There are substance abuse programs available in or near San Ysidro which service both methadone and buprenorphine clients only, drugs that are administered 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 that cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate dependent client will ideally not engage in addict behavior and won't experience cravings and withdrawal. There are risks of side effects, drug interactions, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients take these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't also causing them to feel high. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment objective is to manage the physical symptoms of their dependence. Some programs do offer a limited amount of counseling and therapy as auxiliary treatment, and it is recommended and encouraged.
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