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There are substance abuse programs available in or near Carlstadt which service both methadone and buprenorphine clients only, drugs that are dispensed in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors that make a person feel high from morphine or heroin are activated by these two drugs so therefore an opioid addicted client will instead not become involved in addict behavior and won't experience cravings and withdrawal. There are risks of side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't at the same time causing them to feel high. Euphoria is possible at at higher dosages, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the main treatment goal is to address the physical symptoms of their dependence. Some clinics do offer a limited amount of counseling and group therapy as secondary treatment, and this is recommended and encouraged.
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