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Council Bluffs, the county seat of Pottawattamie County, is the most populous city in Southwest Iowa. Generally, highly populated cities have more probability of being home to multiple people suffering from opioid use disorder. Council Bluffs has a total area of 118.1 km². As of 2018, it had a population estimated at 62,421. Residents of Council Bluffs or nearby cities who wish to treat opioid use disorder may consider doing so medically at any Council Bluffs methadone clinic. Opioid use disorder, a menace that has found its way into almost every part of the world, could be medically treated with three drugs, of which methadone is one. Methadone is effective. While the effects of opioids are short term, methadone is a long-lasting agonist. It is approved by the Food and Drug Administration, and its use is regulated. Methadone clinics in Iowa, as it is done in other states, place the patient under close observation for the first few days of methadone maintenance. They dispense drugs and take note of the patient’s response. Depending on the observation of the practitioner, the doses are adjusted. A program visit schedule may be drawn after the first few days of methadone maintenance. The duration of the program is usually not shorter than twelve months but there is no recommended maximum duration.