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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Phelps Hospital, located in Tarrytown, NY, specializes in the treatment of substance use disorders alongside mental health issues. This center caters to both adults and young adults through its inpatient programs, which also include initiatives aimed at addressing significant emotional issues in children. Emphasizing methodologies such as 12-step support, anger management, and short-term interventions, Phelps Hospital is committed to providing thorough care for all clients, regardless of gender. The facility is particularly recognized for its focused support for individuals with co-occurring conditions, delivering high-quality treatment aimed at helping clients on their journey to recovery from substance use and mental health difficulties.
Phoenix Behavioral Health LLC in Cherry Hill, NJ, provides extensive care for individuals battling addiction. They offer various levels of support, including intensive outpatient, standard outpatient, and partial hospitalization programs. The facility focuses on substance use disorders and co-occurring mental health conditions. Their therapeutic methods include 12-step facilitation, anger management strategies, and brief intervention techniques. Phoenix Behavioral Health LLC is dedicated to offering personalized recovery plans, with specific options available for active duty military personnel, adult men, and adult women. They welcome both male and female clients, fostering a welcoming atmosphere for everyone on their journey to sobriety.
Perfectly Flawed Foundation provides regular outpatient substance use treatment in La Salle, Illinois, for adults, with buprenorphine used for opioid use disorder. Services are free, with no payment accepted, and the program is supported by federal funding for substance use treatment.
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The Addiction Recovery Unit at the Philadelphia VA Medical Center serves veterans through outpatient detoxification, intensive outpatient treatment, and regular outpatient care. Buprenorphine and naltrexone are used, with programming for trauma survivors and clients with co-occurring mental health or pain disorders. TRICARE, private insurance, and federal funding are accepted.
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Veterans in Philadelphia, PA, can receive methadone maintenance through this VA opioid treatment program, which also offers outpatient detoxification and regular outpatient counseling. The program works with clients who have co-occurring mental health disorders, chronic pain, and trauma histories. Federal military insurance, private insurance, and self-payment are accepted.
Phillips Ranch in Clark Fork, Idaho combines short-term residential care with outpatient day treatment or partial hospitalization, intensive outpatient, and regular outpatient services, and sober housing is available. Buprenorphine and naltrexone are used in treatment. Programs serve pregnant and postpartum women, veterans, and forensic clients. Medicaid, private insurance, and self-pay are accepted.
Adults in Dallas, Texas can attend intensive or regular outpatient treatment at Phoenix Associates Counseling Services, which serves criminal justice clients, trauma survivors, and people with co-occurring mental disorders. Buprenorphine and naltrexone are used in treatment. Payment is cash or self-pay.
Phoenix Behavioral Health LLC in Trenton, NJ delivers targeted recovery support for individuals grappling with addiction and co-occurring mental health conditions, serving both youth and adults. Their offerings encompass intensive outpatient, standard outpatient, and partial hospitalization treatment plans, employing proven therapeutic modalities such as 12-step engagement and emotional regulation techniques. The center is equipped to provide customized care for active military personnel, adult males, and females. By offering individualized services to adults and young adults across the gender spectrum, Phoenix Behavioral Health LLC in Trenton distinguishes itself through its thorough and personalized approach to recovery, presenting a leading option for those in pursuit of impactful and empathetic substance abuse treatment.
Personal Frontiers Inc, situated in Gillette, WY, is a dedicated facility providing comprehensive rehabilitation for individuals of all ages grappling with substance use disorders and associated mental health conditions. The center delivers robust intensive outpatient programs, standard outpatient services, and medication-assisted treatment options including methadone, buprenorphine, or naltrexone. Addressing critical areas such as anger management, brief intervention strategies, and cognitive behavioral therapy, Personal Frontiers Inc extends its services to adult men and women, and also supports those affected by intimate partner violence. The organization is committed to creating personalized recovery plans for both younger and adult clients, guaranteeing effective support and high-quality care on their journey to wellness.
Philio Inc, situated in Toledo, OH, provides an extensive array of rehabilitation services aimed at treating substance use disorders alongside co-occurring mental health conditions for both adults and children. The center features intensive outpatient programs, outpatient day programs, and partial hospitalization options. Philio Inc employs various therapeutic methods including 12-step facilitation, anger management techniques, and brief interventions to support its diverse clientele, which includes active military members, adolescents, and adult males. With gender-specific programs designed to meet diverse needs, this facility is dedicated to providing customized care for every individual. Their focus on delivering high-quality treatment and a broad spectrum of services positions Philio Inc as an excellent option for those in search of effective and personalized rehabilitation solutions.
Intensive and regular outpatient substance use treatment is offered by Phoenix Associates Csl Services Inc in Fort Worth, Texas, serving criminal justice clients, trauma survivors, and people with co-occurring mental disorders. Buprenorphine and naltrexone are used in treatment. Payment is cash or self-pay only.
Situated in Greenville, SC, the Phoenix Center delivers a complete range of addiction recovery solutions for adults and adolescents. This establishment offers extended stay residential programs, inpatient detoxification, and continuous round-the-clock support. Their therapeutic methodologies encompass 12-step integration, cognitive behavioral techniques, and the Matrix Model. Emphasizing personalized attention, the Phoenix Center welcomes individuals of all genders. For those in search of a nurturing setting for detox and substance use rehabilitation, this center's excellent offerings and tailored methods could be instrumental in your journey toward lasting sobriety.
PermiaCare, situated in Odessa, TX, provides targeted rehabilitation solutions for individuals dealing with substance use issues and accompanying mental health challenges, catering to both adults and children. Their all-encompassing treatment options feature intensive outpatient therapies, 12-step support, cognitive behavioral interventions, and anger management programs. Emphasizing high-quality care, this center also offers outpatient treatments such as methadone/buprenorphine and naltrexone. Tailored programs designed specifically for active military personnel, teenagers, and adult males guarantee personalized attention. Committed to assisting both male and female patients, PermiaCare focuses on guiding adults and younger clients through their recovery process.
Perspectives II LLC, affiliated with Regard Recovery, provides intensive and regular outpatient treatment in Ocala, Florida, including outpatient buprenorphine and naltrexone for opioid use disorder. Programs cover veterans, pregnant women, forensic clients, and people with co-occurring pain and substance use disorders. Private insurance, SAMHSA block grants, and sliding fees apply, with Spanish-language services available.
The Perinatal Substance Abuse Program, located in San Jose, CA, is dedicated to providing targeted substance use therapy for adult women struggling with addiction. This center offers a range of services including intensive outpatient care, general outpatient services, and medication-assisted treatment utilizing methadone, buprenorphine, or naltrexone. Their treatment methodology incorporates evidence-based practices like anger management, cognitive behavioral therapy, and motivational interviewing to meet each person's unique circumstances. Specifically designed to support adult women, including those who have experienced intimate partner violence, domestic abuse, or sexual assault, the program fosters a secure and supportive atmosphere for healing. They welcome adults of all ages, from young adults to seniors, prioritizing comprehensive care and overall well-being in their recovery journey.
PermiaCare, located in Midland, TX, delivers exceptional rehabilitation services for both adults and children grappling with substance abuse issues and accompanying mental health challenges. The center features intensive outpatient programs alongside outpatient options utilizing methadone, buprenorphine, or naltrexone therapies. Emphasizing 12-step principles, anger management, and cognitive behavioral approaches, the facility customizes its methods to cater to the specific requirements of each client. Special programs are designed for active military members, teenagers, and adult males. PermiaCare accommodates clients of all genders, fostering a holistic and inclusive treatment environment for everyone.
Situated in Odessa, TX, PermiaCare delivers a wide range of rehabilitation services aimed at adults and young adults facing challenges related to substance use disorders and concurrent mental health conditions. The center features inpatient detoxification and treatment options, including specific programs designed for individuals who have encountered intimate partner violence. Emphasizing methods such as 12-step facilitation, cognitive behavioral therapy, and motivational interviewing, this facility supports both male and female clients. With customized programs for adult men and women, PermiaCare is dedicated to providing high-quality care for individuals looking for a nurturing and successful recovery journey.
Petro Health LLC, located in Catonsville, MD, offers outpatient treatment for individuals struggling with substance use disorders. The facility provides general outpatient services, with a particular emphasis on specialized counseling and remote therapy options through telemedicine. Petro Health LLC is distinguished by its unique programs designed for active duty military members, as well as separate services for adult men and women. The center is committed to delivering high-quality, individualized treatment plans to assist clients in achieving lasting recovery in a supportive setting.
Phelps Memorial Hospital Association located in Ossining, NY, provides an extensive selection of outpatient services for individuals dealing with substance use issues, including both adults and young adults. This center focuses on addressing co-occurring substance use disorders alongside serious mental health conditions for adults, and emotional disturbances in youth. Their approach involves personalized treatment plans utilizing techniques such as brief intervention, cognitive behavioral therapy, and motivational interviewing. Offering a variety of services including outpatient day programs, partial hospitalization, and medications like methadone/buprenorphine or naltrexone, the facility supports individuals of all genders. The center is committed to delivering tailored, high-quality care to meet the unique needs of each client, making it a crucial support for those in need of effective addiction recovery solutions.
Phelps Memorial Hospital Center, located in Ossining, NY, delivers outpatient services for individuals struggling with substance use, including adults and young adults who also experience significant mental health conditions or emotional challenges. Their treatment plans are customized, employing methods such as brief intervention, cognitive behavioral therapy, and the Matrix Model. They are particularly adept at offering outpatient treatment with methadone, buprenorphine, or naltrexone, ensuring each patient receives a program designed for optimal outcomes. This center is dedicated to providing tailored, high-quality care to all clients, regardless of gender, who are looking for thorough addiction treatment with a personalized strategy.
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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