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There are programs offered in or near Wittensville which service both methadone and buprenorphine clients only, drugs that 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, which means 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 not engage in drug seeking behavior and won't have withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are heavily regulated and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients are on these medications daily so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also causing them to feel high. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the primary treatment objective is to address the physical symptoms of their dependence. Some programs do deliver a small amount of counseling and therapy as auxiliary treatment, and it is recommended and encouraged.
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