There are addiction programs offered in or near Letcher which service both methadone and buprenorphine clients only, drugs that 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, meaning the same nerve cell receptors that cause an individual to feel high from morphine or heroin are stimulated by these two drugs so that an opiate dependent client will instead no longer become involved in addict behavior and won't experience withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't also making them feel high. Euphoria can be experienced at a high dosage, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the primary treatment objective is to manage the physical symptoms of their dependence. Some programs do provide a small amount of counseling and therapy as auxiliary treatment, and it is recommended and encouraged.
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