliver a small amount of counseling and therapy as auxiliary treatment, and this is recommended and encouraged.
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