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There are programs offered in or near Wytheville that cater to both methadone and buprenorphine clients only, medications 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 nerve cell receptors that make a person feel high from morphine or heroin are activated by these two drugs so therefore an opioid dependent client will ideally not become involved in addict behavior and won't experience cravings and withdrawal. 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.
Buprenorphine and methadone clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't also making them feel euphoria. 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 main treatment objective is to manage the withdrawal symptoms and put an end to the illicit drug use. Some clinics do provide a small amount of counseling and group therapy as supplementary services, and this is recommended and encouraged.
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