Heroin Addiction Treatment in Manhattan

Almost all heroin sold in New York City today is contaminated with fentanyl, and often with xylazine as well. The 'heroin' you may have started using years ago is no longer the same substance. This is why we treat heroin addiction as opioid use disorder in a fentanyl-contaminated market — because that is the clinical reality.

If you've been using heroin, you've almost certainly been using fentanyl too. This doesn't mean you've done something wrong — it means the drug supply has changed around you. Treatment works. It's available 24/7.

Heroin detox is uncomfortable but not medically dangerous for most people. We manage it with Suboxone, methadone, clonidine, anti-nausea medication, and sleep aids as needed. Most patients stabilize within 5–7 days.

Heroin addiction has very high relapse rates after detox alone. That's why we move you directly into residential treatment or an intensive outpatient program, almost always combined with MAT. The combination of medication and therapy is what works.