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There are substance abuse programs offered in or near Marengo which service both methadone and buprenorphine clients only, medications 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, which means the same nerve cell receptors that cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opioid addicted client will instead not engage in drug seeking behavior and won't have 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 heavily regulated and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also making them feel high. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment goal is to manage the physical symptoms of their dependence. Some clinics do deliver a small amount of counseling and group therapy as auxiliary treatment, and it is encouraged.
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