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Opioids · Heroin · Fentanyl · Oxy

Opioid addiction
is a medical
condition.

Not a willpower problem. Not a moral failing. A treatable disorder of brain chemistry - and getting off opioids safely takes medical support, not shame.

Read first

Fentanyl is in
almost everything now.

If an opioid didn't come from a pharmacy, treat it as fentanyl. Heroin, pressed “oxy” or “Percocet,” “blues,” M30s - even cocaine and meth - are turning up contaminated.

If someone is unresponsive, call 911 immediately.

Withdrawal

Brutal - but
not deadly on its own.

Here's the good news: opioid withdrawal is temporary, and with the right medical support it can be remarkably manageable. Modern medications make the process far more comfortable than most people expect, and every hour you move through it is a step toward feeling like yourself again.

0–24h
Onset

Anxiety, sweating, runny nose, yawning, cravings begin.

24–72h
Peak

Bone pain, vomiting, diarrhea, chills, insomnia. The hard part.

5–10d
Easing

Physical symptoms fade. Mood and sleep take longer.

Treatment

Medication-assisted
treatment
overview.

Three FDA-approved medications are commonly used in opioid use disorder care, each with a distinct profile and decades of clinical research behind it.

  1. I

    Buprenorphine

    Suboxone · Sublocade

    A partial opioid agonist available as a daily film or tablet, or as a monthly injection. It reduces withdrawal symptoms and cravings while having a ceiling effect that limits euphoria. Commonly prescribed in primary care and telehealth settings.

  2. II

    Methadone

    Daily liquid · OTP clinic

    A long-acting full opioid agonist dispensed through federally licensed Opioid Treatment Programs. Often associated with stabilization in cases involving high tolerance, prolonged heroin use, or significant fentanyl exposure. Take-home doses are introduced over time.

  3. III

    Naltrexone

    Vivitrol · Monthly shot

    An opioid antagonist administered as a monthly extended-release injection. It blocks the effects of opioids at the receptor level. Initiation typically requires a period of 7 to 10 days without opioids in the system.

Settings of care

Where treatment
actually happens.

A
Telehealth Suboxone

Bicycle Health, Ophelia, Workit Health and others prescribe in most states from a video visit.

B
Methadone clinic (OTP)

Daily dosing on-site at first.

C
Outpatient counseling

Therapy and group support a few times a week, alongside medication.

D
Medical detox + residential

3–7 days inpatient detox, often followed by 30–90 days residential. For when home isn't safe or polysubstance use is in play.

Connect

You can start
today.

Tell us a little about what's going on. A real person - not a bot - will help you understand your options. Most people hear back within minutes.

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Opioids & Heroin · Addiction Help

This page is informational and is not medical advice. If someone is overdosing or in immediate danger, call 911.

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