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There are programs offered in or near Tekoa that cater to both methadone and buprenorphine clients only, drugs that are administered 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 opiate dependent client will instead no longer become involved in drug seeking behavior and won't experience withdrawal symptoms. There are risks of side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients take these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't at the same time causing them to feel high. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the main treatment goal is to handle the withdrawal symptoms and put an end to the illicit drug use. Some centers do offer a small amount of counseling and therapy as auxiliary treatment, and this is encouraged.
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