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There are programs available in or near Shell Lake which service both methadone and buprenorphine clients only, medications that are used 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 which cause an individual to feel high from morphine or heroin are stimulated by these two drugs so that an opioid addicted client will ideally not engage in drug seeking behavior and won't have 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 heavily controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients take these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't at the same time making them feel high. Euphoria can be experienced at a high dosage, more significantly with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some programs do provide a limited amount of counseling and therapy as supplementary treatment, and this is recommended and encouraged.
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