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There are programs available in or near Tuscola which service both methadone and buprenorphine clients only, controlled medications that are used 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 which make a person feel high from heroin or prescription pain killers are activated by these two drugs so that an opiate dependent client will ideally no longer engage in addict behavior and won't experience cravings and withdrawal. There are risks of 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 are on these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dose 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 which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the main treatment objective is to address the physical symptoms of their dependence. Some centers do provide a small amount of counseling and group therapy as auxiliary services, and it is recommended and encouraged.
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