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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AppleGate Recovery, located in Kokomo, IN, specializes in outpatient detox and substance abuse treatment for both adults and young adults. The center utilizes motivational interviewing and strategies for relapse prevention to deliver personalized counseling for those facing substance use disorders. With tailored programs for active military personnel, as well as separate services for adult men and women, AppleGate Recovery addresses a wide range of requirements. The facility serves clients of all genders while focusing on gender-specific care. Patients have access to outpatient treatments such as methadone, buprenorphine, or naltrexone. AppleGate Recovery is committed to providing high-quality care within a nurturing setting for those pursuing recovery from addiction.
AppleGate Recovery, located in Fort Wayne, IN, delivers comprehensive outpatient addiction treatment, including medication-assisted treatment with methadone, buprenorphine, or naltrexone. They employ evidence-based therapeutic modalities such as motivational interviewing, relapse prevention strategies, and specialized substance use disorder counseling. AppleGate Recovery is dedicated to providing personalized care plans for adults and young adults, with distinct programs designed for active military personnel, adult men, and women. Their commitment to individualized support and proven therapeutic methods makes them a leading provider for those seeking to conquer addiction.
AppleGate Recovery, situated in Charleston, WV, provides a range of services including outpatient detox, treatment for substance use disorders, and specialized assistance for adults facing both substance use and severe mental health challenges, as well as emotional issues in children. The center emphasizes relapse prevention and offers counseling tailored to substance use disorders, along with teletherapy options. With a commitment to personalized care, AppleGate Recovery serves individuals of all genders, including adults and young adults. Their outpatient programs featuring methadone, buprenorphine, and naltrexone are designed to deliver thorough support for individuals on their recovery journey. Discover significant and tailored treatment at AppleGate Recovery.
Located in Fort Mitchell, KY, AppleGate Recovery provides outpatient services for substance use disorders, featuring dedicated programs for those needing methadone/buprenorphine or naltrexone therapy. The center incorporates various therapeutic methods, including 12-step support, anger management strategies, and cognitive behavioral therapy, to tackle addiction challenges. AppleGate Recovery adopts a personalized strategy, serving adults and young adults of any gender. The emphasis on high-quality care and customized treatment plans guarantees that each individual receives the specific support necessary for their recovery journey. For those in search of thorough and effective addiction treatment within a supportive atmosphere, AppleGate Recovery is a prime choice for evidence-based services.
AppleGate Recovery, located in Indianapolis, IN, provides comprehensive outpatient services for detoxification and addiction. Their expertise lies in methods such as motivational interviewing, relapse prevention strategies, and dedicated counseling for substance use disorders. Serving a broad demographic, including active duty military personnel, men and women of all ages, and young adults, AppleGate Recovery ensures tailored care. The center's commitment to high standards of treatment and personalized recovery paths establishes it as a trusted resource for effective addiction treatment within the Indianapolis community.
AppleGate Recovery in Metairie, LA, provides a spectrum of outpatient services for individuals addressing substance use challenges. Their approach includes medication-assisted treatment options such as methadone, buprenorphine, and naltrexone. Additionally, they offer general outpatient care, brief intervention strategies, motivational interviewing techniques, and dedicated relapse prevention support. This center adopts a personalized strategy, welcoming adults and young adults irrespective of gender. AppleGate Recovery in Metairie distinguishes itself through its thorough programs and specific treatment methods designed to assist individuals in overcoming substance use disorders.
AppleGate Recovery, located in Bossier City, LA, provides outpatient treatment for substance use disorders for both adults and young adults, including individuals facing significant mental health challenges concurrently. The center features tailored programs designed specifically for both women and men, delivering personalized care that employs cognitive behavioral therapy, motivational interviewing, and relapse prevention strategies. Through its outpatient services utilizing methadone, buprenorphine, or naltrexone treatment, along with a focus on a unique approach for each patient, the facility ensures thorough and effective support. For those in need of quality addiction treatment that emphasizes personal care, AppleGate Recovery is committed to facilitating lasting recovery for its clients.
AppleGate Recovery, located in Slidell, Louisiana, specializes in outpatient services for individuals dealing with substance use challenges, catering to both adults and young adults. The center focuses on treatment options such as methadone or buprenorphine, naltrexone therapies, regular outpatient sessions, and telehealth services. Their methodology incorporates motivational interviewing and contingency management techniques to enhance the recovery process. AppleGate Recovery is notable for its customized treatment plans designed to meet the unique needs of each client. This facility provides services to both men and women, ensuring an all-encompassing and supportive environment for those on their journey to recovery. You can anticipate quality care and tailored assistance at AppleGate Recovery.
AppleGate Recovery in Muncie, IN, provides outpatient services for addiction and substance abuse. Their programs concentrate on motivational enhancement, strategies to avoid returning to substance use, and guidance for individuals facing challenges with substance use disorders. The center is equipped to support active duty military members, as well as adult men and women. By offering tailored support for adults and young adults of all genders, AppleGate Recovery ensures each person receives care suited to their unique circumstances. They are committed to effective, research-supported methods to help individuals achieve and maintain recovery. For those looking for thorough addiction treatment within a caring setting, AppleGate Recovery stands as a potential solution.
Apex Community Care, situated in Torrington, CT, specializes in providing tailored treatment programs for substance use disorders aimed at both adults and young adults. The center offers intensive outpatient programs, outpatient services, and medication-assisted treatment options using methadone, buprenorphine, or naltrexone. Emphasizing personalized approaches, the facility integrates brief interventions, cognitive behavioral therapy, and motivational interviewing into its care strategy. Additionally, it features specialized programs for adult men and women, along with services for individuals who have faced sexual abuse. Apex Community Care is dedicated to delivering high-quality support for all clients, establishing itself as a crucial asset for individuals in need of comprehensive addiction treatment.
Apex Recovery in Franklin, TN, spans long-term residential care, partial hospitalization, intensive and regular outpatient treatment, and sober living. Veterans, military families, pregnant and postpartum women, and clients with co-occurring disorders are served, using buprenorphine and naltrexone. TRICARE, private insurance, and a sliding fee scale are accepted.
A full continuum of care in Brentwood, TN, including long-term residential treatment, partial hospitalization, intensive outpatient, regular outpatient, and sober living. Adults with co-occurring mental health or pain disorders are treated, with buprenorphine and naltrexone available. TRICARE, private insurance, and state-financed health plans are accepted.
Residential detoxification, short-term and long-term residential care, partial hospitalization, and outpatient treatment at Apex Recovery in Columbia, TN. Veterans, active duty military, and clients with co-occurring mental health or pain disorders are the focus, with buprenorphine and naltrexone used. TRICARE and private insurance are accepted.
Apex Recovery in Succasunna, New Jersey offers outpatient day treatment, intensive outpatient, and regular outpatient addiction care, plus transitional housing, with buprenorphine and naltrexone available. Treatment for co-occurring mental and substance use disorders is provided. Private insurance and self-payment accepted, with Spanish-language services.
Apple Valley Counseling Services LLC, located in Yakima, WA, provides extensive treatment for substance use disorders affecting adults, children, and teenagers. The center features various programs, including intensive outpatient care, outpatient services, and standard outpatient treatment, allowing for individualized support tailored to each person’s requirements. Additionally, there are specialized programs for active duty military members, adult males, and adult females. Utilizing evidence-based methodologies such as 12-step facilitation, anger management, and brief interventions, the facility is committed to aiding individuals in their recovery processes. With an emphasis on high-quality care and a wide array of services, Apple Valley Counseling Services LLC is focused on empowering individuals to achieve long-term sobriety.
AppleGate Recovery in Dickson, TN, delivers outpatient medication-assisted treatment with buprenorphine or naltrexone for adults with opioid or alcohol use disorders. Care is provided at regular outpatient intensity. Medicare, Medicaid, TRICARE, private insurance, and cash or self-payment are accepted.
Outpatient opioid treatment in Camden, Tennessee, with buprenorphine and naltrexone available for adults and seniors. Programs serve pregnant and postpartum women, veterans, and clients with co-occurring mental health or pain disorders. Medicare, Medicaid, and private insurance are accepted, and sign language services are offered.
In Indianapolis, Indiana, AppleGate Recovery provides accessible outpatient services, including detox, comprehensive substance use disorder care, and medication-assisted treatment options like methadone, buprenorphine, or naltrexone. They employ proven therapeutic methods, such as motivational interviewing, relapse prevention strategies, and individual counseling for substance use challenges. The center features targeted programs for active military members, adult men, and adult women, serving both adult and young adult populations of any gender. AppleGate Recovery is committed to delivering exceptional care and tailored recovery plans to assist those overcoming addiction.
Apex Community Care, situated in Danbury, CT, provides tailored substance abuse recovery programs for adults and adolescents. Their services encompass intensive outpatient care, standard outpatient services, and medication-assisted treatment options including methadone, buprenorphine, or naltrexone. Employing strategies like brief intervention, cognitive behavioral therapy, and motivational interviewing, the facility supports adult men and women, as well as individuals with a history of sexual trauma. Apex Community Care is dedicated to delivering high-quality support for those pursuing sobriety.
Appalachian Community Hlth Ctr Inc in Elkins, WV, provides extensive care for individuals struggling with substance use. This center is dedicated to helping adults with co-occurring substance use disorders and severe mental health conditions, and children with significant emotional disturbances. Services include intensive outpatient programs, regular outpatient services, and medication-assisted treatment using methadone, buprenorphine, or naltrexone. They utilize proven therapeutic methods like anger management, motivational interviewing, and CBT. Appalachian Community Hlth Ctr Inc also features specialized services for teens and young adults, and offers tailored, gender-specific support for all age groups, from adolescents through seniors.
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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