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There are recovery programs available in or near Madeira that cater to both methadone and buprenorphine clients only, controlled medications 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, meaning the same nerve cell receptors that cause an individual to feel high from morphine or heroin are activated by these two drugs so therefore an opiate dependent client will instead no longer engage in drug seeking behavior and won't have withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are highly controlled 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 ideally at a dosage which isn't also making them feel high. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment goal is to manage the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a limited amount of counseling and therapy as secondary treatment, and it is encouraged.
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