There are programs available in or near Nettie that cater to both methadone and buprenorphine clients only, controlled medications that are dispensed 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 nerve cell receptors which cause an individual to feel high from morphine or heroin are activated by these two drugs so that an opiate dependent client will instead not engage in addict behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also causing them to feel euphoria. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the primary treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some clinics do offer a small amount of counseling and therapy as supplementary treatment, and it is recommended and encouraged.
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