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There are recovery programs available in or near Ontario which service both methadone and buprenorphine clients only, controlled medications which are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors which cause an individual to feel high from morphine or heroin are activated by these two drugs so therefore an opiate dependent client will instead not become involved in addict behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be administered in a clinical setting.
Methadone and buprenorphine clients take these medications daily so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't also causing them to feel high. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the main treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some clinics do offer a small amount of counseling and therapy as auxiliary treatment, and this is encouraged.
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