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There are substance abuse programs available in or near Sumerco which service both methadone and buprenorphine clients only, controlled medications which are used 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 neural receptors which make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opioid dependent client will instead not engage in drug seeking behavior and won't experience withdrawal symptoms. 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 prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't also causing them to feel euphoria. Euphoria is possible at at higher dosages, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally 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 deliver a small amount of counseling and therapy as auxiliary services, and it is recommended and encouraged.
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