Opioids: Risks, Addiction, And Treatment Options
Table of Contents
Opioids are powerful pain-relieving medications and drugs that can be life-changing when used correctly— but highly dangerous when misused. Prescription opioids and illicit opioids like heroin and fentanyl are a major driver of overdose deaths, physical dependence, and addiction. The good news is that opioid addiction is treatable, and recovery is possible with the right support.
At Every 1 Center, we help individuals and families understand opioids, recognize the signs of opioid addiction, and access safe opioid detox, comprehensive addiction treatment, and ongoing therapy services.
Call (518) 714-0355 Now for Opioid Treatment Help
Opioids are a class of drugs that act on the brain’s opioid receptors to reduce pain and produce feelings of relaxation or euphoria. They include:
- Prescription pain medications such as hydrocodone, codeine, and medications similar to Roxicodone (roxy)
- Medication-assisted treatment (MAT) medications like Suboxone and methadone (see methadone detox)
- Illicit opioids such as heroin (see heroin detox) and potent synthetic opioids like fentanyl (see fentanyl detox)
Opioids may be prescribed after surgery or for serious injuries, but even short-term use can carry risks. Misuse—such as taking higher doses than prescribed, using without a prescription, or combining opioids with alcohol or sedatives—significantly increases the risk of addiction and overdose.
How Opioids Work In The Brain
Opioids attach to specific receptors in the brain and spinal cord, changing how you experience pain and often producing a wave of well-being or euphoria. Over time, repeated use can lead to:
- Tolerance – needing more opioids to feel the same effect
- Dependence – feeling sick or in withdrawal when opioids wear off
- Opioid addiction – continuing to use despite serious physical, emotional, or social consequences
These changes are part of the broader addiction process. Addiction is not about weakness—it is about brain changes that can be treated with appropriate care and support.
Types Of Opioids
Different opioids vary in strength, how quickly they take effect, and how long they last, but all can be addictive and dangerous when misused. Common categories include:
Prescription Opioids
- Hydrocodone and similar pain medications
- Codeine, found in some pain and cough medicines
- Oxycodone products, including those discussed on our roxy addiction page
- Combination medications like Percocet (see Percocet detox)
Illicit Opioids
- Heroin, often injected, snorted, or smoked (see heroin detox)
- Illicitly manufactured fentanyl and fentanyl-laced substances (see fentanyl detox)
Medication-Assisted Treatment (MAT) Opioids
- Suboxone – a medication used in treatment that can also be misused
- Methadone – used in specialized programs, with guidance for safe tapering on our methadone detox page
Whether opioids are prescribed or illicit, misuse can quickly escalate. Our addiction overview explains how various substances fit within the larger picture of substance use disorders.
Signs And Symptoms Of Opioid Misuse
Opioid misuse can be subtle at first, then grow more obvious as dependence develops. Common signs include:
Physical Signs
- Pinpoint pupils
- Drowsiness, “nodding off,” or frequent sedation
- Constipation, nausea, or itching
- Slowed breathing or shallow breaths
- Track marks or skin infections (with injection use)
Behavioral And Emotional Signs
- Using opioids longer or in higher amounts than prescribed
- Doctor-shopping or frequently “losing” prescriptions
- Borrowing, buying, or stealing pills
- Withdrawing from family, friends, or responsibilities
- Changes in mood, irritability, or anxiety when not using
If these symptoms feel familiar, a chemical dependency evaluation or substance abuse evaluation near you can help clarify whether an opioid use disorder is present and what level of care is appropriate.
Opioid Overdose: A Medical Emergency
Because opioids slow breathing, high doses—especially when combined with other depressants like alcohol or benzodiazepines—can cause overdose and death. Warning signs of an opioid overdose include:
- Very slow, shallow, or stopped breathing
- Blue or gray lips and fingertips
- Extreme drowsiness or inability to wake up
- Gurgling, choking, or snoring sounds
- Cool, clammy skin
Opioid overdose is a life-threatening emergency. Call emergency services immediately if you suspect an overdose. If naloxone (Narcan) is available, it may temporarily reverse the effects, but professional medical care is still essential.
After an overdose, it is critical to consider ongoing treatment—not just crisis care. Our pages on opioid detox and treatment programs explain what long-term support can look like.
Opioid Withdrawal And Detox
When the body has become dependent on opioids, stopping suddenly can cause withdrawal symptoms such as:
- Muscle aches, restlessness, and chills
- Nausea, vomiting, and diarrhea
- Watery eyes, runny nose, and yawning
- Anxiety, irritability, and sleep problems
- Intense cravings for opioids
While opioid withdrawal is rarely life-threatening by itself, it can be extremely uncomfortable and can trigger relapse. Supervised opioid detox or opiate detox provides:
- Medical monitoring to manage symptoms and complications
- Medications when appropriate to reduce discomfort and cravings
- A structured environment that supports transition into ongoing care
You can also explore substance-specific detox pages such as heroin detox, fentanyl detox, and Percocet detox.
Treatment For Opioid Addiction
Opioid addiction is treatable. Effective care often combines medication, counseling, and support. Depending on your needs, treatment may include:
Medication-Assisted Treatment (MAT)
MAT uses medications to stabilize brain chemistry, reduce cravings, and support long-term recovery. Options may include:
- Suboxone-based treatment plans
- Methadone through specialized programs, often followed by structured methadone detox if tapering is needed
MAT is usually combined with therapy and support groups for best results.
Levels Of Care
At Every 1 Center, opioid treatment options may include:
- Residential treatment for 24/7 structure and safety
- Partial hospitalization (PHP)
- Intensive outpatient programs (IOP) and evening IOP
- Outpatient programs for flexible, ongoing care
- Long-term programs when extended support is needed
A thorough evaluation will help determine which level of care is most appropriate for you.
Therapies That Support Opioid Recovery
Therapy helps address the emotional, psychological, and relational aspects of opioid addiction. Evidence-based approaches include:
- Individual addiction counseling
- Group therapy with peers in recovery
- Cognitive behavioral therapy (CBT)
- Dialectical behavioral therapy (DBT)
- Holistic addiction therapy
- Teletherapy for more flexible access to care
Some individuals also benefit from specialized or experiential options, such as wilderness therapy programs, when available.
Opioids, Mental Health, And Co-Occurring Conditions
Many people who use opioids are also coping with depression, anxiety, trauma, or other mental health concerns. Effective treatment addresses both at once. This may include:
- Psychiatric evaluation and medication management as needed
- Therapies like CBT and DBT focused on mood, trauma, and coping skills
- Support for related conditions such as antidepressant misuse or benzodiazepine misuse
Treating mental health and opioid use together lowers relapse risk and supports more stable, lasting recovery.
Support For Families Affected By Opioids
Opioid addiction affects the entire family. Loved ones may feel scared, angry, or exhausted. Helpful supports include:
- Family-focused counseling through our therapy services
- Education about addiction, boundaries, and enabling
- Support groups such as Narcotics Anonymous (NA) and Nar-Anon for families
- Exploring intervention services if a loved one resists treatment
Families do not cause opioid addiction, but they can play a powerful role in encouraging treatment and supporting long-term recovery.
Specialized Care For Men And Women
Gender-responsive treatment can be especially helpful for those recovering from opioids. Options may include:
- Men’s addiction treatment
- Women’s drug rehab with attention to trauma, parenting, and relationships
Choosing the right environment can make early recovery more comfortable and effective.
Paying For Opioid Addiction Treatment
Concerns about cost should not be a barrier to getting help. Our insurance resources explain coverage for drug and alcohol rehab, including plans like:
You can also request a confidential call to discuss your specific coverage and options.
Taking The First Step Toward Help For Opioids
If opioids are taking over more of your life than you ever intended, you are not alone—and you are not beyond help. You do not have to wait for another overdose, arrest, or crisis to reach out.
To explore your options, you can:
- Learn more about opioid detox and general detox services
- Review treatment programs and rehab centers
- Read our addiction and addiction process resources
- Explore insurance options for coverage
- Request a confidential call or contact us directly with questions
With evidence-based treatment, compassionate support, and a personalized plan, many people move from active opioid use into stable, long-term recovery. Reaching out is the first—and most important—step.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about any questions you have regarding opioids, overdose risk, or a possible substance use disorder.
