Opioid Rehab Near You: MAT, Detox & Recovery Programs
Browse SAMHSA-listed opioid rehab programs across all 50 states — filter by MAT type (buprenorphine, methadone, naltrexone), level of care (OTP, OBOT, residential, IOP, telehealth), and insurance acceptance. MAT reduces opioid overdose deaths by more than 50% (NIDA), yet fewer than 20% of people with OUD receive it. Synthetic opioids (primarily fentanyl) drive ~75% of US opioid overdose deaths — CDC reports over 80,000 annually. After the 2023 MAT Act, any licensed prescriber can offer buprenorphine in office-based or telehealth settings.
Found 9,319 rehab centers specializing in opioid addiction across the United States.
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Browse opioid treatment centers below. Filter by MAT availability, state, insurance, and level of care to find the right program for your recovery needs.
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Gulf Breeze Recovery, situated in Gulf Breeze, FL, provides an extensive array of rehabilitation services aimed at adults and adolescents facing challenges with substance abuse and concurrent mental health issues. The center features intensive outpatient programs, long-term residential care, and general outpatient services. Emphasizing strategies like anger management, motivational interviewing, and relapse prevention, Gulf Breeze Recovery customizes treatment plans to meet the unique needs of each individual. Additionally, specialized programs are offered for active duty military personnel, as well as separate tracks for adult men and women. This facility is designed to accommodate both genders, fostering a compassionate and welcoming atmosphere for everyone in pursuit of quality treatment.
The Guidance Center, situated in Southgate, MI, delivers exceptional recovery programs. Its expertise lies in helping adults and young adults overcome substance dependence through intensive and standard outpatient services. Employing therapeutic methods like anger management, cognitive behavioral therapy, and the Matrix Model, this institution supports individuals facing combined mental health and substance use challenges. Each client receives personalized attention, with treatment plans designed to address their specific requirements. Open to all genders, the center provides thorough and impactful care within a nurturing atmosphere.
HALO Educational Systems, located in Lebanon, NH, provides outpatient services for adults grappling with substance use issues alongside serious mental health challenges, as well as for children facing significant emotional difficulties. This center offers targeted programs designed for military personnel, youths, and adult males. Their treatment methodologies encompass 12-step programs, anger management strategies, and short-term interventions. HALO Educational Systems serves both men and women, offering outpatient options involving methadone/buprenorphine and naltrexone therapies. Emphasizing high-quality care, the center adapts its programs to meet the unique needs of different genders and age groups, ensuring comprehensive assistance for those on the path to recovery.
HALO Educational Systems, located in Canaan, NH, provides thorough treatment for adults dealing with substance use issues alongside serious mental health conditions, as well as children facing significant emotional challenges. Their offerings encompass a range of services including intensive outpatient treatment, standard outpatient care, and medication-assisted treatments with methadone/buprenorphine or naltrexone. Utilizing targeted strategies like 12-step programs, anger management, and brief interventions, this center supports active duty military members, teenagers, and adult males. HALO Educational Systems is dedicated to serving individuals of all genders among both adults and children/adolescents, delivering high-quality, personalized care aimed at fostering successful recovery journeys.
Guidance Center Inc, situated in Flagstaff, AZ, delivers a wide array of services addressing substance use issues and concurrent mental health challenges. This facility is well-versed in detoxification, treatment for substance dependencies, and providing support to individuals facing severe mental health struggles. They offer hospital-based detox programs, intensive outpatient care, and round-the-clock inpatient services. The center employs various therapeutic methods, such as cognitive behavioral therapy, anger management techniques, and the Matrix Model, accommodating adults and elderly clients across the gender spectrum. Additionally, it features distinct programs for adolescents, those affected by intimate partner violence, and individuals with past experiences of sexual abuse, ensuring a nurturing atmosphere for recovery.
Nestled in Flagstaff, AZ, The Guidance Center Inc. provides extensive support for adults and adolescents struggling with addiction and co-occurring mental health conditions. Their hospital inpatient services encompass detoxification and specialized interventions for survivors of domestic violence, sexual assault, and trauma. Utilizing approaches like anger management, cognitive behavioral therapy, and the Matrix Model, the center customizes treatment plans for each person. This facility offers a secure environment for individuals of all genders, dedicated to delivering exceptional care for those on their journey to recovery and well-being.
Guidance Center Inc, situated in Flagstaff, AZ, is a dedicated facility providing extensive support for adults and young adults struggling with substance use disorders, particularly when accompanied by severe mental health conditions or emotional challenges. The center delivers a range of care options including extended stay residential, brief residential, and round-the-clock services. They employ proven therapeutic strategies like cognitive behavioral therapy, the Matrix Model, and motivational interviewing. Guidance Center Inc has a particular expertise in assisting individuals who have endured trauma, domestic abuse, or sexual assault, and welcomes both men and women. Prioritizing high-quality treatment and individualized plans, Guidance Center Inc is a reliable option for those in search of effective recovery within a nurturing setting.
Guidance Center of Lea County Inc operates in Hobbs, New Mexico, offering outpatient and intensive outpatient substance use treatment with buprenorphine or naltrexone. Care includes co-occurring serious mental illness in adults and serious emotional disturbance in children, plus programs for adolescents, veterans, and pregnant women. Spanish is available.
Guiding Minds Counseling and Treatment in Dallas, Texas offers intensive outpatient, regular outpatient, and medication-assisted treatment with buprenorphine and naltrexone. Programs serve pregnant and postpartum women, veterans, and clients with co-occurring disorders. Medicaid, SAMHSA block grants, private insurance, and a sliding fee scale are accepted.
Guiding Road Recovery Center in Phoenix, Arizona offers residential, partial hospitalization, and intensive outpatient treatment plus sober housing, with buprenorphine and naltrexone used. Programs focus on adult men, veterans, and military members with co-occurring disorders. Private insurance and self-pay are accepted.
Regular outpatient substance use treatment with outpatient buprenorphine and naltrexone is available at Gulf Bend Center in Victoria, Texas. Adolescents, veterans, and clients with co-occurring mental disorders are served. Medicare, Medicaid, TRICARE, SAMHSA block grants, and payment assistance are accepted, with Spanish-language services offered.
The HCC Network site in Concordia, Missouri, offers outpatient treatment with buprenorphine and naltrexone for opioid use disorder. Programs cover pregnant and postpartum women, veterans, military families, criminal justice clients, and people with HIV or AIDS. Medicaid, Medicare, TRICARE, SAMHSA block grants, and a sliding fee scale are accepted.
Located in Waverly, Missouri, this HCC Network site provides outpatient care using buprenorphine and naltrexone. Programs serve pregnant and postpartum women, veterans, active duty military, criminal justice clients, and clients with trauma or co-occurring pain. Medicaid, Medicare, SAMHSA block grants, and a sliding fee scale are accepted.
The Guidance Center, situated in Atchison, KS, provides extensive outpatient services for individuals of all ages dealing with substance use and related mental health challenges. Employing methods like 12-step facilitation, anger management techniques, and brief intervention strategies, the center delivers personalized treatment plans. Dedicated programs are available for adult men, women, and survivors of domestic violence. The facility's focus extends to adult and senior individuals, with specific programs designed for both men and women in these age groups. The Guidance Center is committed to delivering high-quality, evidence-based care to aid clients in their recovery process.
Gulf Coast Addiction Medicine LLC, situated in Panama City, FL, provides comprehensive care for individuals struggling with addiction. Their programs include intensive outpatient services, general outpatient support, and medication-assisted treatment utilizing methadone, buprenorphine, or naltrexone. Therapeutic approaches employed by the center consist of 12-step facilitation, cognitive behavioral therapy, and motivational interviewing, all aimed at fostering recovery. Gulf Coast Addiction Medicine LLC is committed to delivering personalized treatment plans for adult clients of any gender, striving to guide them toward sustained sobriety and overall well-being.
HAART in Oakland, CA, stands as a premier rehabilitation establishment, providing comprehensive outpatient programs for detoxification and substance use disorders. Their specialized services encompass brief intervention, cognitive behavioral therapy, and contingency management/motivational incentives. HAART serves a wide array of individuals, including active duty military, adult men, and adult women. Catering to adults and seniors regardless of gender, the center offers outpatient treatment with methadone, buprenorphine, or naltrexone. HAART delivers exceptional, personalized care, positioning it as a distinguished option for effective addiction recovery in the Oakland community.
The Guidance Center of Westchester in New Rochelle, NY, delivers extensive outpatient services for individuals of all ages struggling with substance abuse and associated mental health conditions. They offer tailored programs for men, women, and young adults, emphasizing approaches like cognitive behavioral therapy, anger management, and brief interventions. Patients can access personalized outpatient medication management, including methadone/buprenorphine and naltrexone. This facility is dedicated to providing high-quality, individualized care to support the recovery journey for everyone who seeks their assistance.
Situated in El Dorado, AR, the Guinn Clinic provides outpatient treatment for substance use, targeting both adults and young adults. This center specializes in addressing co-occurring serious mental health conditions alongside substance use issues in adults, and it also supports children facing significant emotional disturbances. The Guinn Clinic delivers customized care primarily focused on counseling for substance use disorders. Treatment modalities available include outpatient options with methadone/buprenorphine or naltrexone. Catering to a diverse clientele of both males and females, the center's commitment to individualized treatment ensures that care is adapted to match each person's unique situation, establishing it as an essential provider of thorough and tailored rehabilitation services.
Gundersen Lutheran Medical Ctr Inc in Onalaska, WI, provides extensive support for adults and seniors facing challenges with addiction and co-occurring mental health issues. Their rehabilitation programs include intensive outpatient, day treatment, and flexible outpatient options, all customized to each person's unique requirements. Utilizing proven methods such as cognitive behavioral therapy and anger management, the center also employs contingency management techniques to foster sustained recovery. They are particularly adept at serving individuals with dual diagnoses and offer distinct care pathways for both male and female patients. Gundersen Lutheran Medical Ctr Inc dedicates itself to offering superior, individualized care to guide individuals toward a healthier life.
Situated in Hayward, CA, HAART provides extensive outpatient detox and substance abuse treatment services. The center is known for its customized approaches, including cognitive behavioral therapy and motivational incentives, aimed at facilitating recovery. HAART caters specifically to active duty military members, adult males, and females. With a commitment to serving adult and elderly clients, this facility develops personalized treatment strategies for both genders. Prioritizing exceptional care, HAART is focused on enabling individuals to attain enduring recovery through proven methodologies and a nurturing atmosphere.
Opioid Use Disorder (OUD): Key Facts
Classification
Opioid Use Disorder (OUD)
Prevalence
2.1 million adults with OUD in the US (SAMHSA)
Overdose deaths
80,000+ opioid overdose deaths/year in US (CDC)
Primary substances
Fentanyl, heroin, oxycodone, hydrocodone
Gold standard treatment
Medication-Assisted Treatment (MAT)
MAT effectiveness
Reduces overdose deaths by 50%+ (NIDA)
FDA-approved medications
Buprenorphine (Suboxone), Methadone, Naltrexone (Vivitrol)
Emergency reversal
Naloxone (Narcan)
Opioid Overdose Emergency: Know the Signs
An opioid overdose can kill within minutes. If you see these signs, act immediately:
Overdose warning signs
- Blue or purple lips and fingernails (cyanosis)
- Pinpoint (extremely small) pupils
- Slow, shallow, or stopped breathing
- Unresponsive to shouting or sternal rub
- Gurgling or choking sounds
- Limp body, pale or clammy skin
What to do
- Call 911 immediately — most states have Good Samaritan laws protecting callers
- Administer naloxone (Narcan) if available — nasal spray or injection
- Perform rescue breathing — one breath every 5 seconds
- Place in recovery position (on their side) to prevent choking
- Give a second dose of naloxone after 2-3 minutes if no response
- Stay until help arrives — naloxone wears off in 30-90 minutes
National Overdose Prevention Hotline: 911 | SAMHSA Helpline: 1-800-662-4357 (24/7, free, confidential)
What Is Opioid Use Disorder?
DSM-5 diagnostic criteria
Opioid Use Disorder (OUD) is a chronic, relapsing brain condition defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). It is diagnosed when a person meets at least two of eleven criteria within a 12-month period, including: taking opioids in larger amounts or for longer than intended, persistent desire or unsuccessful efforts to cut down, spending excessive time obtaining or using opioids, cravings, failure to fulfill major obligations, continued use despite social or interpersonal problems, giving up important activities, use in physically hazardous situations, continued use despite physical or psychological problems, tolerance, and withdrawal.
Severity classification
OUD severity is classified based on the number of criteria met: mild (2-3 criteria), moderate (4-5 criteria), and severe (6 or more criteria). Severe OUD carries the highest risk of overdose death and typically requires the most intensive treatment, including medication-assisted treatment. Even mild OUD warrants professional intervention, as the disorder tends to progress without treatment.
Opioids vs. opiates
The term "opiates" refers specifically to natural compounds derived from the opium poppy (morphine, codeine). "Opioids" is the broader term that includes opiates plus semi-synthetic drugs (oxycodone, hydrocodone, heroin) and fully synthetic drugs (fentanyl, methadone, tramadol). All opioids bind to mu-opioid receptors in the brain, producing pain relief, euphoria, and respiratory depression — the mechanism that causes fatal overdoses.
The Opioid Epidemic: Fentanyl Crisis
Three waves of the opioid epidemic
The US opioid crisis has unfolded in three distinct waves. The first wave (1990s) was driven by aggressive marketing of prescription opioids — OxyContin, Vicodin, Percocet — leading doctors to overprescribe and millions of patients to develop dependence. The second wave (around 2010) saw a surge in heroin use as people with prescription opioid addiction shifted to cheaper, more accessible heroin. The third wave (2013-present) is defined by illicitly manufactured fentanyl and its analogs, which now account for the majority of opioid overdose deaths in the United States.
Why fentanyl changed everything
Fentanyl is a fully synthetic opioid that is 50-100 times more potent than morphine and approximately 50 times more potent than heroin. A lethal dose of fentanyl is just 2 milligrams — roughly the size of a few grains of salt. Because fentanyl is cheap to manufacture and extremely potent by weight, drug traffickers mix it into heroin, cocaine, methamphetamine, and counterfeit prescription pills. Many people who die from fentanyl overdoses did not know they were consuming it. Counterfeit pills made to look like oxycodone (M30), Xanax, or Adderall frequently contain lethal doses of fentanyl.
Current impact
According to the CDC, over 80,000 Americans die from opioid overdoses each year, with synthetic opioids (primarily illicit fentanyl) responsible for roughly 75% of those deaths. Opioid overdose is now the leading cause of accidental death for Americans under 50. The crisis affects every demographic, geographic region, and socioeconomic group in the country.
Opioid Withdrawal Timeline
Opioid withdrawal is intensely uncomfortable but rarely life-threatening on its own. The timeline varies depending on whether the person was using short-acting opioids (heroin, oxycodone, hydrocodone) or long-acting opioids (methadone, extended-release morphine).
Short-acting opioids (heroin, oxycodone)
- 6-12 hours: Onset of symptoms — anxiety, muscle aches, sweating, yawning, runny nose
- 24-48 hours: Escalation — insomnia, diarrhea, nausea, vomiting, abdominal cramps, dilated pupils
- 48-72 hours: Peak severity — intense cravings, body aches, goosebumps, rapid heartbeat
- 5-7 days: Acute symptoms begin to subside
- 1-2 weeks: Most physical symptoms resolve
Long-acting opioids (methadone, ER morphine)
- 24-48 hours: Delayed onset of symptoms
- 3-5 days: Symptoms escalate and peak
- 5-10 days: Peak and plateau of acute withdrawal
- 10-20 days: Gradual improvement of physical symptoms
- 2-3 weeks: Most acute symptoms resolve
Post-Acute Withdrawal Syndrome (PAWS)
After acute withdrawal resolves, many people experience Post-Acute Withdrawal Syndrome (PAWS) — a set of prolonged symptoms including anxiety, depression, insomnia, fatigue, difficulty concentrating, and mood swings that can persist for weeks to months. PAWS is the leading cause of relapse in the first year of recovery and is a key reason why ongoing treatment and support are essential after detox.
Why medical detox matters
While opioid withdrawal itself is rarely fatal, the extreme discomfort drives many people to relapse during detox — and relapse after a period of abstinence is when overdose risk is highest, because tolerance has decreased. Medically supervised detoxification uses medications like buprenorphine, clonidine, and comfort medications to manage symptoms safely, dramatically reducing relapse during the withdrawal period.
Medication-Assisted Treatment (MAT)
Medication-Assisted Treatment is the gold standard for opioid use disorder, combining FDA-approved medications with counseling and behavioral therapies. Research from NIDA shows MAT reduces opioid overdose deaths by more than 50%, decreases illicit opioid use, reduces criminal activity, improves social functioning, and increases treatment retention. Despite this evidence, fewer than 20% of people with OUD receive MAT — a treatment gap that costs tens of thousands of lives each year.
Buprenorphine (Suboxone)
Type: Partial opioid agonist
Buprenorphine activates opioid receptors just enough to prevent withdrawal and cravings without producing the intense euphoria of full agonists. It has a "ceiling effect," meaning higher doses do not increase effects — significantly reducing overdose risk. Suboxone combines buprenorphine with naloxone to deter misuse.
Setting: Can be prescribed by any licensed prescriber in office-based settings (OBOT), pharmacies, or telehealth.
Methadone
Type: Full opioid agonist
Methadone is a long-acting opioid that stabilizes brain chemistry, eliminates withdrawal symptoms, and blocks the euphoric effects of other opioids at proper doses. It has the longest track record of any MAT medication, with over 50 years of evidence supporting its effectiveness.
Setting: Must be dispensed daily at a certified Opioid Treatment Program (OTP/methadone clinic). Take-home doses earned over time with compliance.
Naltrexone (Vivitrol)
Type: Opioid antagonist (blocker)
Naltrexone completely blocks opioid receptors, preventing any opioid from producing effects. The extended-release injection (Vivitrol) is administered monthly and eliminates the need for daily medication adherence. Unlike buprenorphine and methadone, naltrexone has no abuse potential and is not a controlled substance.
Requirement: Patient must be fully detoxed (7-14 days opioid-free) before starting naltrexone to avoid precipitated withdrawal.
MAT medication comparison
The three FDA-approved MAT medications differ in mechanism, dispensing model, and patient fit. The table below summarizes the key distinctions:
| Medication | Type | DEA Schedule | Setting | Dispensing | Best for |
|---|---|---|---|---|---|
| Buprenorphine (Suboxone, Sublocade, Subutex, Zubsolv, Brixadi) | Partial agonist with ceiling effect | III | OBOT, telehealth, retail pharmacy | Take-home from day 1 (or monthly injection) | Most patients; rural areas; daily clinic not feasible |
| Methadone | Full mu-opioid agonist | II | OTP only (42 CFR Part 8) | Daily at clinic → take-home after 90 days | Severe OUD; prior buprenorphine failure; long-standing dependence |
| Naltrexone (Vivitrol) | Opioid antagonist (blocker) | Not controlled | Any prescriber; injection at clinic | Monthly IM injection (380 mg) | Highly motivated; post-detox (7-14 days opioid-free); no abuse potential desired |
All three are effective; the best choice is the one the patient will actually take consistently. Adherence, not pharmacology, is the dominant predictor of outcomes. Buprenorphine and methadone are first-line for active opioid use; naltrexone requires complete detox before initiation.
Types of Opioid Treatment Programs
OTP / Methadone Clinics
Opioid Treatment Programs are federally certified clinics that dispense methadone and provide comprehensive services including counseling, drug testing, and case management. Patients visit daily initially, earning take-home privileges over time.
OBOT (Office-Based Treatment)
Office-Based Opioid Treatment allows any licensed prescriber to treat OUD with buprenorphine in a standard medical office or via telehealth. This model dramatically increases access, especially in rural areas with no OTPs. Patients fill prescriptions at regular pharmacies.
Residential (inpatient) programs provide 24/7 structured care for 30-90 days. Best for severe OUD, polysubstance use, co-occurring mental health disorders, or patients who need separation from their environment. Most residential programs offer MAT as part of treatment.
IOP programs provide 9-20 hours of structured treatment per week while allowing patients to live at home. Combines group therapy, individual counseling, and MAT. Effective for moderate OUD or as a step-down from residential treatment.
Standard outpatient involves 1-2 sessions per week — typically individual therapy and/or group sessions combined with MAT. Suitable for mild to moderate OUD or as a long-term maintenance level of care after completing more intensive treatment.
Medical detox provides 3-7 days of supervised withdrawal management using medications to ease symptoms. Detox alone is not treatment — it must be followed by ongoing MAT and/or behavioral therapy. Detox without continued care has very high relapse rates.
Naloxone: The Overdose Reversal Medication
What naloxone does
Naloxone (brand name Narcan) is an opioid antagonist that rapidly reverses opioid overdose by displacing opioids from receptors in the brain. It restores normal breathing within 2-5 minutes in most cases. Naloxone has no effect on people who do not have opioids in their system and has virtually no abuse potential. Since 2023, Narcan nasal spray is available over the counter at pharmacies nationwide without a prescription.
How to use naloxone nasal spray
Using Narcan nasal spray requires no medical training:
- Peel back the package and remove the device
- Tilt the person's head back and insert the nozzle into one nostril
- Press the plunger firmly to deliver the full dose
- If no response in 2-3 minutes, administer a second dose in the other nostril
- Continue rescue breathing and call 911 — naloxone wears off in 30-90 minutes, and the person may stop breathing again
Where to get naloxone for free
Many harm reduction organizations, health departments, and community pharmacies distribute naloxone for free or at low cost. SAMHSA's Opioid Overdose Prevention Toolkit and state naloxone access programs provide resources. Most states have standing orders allowing pharmacists to dispense naloxone without an individual prescription. If you or someone you know uses opioids, carrying naloxone can save a life.
Frequently Asked Questions About Opioid Treatment
What is medication-assisted treatment (MAT) for opioid addiction?
Medication-Assisted Treatment (MAT) combines FDA-approved medications — methadone, buprenorphine (Suboxone), or naltrexone (Vivitrol) — with counseling and behavioral therapies. These medications reduce cravings, prevent withdrawal symptoms, and normalize brain chemistry, allowing people to focus on recovery. MAT is the most effective treatment for opioid use disorder: it reduces overdose deaths by more than 50%, decreases illicit drug use, and improves treatment retention rates (NIDA).
How long does opioid withdrawal last?
The withdrawal timeline depends on the opioid used. Short-acting opioids like heroin and oxycodone cause symptoms within 6-12 hours that peak at 48-72 hours and subside over 5-7 days. Long-acting opioids like methadone produce delayed symptoms starting at 24-48 hours, peaking at 3-5 days, and lasting up to 2-3 weeks. Post-acute withdrawal symptoms (PAWS) — including anxiety, insomnia, and mood instability — may persist for weeks to months after acute withdrawal resolves.
Is buprenorphine (Suboxone) just replacing one addiction with another?
No — this is one of the most harmful misconceptions in addiction medicine. Buprenorphine is a partial opioid agonist prescribed at stable, controlled doses as part of comprehensive treatment. It does not produce euphoria when taken as directed, eliminates cravings, prevents withdrawal, and allows people to function normally — work, care for families, and rebuild their lives. Taking buprenorphine for OUD is no different than taking insulin for diabetes: it is evidence-based medication for a chronic medical condition.
What should I look for in an opioid treatment center?
Look for centers offering MAT options (buprenorphine, methadone, and/or naltrexone), accreditation from CARF or The Joint Commission, licensed medical staff experienced in addiction medicine, comprehensive assessment with individualized treatment plans, evidence-based therapies (CBT, contingency management), family support services, and strong aftercare planning. Verify they accept your insurance and offer the appropriate level of care for your situation.
Can I work while in opioid treatment?
Yes, especially with outpatient MAT programs. Outpatient treatment — including OBOT (office-based buprenorphine) and standard outpatient counseling — allows you to maintain work, family, and social responsibilities while receiving care. Intensive Outpatient Programs (IOP) typically meet 9-20 hours per week and can often be scheduled around work. Many employers are required to support recovery under the ADA and FMLA. Residential treatment requires time away but provides the most intensive support for severe cases.
What is fentanyl and why is it so dangerous?
Fentanyl is a fully synthetic opioid that is 50-100 times more potent than morphine. A lethal dose is just 2 milligrams. It is increasingly found in the illicit drug supply, mixed into heroin, cocaine, methamphetamine, and counterfeit prescription pills — often without the user's knowledge. Fentanyl is now responsible for roughly 75% of all opioid overdose deaths in the United States. Treatment for fentanyl addiction typically requires MAT (often at higher buprenorphine or methadone doses), naloxone training, and comprehensive behavioral support.
How long does MAT treatment last?
There is no fixed duration for MAT — treatment length should be individualized. Research consistently shows that longer treatment produces better outcomes. The American Society of Addiction Medicine (ASAM) recommends a minimum of one year of MAT, and many addiction specialists recommend indefinite maintenance for people with severe OUD, as the risk of fatal overdose is highest in the period after discontinuing MAT. The decision to taper off medication should be made collaboratively with a treatment provider when the patient is stable, has strong support systems, and is not facing major life stressors.
Is fentanyl in the drug supply near me?
Almost certainly yes. Fentanyl has been detected in the illicit drug supply in all 50 states. It is routinely found in heroin, counterfeit prescription pills (especially fake oxycodone M30s, Xanax, and Adderall), cocaine, and methamphetamine. DEA lab testing shows that 7 out of 10 counterfeit pills seized contain a potentially lethal dose of fentanyl. Fentanyl test strips — which can detect fentanyl before use — are available for free from many harm reduction organizations, health departments, and community pharmacies. The safest assumption is that any illicit substance may contain fentanyl.
Medical Review and Sources
Trusted Resources
Substance Abuse and Mental Health Services Administration
Federal agency providing information, resources, and treatment locator for substance abuse and mental health.
Helpline: 1-800-662-4357
National Institute on Drug Abuse
NIH institute advancing science on drug use and addiction causes, consequences, and treatment.
National Institute on Alcohol Abuse and Alcoholism
NIH institute supporting research on alcohol's impact on health and providing treatment resources.
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