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There are substance abuse programs offered in or near Trempealeau which service both methadone and buprenorphine clients only, controlled medications that are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same neural receptors that cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opiate dependent client will ideally 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 highly regulated and can only be administered in a clinical setting.
Methadone and buprenorphine clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also making them feel euphoria. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment objective is to handle the withdrawal symptoms and put an end to the illicit drug use. Some centers do offer a small amount of counseling and therapy as auxiliary treatment, and it is encouraged.
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