There are addiction programs offered in or near Bend which service both methadone and buprenorphine clients only, medications 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, which means the same nerve cell receptors that cause an individual to feel high from morphine or heroin are activated by these two drugs so that an opioid addicted client will instead no longer engage in drug seeking behavior and won't experience cravings and withdrawal. 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 daily so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also causing them to feel euphoria. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the primary treatment goal is to address the physical symptoms of their dependence. Some programs do offer a limited amount of counseling and group therapy as auxiliary treatment, and this is recommended and encouraged.
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