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There are programs available in or near Mosby which service both methadone and buprenorphine clients only, 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, meaning the same nerve cell receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so that an opioid dependent client will ideally no longer engage in addict behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take 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 significantly with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the main treatment objective is to handle the physical symptoms of their dependence. Some programs do provide a small amount of counseling and therapy as auxiliary treatment, and this is recommended and encouraged.
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