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There are substance abuse programs available in or near Colby that cater to 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 neural receptors that cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid dependent client will instead no longer become involved in addict behavior and won't experience cravings and withdrawal. There are dangers with side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be administered in a clinical setting.
Methadone and buprenorphine clients take these medications daily so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't at the same time causing them to feel euphoria. Euphoria can be experienced at a high dosage, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the primary treatment objective is to handle the physical symptoms of their dependence. Some programs do deliver a small amount of counseling and group therapy as secondary services, and it is encouraged.
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