Fentanyl Addiction Treatment in Los Angeles, California

The Fentanyl Crisis

Illicitly manufactured fentanyl (IMF) has transformed the drug supply. Fentanyl is now found in counterfeit pills, heroin, cocaine, methamphetamine, and other substances — often without the user's knowledge. A lethal dose of fentanyl is approximately 2 milligrams — an amount invisible to the naked eye. This contamination of the drug supply means that anyone using illicit substances is at risk of fentanyl exposure.

Fentanyl Dependence and Withdrawal

Fentanyl's high potency means that physical dependence can develop rapidly. Fentanyl withdrawal follows the opioid withdrawal pattern but may be more intense due to the drug's potency. Fentanyl also accumulates in body tissues, which can complicate the withdrawal timeline. Our medical team is experienced in managing fentanyl-specific withdrawal challenges, including the timing of buprenorphine induction.

Medication-Assisted Treatment for Fentanyl

Medication-assisted treatment (MAT) with buprenorphine (Suboxone, Zubsolv) is the evidence-based standard for fentanyl use disorder. However, fentanyl's long tissue half-life requires careful timing of buprenorphine induction to avoid precipitated withdrawal. Our physicians are experienced in managing this challenge, using extended low-dose induction protocols when necessary.

Naloxone and Overdose Prevention

Naloxone (Narcan) is a life-saving opioid antagonist that reverses fentanyl overdose. Because fentanyl is so potent, multiple doses of naloxone may be required to reverse a fentanyl overdose. Our team educates all clients and their families on naloxone use and provides prescriptions for take-home naloxone as part of our harm reduction approach.

Signs & Symptoms of Addiction

Our Treatment Approach