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There are programs available in or near Paden City that cater to both methadone and buprenorphine clients only, controlled medications that are administered in what is known as opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors that make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid dependent client will instead no longer become involved in drug seeking behavior and won't have withdrawal symptoms. There are dangers with 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.
Methadone and buprenorphine clients are on these medications daily 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 at higher dosages, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment objective is to handle the physical symptoms of their dependence. Some programs do deliver a limited amount of counseling and therapy as auxiliary services, and this is recommended and encouraged.
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