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There are recovery programs offered in or near Montello which service both methadone and buprenorphine clients only, controlled medications that are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same neural receptors which cause an individual to feel high from morphine or heroin are stimulated by these two drugs so that an opiate addicted client will instead no longer become involved in drug seeking behavior and won't experience withdrawal symptoms. There are risks of drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications regularly so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time causing them to feel euphoria. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the main treatment objective is to handle the physical symptoms of their dependence. Some centers do provide a limited amount of counseling and therapy as supplementary treatment, and it is encouraged.
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