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There are programs available in or near Rainelle that cater to both methadone and buprenorphine clients only, medications which 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 nerve cell receptors which cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opiate dependent client will instead not become involved in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't also making them feel high. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the primary treatment goal is to address the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a limited amount of counseling and group therapy as supplementary services, and this is encouraged.
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