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There are substance abuse programs offered in or near Boscobel which service both methadone and buprenorphine clients only, drugs 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 neural receptors which make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid addicted client will ideally not become involved in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients are on these medications consistently so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't at the same time making them feel euphoria. 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 managing the medication and the main treatment objective is to address the physical symptoms of their dependence. Some centers do deliver a small amount of counseling and group therapy as secondary treatment, and this is recommended and encouraged.
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