Freedom 

From Fentanyl.

Get specialized medication-assisted treatment for fentanyl dependence.

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 How to Get Free from Fentanyl

Most people find it difficult to transition from fentanyl to conventional buprenorphine treatment.  Our program personalizes the treatment plan and provides daily initiation support to increase the chances of success.

Before prescribing medication, your provider will perform a series of clinical assessments and lab tests to diagnose your substance use disorder. Based on your test results and history of withdrawal symptoms, your provider will recommend the most appropriate treatment plan. For severe cases, medically-supervised detox may be recommended.

After the initiation phase is over, our patients typically feel much better physically and are eager to start getting their life back on track. During this phase you will stabilize on to a regular daily dose of buprenorphine and other medication as prescribed,  meet your provider once every 1-2 weeks, and take advantage of counseling and community resources. 

As you manage your withdrawal at home using dosing instructions for either conventional initiation, micro-initiation (low dose), or macro-initiation (high dose), you will have daily check-ins with a registered nurse and frequent provider visits at an outpatient clinic near you. If possible, arrange for a responsible adult to be with you at all times during initiation.  

We've helped thousands of people with fentanyl use disorder get safely on the road to long term recovery.

Ideal Option Gives Back Lives

"I was sober for quite some time when I got out (of jail) but started using fentanyl pressed pills once off of parole. I know for a fact many have fell victim to the same trap. I would honestly be dead or back in prison for a long stretch (if lucky) without Ideal Option and Suboxone treatment."

"Even when I was on heavy doses of fentanyl patches, I was in a lot of pain. Now, I'm almost pain free. This has truly given my life back to me and I'm able to enjoy family and real living again.”

Common Questions

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Want to learn more?

If you have questions about our outpatient medication-assisted treatment program for fentanyl use disorder, submit this form and our patient care team will get back to you shortly. 

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Who is Ideal Option?

Ideal Option has been treating patients with opioid use disorder since 2012 using the most current treatment guidelines from ASAM, SAMHSA, APA, and the VA/DOD. We have over 80 outpatient clinics across 9 states and have helped more than 82,000 people get started in recovery.

Does buprenorphine cause precipitated withdrawal? 

To prevent precipitated withdrawal using conventional initiation, patients must wait 36 hours after last using fentanyl before taking their first full dose of buprenorphine. If the patient cannot abstain from fentanyl for 36 hours, micro-initiation (where the dose of buprenorphine is gradually increased over several days) or macro-initiaton (where a high dose of buprenorphine is taken on day 1 before dropping to a conventional dose) may be safer and more effective. 

Precipitated withdrawal is common when fentanyl users take a full dose of buprenorphine too soon after their last use of fentanyl. Buprenorphine binds tightly to the opioid receptors in the brain, kicking other opioids off. The sudden replacement of a highly potent opioid like fentanyl with a "mild" opioid like buprenorphine leads to intense and severe withdrawal symptoms like vomiting, fever, muscle aches and diarrhea. 

How can precipitated withdrawal be prevented?

What is Precipitated Withdrawal?

Precipitated withdrawal is common when fentanyl users take  a full dose of buprenorphine too soon after their last use of fentanyl. Buprenorphine binds tightly to the opioid receptors in the brain, kicking other opioids off. The sudden replacement of a highly potent opioid like fentanyl with a "mild" opioid like buprenorphine leads to intense and severe withdrawal symptoms like vomiting, fever, muscle aches, and diarrhea. 

Maintenance is the final phase of treatment where our patients are very stable and making consistent progress in their lives. Relationships are  rebuilt and financial freedom starts to return. You will continue on your medication with monthly appointments and occasional lab tests to ensure your safety and monitor progress. 

Medicaid Accepted

No Waitlists

Outpatient Clinic

No Penalties

Step 1: Assessment

Step 2: Initiation

Step 3: Stabilization

Step 4: Maintenance

Which initiation method is right for me?

During your first appointment, your provider will assess your substance use with lab testing, history of withdrawal symptoms, and your confidence in being able to abstain from fentanyl for the required length of time. Based on this and other information,  your provider will recommend an initiation protocol that will help you transition from fentanyl to buprenorphine safely and with the least amount of discomfort possible.  

Help is Just a Click Away

250+ 

You're in good hands. Ideal Option employs more than 250 licensed and experienced medical and behavioral health staff including MDs, RNs, PA-Cs, DOs, ARNPs, and LCSWs. 

80+ 

Our 80+ clinics are located in suburban areas across 9 states including Alaska, Arkansas, Idaho, Maryland, Montana, New Mexico, North Dakota, Oregon, and Washington.  

100k+ 

Ideal Option has helped over
100,000 people who are working to get their lives back from addiction to opioids and other substances with medication-assisted treatment.  

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