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There are substance abuse programs available in or near Almena which service both methadone and buprenorphine clients only, drugs which are administered in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, meaning the same neural receptors which make a person feel high from morphine or heroin are stimulated by these two drugs so that an opiate dependent client will instead no longer engage in addict behavior and won't have withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications daily so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also making them feel euphoria. Euphoria is possible at at higher dosages, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the main treatment objective is to address the physical symptoms of their dependence. Some programs do provide a limited amount of counseling and therapy as supplementary treatment, and it is recommended and encouraged.
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