to fentanyl withdrawals
At-home treatment by dedicated doctors
How long does fentanyl withdrawal last?
It can be scary to experience withdrawal symptoms from opioids like fentanyl without knowing how it will end. Different people will experience different symptoms based on a variety of factors. Here's what to expect:
Symptoms occurring between 6 hrs to 24 hrs after the last fentanyl dose
Inability to sleep
Symptoms occurring between 24 hrs to 72 hrs after the last fentanyl dose
Goosebumps on the skin
Nausea & Vomiting
High blood pressure
Our treatment for fentanyl withdrawal
Bicycle Health offers Medication Assisted Treatment to provide relief for fentanyl withdrawal and long term treatment to cut down on or stop using fentanyl.
We typically prescribe a formulation of Buprenorphine/Naloxone (Suboxone) and provide free online support groups and mental health services. Here's how the process works:
Talk with a compassionate coach
A trained health coach will learn more about you, your fentanyl withdrawal symptoms, your cravings, mental health needs and your health goals. Get answers to any questions you might have and make sure that our program can help you reach your goals.
Doctor visits via phone & video calls
Meet your doctor via a video call from the comfort of your home. No waiting rooms. Completely confidential. After a thorough medical evaluation, the doctor will choose the right care plan for you to decrease your fentanyl use. All follow ups will be via phone or video calls as well.
Your prescription will be sent electronically to a pharmacy near you. The prescription will be refilled at every follow up call with your doctor.
Online support groups
Too often, the journey to get off fentanyl can be a lonely one. These meetings are a safe space with only people who are looking for help with opioid use. Come share your story and support others on this journey. All meetings can be attended via phone or video calls.
Frequently Asked Questions
We help people who are looking to reduce their use of opiates. We offer Medication Assisted Treatment using Buprenorphine/Naloxone (Suboxone) to remove opioid cravings.
In California we accept Medicare, Aetna, Blue Shield (PPO) & and Cigna. In other states we only accept self-pay. Our self pay fees are $199/month. This monthly fee includes all appointments, health coaching and online support groups. You can use any insurance to pay for prescriptions and lab tests.
Our physicians prescribe Buprenorphone/Naloxone (Suboxone) to overcome opioid withdrawal. They also typically prescribe medications like Zofran (nausea and vomiting), Tizanidine (muscle relaxant), Hydroxyzine (non addictive sedative for anxiety), Loperamide (diarrhea and abdominal cramps) and Naproxen (muscle pain). If you are in still in pain, we shall utilize non opioid alternatives to manage your pain. The exact option depends on the cause of pain and can vary based on whether or not you have chronic pain.
Yes. We will never share any health information with anyone else unless we have your explicit consent.
No! You don’t need to be in withdrawal at your first appointment. However, when you are starting your Suboxone prescription you will need to abstain from using your opioid of choice and you will experience some withdrawal symptoms. Then, you will start Buprenorphine/Naloxone (Suboxone) which will help overcome those symptoms and remove opioid cravings. You may have some side effects as you adjust to the medication, but we will be available to help you with anything you need! Your provider will work closely with you throughout the process to check in on how you’re doing and help you through it. If you have concerns about this process, we’d be happy to schedule a time for one of our providers to give you a call to talk more in detail about it
Yes! The provider will call in your prescription to the pharmacy of your choice. Refills will be prescribed during follow ups.
For opioid dependence treatment, we only offer Suboxone. While Methadone can also be used to treat opioid dependence, you have to visit a clinic weekly to obtain the prescription, and that doesn’t fit with our telemedicine model. The providers can and do prescribe other medications to treat things other than opioid dependence. However, this is done on a case to case basis and we do ask that you seek help from a primary care provider for prescriptions you might need that are not directly related to your opioid dependence treatment. For example, if your Suboxone is making you nauseous, your provider might prescribe something to help with that.
This is not a quick fix. It really depends on how long you’ve been using opioids for and how much you use. How well you personally respond to treatment can make a big difference as well, so it really is hard to predict beforehand and varies patient to patient. The recovery process takes time, but we will be here to help you through every part of the process no matter how long it takes! Luckily, Suboxone will curb your cravings and won’t leave you feeling foggy, so you can function very well while on the medication. In short, the process will likely be long, but worth it.
If you have insurance, the prescriptions will be covered by your insurance company. If you don’t have insurance, the cost of your prescription could be around $100-$150 a month. Although, that does depend on your dose and which pharmacy you go to.
We do not accept Medi-Cal or Medicaid for our fees. That said, you can use your Medi-Cal or Medicaid benefits card to pay for medications and lab tests. Just take your card with you to the pharmacy or the lab.
In California we accept Medicare, Aetna, Blue Shield (PPO) & and Cigna. In other states we only accept self-pay. If you have any other insurance, our self pay option is $199 / month. We are happy to provide you a superbill that you can submit to your insurance company to potentially get some of that money back using your out-of-network benefits. That said, you can use your insurance to pay for medications and lab tests. Just take your insurance card with you to the pharmacy or the lab.
We can help you transition from Methadone to Suboxone, just as long as you are currently on 20mg or less of Methadone. If you are currently taking more than that, we would need to wait until your dose is less than 20mg to start your treatment. It is dangerous to switch from a higher dose of Methadone to Suboxone, because it would be too much of a difference in dosages. The side effects would be too much and it can be dangerous. Please do work on getting your dose down and reach back out to us when you are ready to make the switch!
The monthly fee includes all doctor visits to refill your prescription. It also includes getting care via unlimited chat messages in between scheduled visits, unscheduled doctor visits, online support groups and any care navigation as needed.
You may cancel your appointment anytime within 24 hours before your appointment and no charge will be made. We do not offer refunds if you have spoken with the doctor over the phone or seen the doctor in-person.
Since we are an online clinic, we can't accept cash or checks. Also, since we have a subscription based model (as opposed to paying at each appointment), it is more convenient to use a credit or debit card. If you don’t have a bank card to use, you can purchase a Visa gift card with your cash and we can run that through our card processing system.
We provide at-home treatment via phone and video calls. As long as you live in California or Florida, you can enroll in our program.
Questions? We’re here to help.
One of the things I love about Bicycle Health is the ability to use telemedicine
to communicate with my doctor. Appointments can take place anywhere
I am: at work, when I’m out of town, even in my bed at home! I am so grateful for the compassionate care I’ve received from Bicycle Health.
I was introduced to Medication Assisted Treatment and it changed my life. Bicycle health was very helpful, supportive and assisted me without judgement. Now I feel I have a reason to live, have hopes for the future and finally feel relatively happy. I have not known happiness as long as I can remember.
I’ve tried many other programs and rehabs but none of them have ever come close to the innovative, effective, design of this program and its administrators. I HIGHLY RECOMMEND BICYCLE HEALTH!!! I would suggest that anyone who’s struggling with opioid dependence, contact them for help today!
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