This page is general information, not medical advice. Please don’t stop or change any medication or substance without talking to a doctor first.
Heroin today often means fentanyl too
Heroin is an opioid. The National Institute on Drug Abuse (NIDA) describes it as semi-synthetic, made in labs from natural opioids. Today, NIDA warns that deadly doses of fentanyl can be mixed into or sold as heroin. So a person who thinks they are using heroin may be using fentanyl, without knowing how much.
That changes the risk. It also means the same treatment that helps with fentanyl helps here. Our fentanyl and opioids page goes deeper on that.
Signs a family may notice
Things you might see
- Long sleeves in hot weather, or marks on the arms
- Burnt spoons, foil, small baggies or syringes
- Nodding off, slurred speech or very small pupils
- Money problems, lying or missing belongings
When they haven’t used
- Muscle aches, chills and stomach cramps
- Anxiety, agitation and restlessness
- Nausea, vomiting and diarrhea
- Intense cravings
If your loved one won’t wake up, is breathing very slowly or has blue or purplish lips, call 911 and give naloxone (Narcan) if you have it.
Withdrawal, and why medical help matters
NIDA lists muscle aches, abdominal cramps, agitation, anxiety, nausea, vomiting, chills and diarrhea among opioid withdrawal symptoms. Many people keep using just to avoid feeling this way.
Withdrawal from heroin is rarely the most dangerous part. The danger comes after. When someone stops using, their tolerance falls. NIDA notes that overdoses are more common when a person returns to use after a break, because of that lost tolerance. A medical team can ease withdrawal, often with medication, and connect your loved one straight to ongoing care so they aren’t on their own in those first weeks.
Treatment options
- Medications. NIDA calls medication the standard of care for opioid use disorder. The FDA-approved options are methadone, buprenorphine and naltrexone. Lofexidine is also approved to ease withdrawal symptoms.
- Behavioral therapy. Counseling helps a person handle triggers, rebuild routines and work through what drives the use.
- Support for the family. Family sessions and groups like Nar-Anon help the people around them too.
Our medication-assisted treatment guide explains methadone and buprenorphine clinics in Jacksonville.
Questions to ask a Jacksonville program about heroin
- “Can you start medication for opioid use disorder here, or help us get it started somewhere close?”
- “If my loved one goes through detox with you, where do they go next, and how fast?”
- “Do you send people home with naloxone?”
- “How do you handle fentanyl showing up on a drug test?”
- “Can family members take part in sessions?”
A program that has clear, calm answers to these is usually set up for opioid care. If the answer to the first question is no, ask who they refer to. Many people move between a detox, a clinic and counseling, and a good program helps with those hand-offs instead of leaving the family to sort it out.
Which level of care usually fits
Start with withdrawal care
A short detox stay, or starting medication in a clinic, makes the first days safer and more bearable.
Move into ongoing treatment
Residential care, PHP or IOP, depending on how stable home life is and what has been tried before.
Keep medication going
Many people do well staying on medication in outpatient care for a long time. Ask the doctor what fits.
Medication-assisted treatment near Jacksonville
Free listings, checked against Florida DCF. Ask each program whether it offers methadone, buprenorphine or naltrexone.
MedMark Treatment Centers Jacksonville
5600 Spring Park Road Suite 101, Jacksonville
Meridian Healthcare (Putnam County Clinic)
3314 Crill Avenue, Palatka
New Season Treatment Center (Duval)
590 Ellis Road South, Jacksonville
New Season Treatment Center (Jacksonville)
4427 Emerson Street Bldg 4, Jacksonville
New Season Treatment Center (Orange Park)
1241 Blanding Boulevard Suite 5, Orange Park
New Season Treatment Center (St. Augustine)
3574 US 1 South Suites 101-104, St. Augustine
North Florida Comprehensive Treatment Center
6639 Southpoint Pkwy Suite 108, Jacksonville
Heroin treatment: common questions
Can someone detox from heroin at home?
Opioid withdrawal is very hard to finish alone, and the risk of overdose rises once tolerance drops. Talk to a doctor or a treatment program first. Medication can make withdrawal much easier.
Is methadone or buprenorphine better?
Neither is right for everyone. Methadone is given through opioid treatment programs. SAMHSA notes buprenorphine can be prescribed in a doctor’s office. A doctor can help your loved one choose.
How do I know if the heroin had fentanyl in it?
You usually can’t tell by looking. The CDC notes fentanyl test strips can detect it. The safest approach is to assume fentanyl may be present and keep naloxone close. See free naloxone in Jacksonville.
What if my loved one refuses treatment?
Keep the door open and keep naloxone at home. Our guide to talking to a loved one can help. In some situations Florida’s Marchman Act is an option.
Who do I call in a crisis?
In an emergency, call 911. For a crisis, call or text 988. SAMHSA’s National Helpline is free and confidential at 1-800-662-HELP (4357).
