Fentanyl Addiction Treatment
in Orange County
Medically Reviewed by
Dr. Randall Turner, DO
Medical Director
What We Treat
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What is Fentanyl?
Fentanyl is a powerful synthetic opioid originally developed for medical pain management. Prescription fentanyl may be used to treat severe pain, particularly following surgery or in people who have developed tolerance to other opioid medications. According to the National Library of Medicine, fentanyl is approximately 50 to 100 times more potent than morphine.
Like heroin, morphine, and other opioids, fentanyl binds to opioid receptors in the brain. These receptors are involved in pain, pleasure, and other important bodily functions. Fentanyl can produce relaxation, pain relief, sedation, and euphoria. It can also slow breathing, which is one of the primary reasons fentanyl overdose can become fatal.
Prescription fentanyl is available in carefully controlled formulations, including patches, lozenges, and injectable forms. Illicitly manufactured fentanyl presents a different risk. It may be sold as a powder, mixed with other drugs, or pressed into counterfeit pills designed to resemble legitimate prescription medications.
The amount of fentanyl in an illicit drug can vary considerably. Someone may therefore consume fentanyl without knowing how much is present, or without realizing they are taking fentanyl at all. This unpredictability has contributed to the significant overdose risk associated with illicit fentanyl.
Fentanyl Addiction and Abuse
Fentanyl can be highly addictive. Repeated use affects the brain’s reward system and can cause the body to adapt to the presence of opioids. Over time, a person may need more of the drug to feel the same effects. This is known as tolerance. Physical dependence can also develop, which means stopping or cutting back may cause uncomfortable withdrawal symptoms.
Several factors can make fentanyl particularly difficult to stop using:
- Powerful effects:Fentanyl can produce strong feelings of relaxation, pain relief, and euphoria.
- Tolerance: The body may become accustomed to fentanyl, leading someone to use larger or more frequent doses.
- Cravings: Strong urges to use opioids can continue even when someone wants to quit.
- Withdrawal: Symptoms such as body aches, nausea, anxiety, insomnia, and restlessness can make stopping difficult.
- Unpredictable illicit drugs:Fentanyl may be mixed with other substances, making it difficult to know exactly what or how much someone is taking.
Not everyone who develops fentanyl addiction follows the same path. Some people first encounter opioids through prescription pain medication. Others may intentionally use fentanyl or heroin. Some are exposed to fentanyl through counterfeit pills or another drug without realizing it. Whatever the circumstances, continuing to use fentanyl despite problems with health, relationships, work, school, or everyday life may be a sign of opioid use disorder.
Fentanyl Quick Reference Chart
Drug Category
Commercial & Street Names
DEA Schedule
Administration
Synthetic Opioid
Fentanyl, Apache, China Girl, China White, Dance Fever, Friend, Goodfellas, Jackpot, Murder 8, Tango & Cash
Schedule II for pharmaceutical fentanyl
Injected, swallowed, snorted, smoked, or used in medically prescribed forms such as patches or lozenges
What Are the Signs and Symptoms of Fentanyl Addiction?
Fentanyl addiction may produce physical, behavioral, and psychological changes. Symptoms can vary depending on the amount used, frequency of use, other substances involved, and whether physical dependence has developed.
Physical Signs
- Extreme drowsiness or sedation
- Constricted or pinpoint pupils
- Slowed or shallow breathing
- Nausea and vomiting
- Constipation
- Changes in appetite
- Unexplained weight changes
- Itching or flushed skin
- Poor coordination
- Frequent fatigue
- Increased tolerance to opioids
- Withdrawal symptoms when fentanyl use stops
Behavioral Signs
- Taking fentanyl or other opioids more frequently than intended
- Spending significant time obtaining, using, or recovering from opioids
- Continuing opioid use despite negative consequences
- Withdrawing from friends and family
- Neglecting responsibilities at home, work, or school
- Losing interest in hobbies or previously enjoyed activities
- Seeking opioids from multiple sources
- Using opioids in dangerous situations
- Continuing to use despite relationship, financial, or legal problems
Psychological Signs
- Strong cravings for fentanyl or other opioids
- Anxiety
- Depression
- Irritability
- Mood changes
- Difficulty concentrating
- Reduced motivation
- Preoccupation with obtaining or using opioids
Fentanyl Withdrawal Symptoms
Physical dependence on fentanyl can lead to withdrawal when someone stops using the drug or significantly cuts back. Symptoms can include muscle and body aches, restlessness, anxiety, trouble sleeping, sweating, a runny nose, watery eyes, stomach cramps, nausea, vomiting, diarrhea, chills, an increased heart rate, and strong opioid cravings. Fentanyl withdrawal can be extremely uncomfortable and may make it difficult to stop using without support. A medical professional can evaluate the symptoms and help determine a safer and more manageable approach to stopping fentanyl.
Signs of a Possible Fentanyl Overdose
Because fentanyl can severely slow breathing, an overdose can become life-threatening very quickly.
Possible warning signs include:
- Very slow, shallow, irregular, or stopped breathing
- Being unable to wake the person
- Pinpoint pupils
- A limp body
- Pale, gray, or bluish lips, skin, or fingernails
- Choking, snoring, or gurgling sounds
- A slow or absent heartbeat
A suspected fentanyl overdose is a medical emergency. Call 911 immediately and administer naloxone if available. More than one dose may be needed. Stay with the person until emergency medical help arrives. Even if naloxone causes the person to wake up or resume breathing normally, they still need emergency medical attention.
What Treatments Are Available for Fentanyl Addiction in Orange County?
Fentanyl addiction is treatable. Because opioid dependence can involve significant withdrawal symptoms, cravings, overdose risk, and co-occurring mental health concerns, treatment should be tailored to each individual’s needs. Stopping fentanyl can be hard, especially once withdrawal and cravings become part of the cycle. Treatment provides a safer environment to begin recovery and gives people practical tools for dealing with what comes next.
At Able to Change Recovery, fentanyl addiction treatment in Orange County can address more than substance use itself. Depending on each person’s needs, treatment may include residential treatment, a Partial Hospitalization Program (PHP), an Intensive Outpatient Program (IOP), or extended care housing for continued structure and support. Treatment can also focus on triggers, mental health, trauma, relationships, stress, and the patterns that have made it difficult to stop using.
For some people with opioid use disorder, medications such as buprenorphine, methadone, or naltrexone may also be part of treatment. These medications work differently and are not appropriate for everyone. A qualified medical professional can determine whether medication should be included in an individual’s treatment plan.
Therapy may include:
- Cognitive Behavioral Therapy (CBT): Helps identify thoughts, triggers, and habits connected to fentanyl use and replace them with healthier ways of responding.
- Individual Therapy: Provides private time with a therapist to talk openly about addiction, relationships, mental health, triggers, and personal recovery goals.
- Group Therapy: Brings people together who are dealing with many of the same challenges. It can provide support while helping people realize they are not going through recovery alone.
- Family Therapy: Addiction can affect the entire family. Family therapy can help improve communication, establish healthier boundaries, and begin rebuilding relationships.
- Dialectical Behavior Therapy (DBT): Teaches practical ways to handle difficult emotions, stress, conflict, and situations that might otherwise lead back to substance use.
- Trauma-Informed Care: Recognizes that trauma and substance use can be closely connected and approaches treatment in a way that emphasizes safety and trust.
- 12-Step Facilitation Therapy: Introduces the principles of 12-step recovery and helps people become familiar with peer-based support that can continue after treatment.
- Motivational Interviewing: Helps people work through uncertainty about getting sober and identify their own reasons for making a change.
- Mindfulness-Based Therapies: Teaches techniques for becoming more aware of thoughts, emotions, cravings, and stress without immediately reacting to them.
- Holistic Therapy: Uses complementary approaches that can support physical and emotional well-being during recovery.
Treatment should not feel like checking boxes on a list. What works for one person may not be what another person needs. The goal is to understand what is driving the addiction, build healthier ways of handling those challenges, and create a plan that makes recovery realistic once treatment ends.
If you or someone you love is struggling
Frequently Asked Questions About Fentanyl Use in Orange County, CA.
Fentanyl is an extremely potent opioid with a high potential for dependence and addiction. Repeated use can lead to tolerance, physical dependence, cravings, and opioid use disorder. Its potency and prevalence in the illicit drug supply also make fentanyl particularly dangerous because the amount present in a drug may be unknown.
Yes. Fentanyl is extremely potent, and illicitly manufactured fentanyl can be especially unpredictable. The concentration may vary from one pill or batch to another. Combining fentanyl with other substances can further increase overdose ris
Yes. Illicit fentanyl is sometimes pressed into pills made to resemble legitimate prescription medications. A counterfeit pill may contain fentanyl even when the person taking it believes they are consuming a different drug.
Withdrawal timelines vary based on factors such as frequency of use, dosage, length of use, other substances being used, and individual health. Symptoms can begin relatively soon after the last dose and may be most intense during the first several days. Some symptoms, including cravings, sleep disturbances, or mood changes, may persist longer. A medical professional can assess the appropriate level of withdrawal support.
After structured treatment, individuals may continue with outpatient counseling, medication for opioid use disorder when appropriate, peer support, 12-step programs, recovery meetings, sober living, or other continuing-care services. A personalized relapse-prevention and continuing-care plan can help support long-term recovery.
[1] Skibiski, J., Patel, P., & Abdijadid, S. (2024). Barbiturates. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK539731/#:~:text=Barbiturates%20are%20a%20category%20of on September 18, 2024
[2] Cleveland Clinic. (2022, June 14). Barbiturates: Definition, Types, Uses, Side Effects & Abuse. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/23271-barbiturates on September 18, 2024
[3] Barbiturate intoxication and overdose: MedlinePlus Medical Encyclopedia. (2016). Medlineplus.gov. https://medlineplus.gov/ency/article/000951.htm on September 18, 2024
[4] Davis, K. (2018, June 25). Barbiturates: Uses, side effects, and risks. Www.medicalnewstoday.com. https://www.medicalnewstoday.com/articles/310066 on September 18, 2024
[5] Suddock, J. T., & Cain, M. D. (2018, November 15). Barbiturate Toxicity. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499875/ on September 18, 2024