Many treatment options exist for patients using opioids. The right one will depend on several factors, such as:
We specialize in Medication-assisted treatment, an FDA approved outpatient treatment that uses anti-craving medicine such as Buprenorphine (Suboxone) or Methadone — along with therapy and support — to help address issues related to opioid dependence. Including withdrawal, cravings and relapse prevention.
These medications are opioids themselves. Hence, they can fulfill a person’s cravings and stop withdrawal symptoms. The key is that they do this in a safe medical setting, and when taken as prescribed do not produce the euphoric high that opioids do when they are misused. By doing this, an opioid user significantly reduces the risk of relapse, since he/she doesn’t have to worry about avoiding withdrawal anymore.
Various studies, including systematic reviews of the research, have found that medication-assisted treatment can cut the all-cause mortality rate among addiction patients by half or more. That’s why the biggest public health organizations — including the Centers for Disease Control and Prevention, the National Institute on Drug Abuse, and the World Health Organization — all acknowledge medication-assisted treatment’s medical value. And experts often describe it as “the gold standard” for opioid dependence/addiction care.
An expert, licensed physician can diagnose your condition and create an individualized treatment plan over a 60 minute virtual visit. Learn about the type of care and the level of care you need (e.g: outpatient, intensive outpatient, residential etc.) so you can take the right next step.
Through virtual visits, we can decrease your opioid dosage by a small amount every month (i.e a taper) and eventually try to get you off of your opioid medication completely. A taper has been proven to work more effectively than quitting cold turkey, and can be a good option for some people.
In 2 - 3 months of virtual visits (and one in-person visit), we can help you stop using your opioids and switch to Buprenorphine - a FDA approved initial line of treatment for patients diagnosed with opioid use disorder. This includes helpful community resources and referrals to other providers (e.g pain management, therapy, etc.) as needed.
Currently accepting patients in California. More states coming soon!
Internal Medicine and Addiction Medicine
Stanford University Addiction Medicine Fellow.
Primary Care / Addiction Physician at Santa Clara Valley Homeless Healthcare Program.
Anesthesiologist and Pain physician
Medical director of Pain Management at Marin General Hospital.
Assistant Professor at UCSF.
Research proves that a treatment such as ours (Medication Assisted Treatment or MAT), is the best line of treatment currently available. When delivered over telemedicine improves patient adherence and retention in treatment.
Simply refer patients using a secure online form or by handing them our postcard, and stay in touch with us over the phone / email / fax.
Patients can use any insurance to pay for medications and lab tests. Physician visits are covered under some insurance plans as well. They might also qualify for free treatment as well through a California state grant.
If you have patients taking prescription opioids or using them recreationally, please reach out.Make a referral
If you have any questions that aren't answered here, please reach out: email@example.com.
How does your treatment work?
We help anyone on chronic opioids reduce the risk of using opioids and potentially end their opioid dependence. Here’s how it works:
How much does your treatment cost?
What insurance plans do you take?
We currently accept Blue Shield of CA. We have submitted our applications to get covered by other insurance plans - just waiting to hear back. We can also provide free treatment for many patients through a state grant.
Who are your providers?
We currently have 3 providers:
Where are you located?
We can treat anyone in California. 99% of our treatment happens over phone and video calls - hence patients can be anywhere while they are getting treatment. When patients do need to come see (their first visit), we see them in the following locations:
Telemedicine allows us to help patients in the most convenient, confidential and affordable way. Here’s how:
What kinds of patients do you accept?
We accept all patients on chronic opioids. If a patient is using opioids for chronic pain, being on Buprenorphine will decrease the risk of overdose and addiction. We can also diagnose whether the patient is misusing their opioids and start them on the right treatment for that.
How do you monitor patients?
We expect patients to do a urine drug screen before every visit. We are connected to all labs under LabCorp and Quest. Hence patients can always find a convenient lab near them to do this test. All the lab tests we order are covered under insurance.
What happens when patients have a positive urine drug screen (i.e are using recreational drugs)?
We look at positive urine drug screens for illicit/recreational substances as a point of conversation with a patient. We use motivational interviewing and other skills to help patient set goals around decreasing/stopping their recreational substance use. For repeated positive urine drug screens for recreational substances or for urine drug screens negative for buprenorphine, we implement some contingency management strategies but will continue to work with the patient.
Are you pain management?
While we don’t do pain management, we can help guide and refer to appropriate physicians.
Do you do any counseling?
At the moment, we do not have any counselors on staff. However, we connect every patient to community resources for counseling and group support. We monitor their adherence in every follow up visit and help them find the right counseling/support structure if we notice poor adherence.
Mental health is important in any addiction treatment plan. How do you help your patients with that?
For patients that need mental health care, we refer them to a psychiatrist with expertise in dealing with patients on opioids. We work in a coordinated fashion with this psychiatrist to ensure patients reach their goals.
What happens if someone doesn’t pick up your call?
We understand that motivation can be fleeting, especially for patients who are seeking substance use treatment. We will try to reach them multiple times over the course of 2 to 3 weeks in an attempt to engage with them. However, if we are unsuccessful but the patient would like to come back at any point, our doors are always open.
What happens if a patient is having an emergency and needs to be seen?
We are just a phone call/text message away. One of our providers will reach out to the patient in 24 hours and direct the patient appropriately.
What about people with other Substance Use (like Alcohol, Benzos, etc.)?
At this time, we are seeing patients with Opioid use disorder. We understand that many of them might have other co-occurring addictions, such as benzos. While we are not seeing patients with alcohol use disorder, we will work with the patient and PCP to help taper benzos if needed.
Do you also prescribe Naltrexone?
Absolutely. We offer all treatment options to a patient and let them decide what suits them and their lifestyle best.
What outcomes do you track?
We track the following outcomes based on FDA’s guidance for effectiveness of Medication-Assisted Treatment.
How do I make a referral to you?
We prefer that you make a referral through your EMR. Simply send a referral to either Bicycle Health or Dr. Anusha Chandrakanthan. If this doesn’t work, we are happy to help you set this up (it’s very easy).
You can also make a referral by filling this secure form online: https://bicyclehealth.com/make-a-referral.