Treatment for Heroin Withdrawal

We offer telemedicine Suboxone treatment to overcome heroin dependence & addiction:
Confidential phone & video calls with your medical provider
Experienced clinicians who truly care
Online support groups
Same day treatment

What is heroin?

Heroin is an illegally produced opioid drug made from morphine, which is a naturally-occurring opiate derived from opium poppy plants grown in Southeast & Southwest Asia, Mexico, and Colombia. In recent years, the US has seen a significant rise in rates of opioid overdose and death, in part due to mixing heroin with synthetic fentanyl—that is, fentanyl produced in illegal labs. Many users are unaware that their heroin is laced with fentanyl, resulting in deadly outcomes for many people.

Online Suboxone treatment at Bicycle Health provides:

Our online clinic

  • Confidential phone & video calls with your medical provider via our mobile app
  • Online support groups from the privacy of your own home
  • Experienced, addiction-medicine trained online Suboxone doctors who truly care
  • Same day treatment

In person

  • Patients often wait days-to-weeks for an in-person clinic visit
  • Lots of time lost in transportation to and from the clinic visit
  • Unpredictable wait times during in-person visits
  • High and often unpredictable costs

Heroin Addiction Treatment

We offer medication-assisted treatment (MAT) with buprenorphine/naloxone (Suboxone) to help patients overcome heroin addiction and withdrawal. Our confidential services take place via telemedicine, allowing patients to seek treatment within the privacy of their own homes.

The first phase of heroin addiction treatment with buprenorphine/naloxone (Suboxone) is the induction and stabilization phase. It’s important that patients have mild-to-moderate withdrawal symptoms prior to induction… otherwise, buprenorphine/naloxone (Suboxone) will remove heroin from receptors in your brain, resulting in precipitated withdrawal, which is very unpleasant and dangerous. At Bicycle Health, our providers and health coaches work with you to determine how long it’ll take to reach mild-to-moderate withdrawal, as well as provide robust psychosocial and physical supports throughout the induction and stabilization phase.

You can learn more about medication-assisted treatment here.

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.
Ryan
‍‍
Bicycle Health Patient

How long does heroin withdrawal last?

It can be scary to experience withdrawal symptoms without knowing the heroin withdrawal timeline. heroin withdrawal can begin as early as a few hours after the last dose, and different people will experience different symptoms based on a variety of factors. Here’s what to expect:

Symptoms occurring between 6-24 hours after the last heroin dose

  • Muscle aches
  • Restlessness
  • Anxiety
  • Tears
  • Runny nose
  • Excessive sweating
  • Inability to sleep
  • Yawning
  • Fatigue

Symptoms occurring between 24-72 hours after the last heroin dose

  • Diarrhea
  • Abdominal cramping
  • Goosebumps on skin
  • Nausea and vomiting
  • Blurry vision
  • Rapid heartbeat
  • High blood pressure

Heroin withdrawal symptoms are uncomfortable, but there are withdrawal treatments your Bicycle Health provider can prescribe to help relieve these symptoms:

  • Clonidine helps reduce anxiety, irritability, muscle aches, sweating, and runny nose;

  • Hydroxyzine (Atarax) helps relieve anxiety and insomnia;

  • Tizanidine (Zanaflex) helps reduce muscle spasms;

  • Ondansetron (Zofran) relieves symptoms of nausea and vomiting;

  • Loperamide (Imodium) helps relieve diarrhea; and

  • Bentyl helps relieve gastrointestinal (GI) symptoms, especially abdominal cramping.

And lastly, once you start buprenorphine/naloxone (Suboxone), you will experience significant relief from heroin withdrawal symptoms.

You may take either 4 mg, 8 mg, or 12 mg of buprenorphine on the first day of induction. You may take increasing doses in order to relieve symptoms of withdrawal. Induction may take up to 3 days, after which you’ll feel well with no further withdrawal symptoms… and finally yourself again!

I appreciate the ability to connect with my patients when they need me the most. Online treatment allows my patients the opportunity to place their recovery first and keep on track!
Kathryn Rutland
Kathryn Rutland, MD
Bicycle Health Provider

How does Bicycle Health work?

Talk with an enrollment coordinator

Meet confidentially with an experienced enrollment coordinator who will learn more about you, your experience with opioid dependence, and your health goals.

Read more

Doctor visits via phone & video call

During your first online medical provider visit, your provider will learn more about you and collaboratively develop a personalized Suboxone treatment plan for your opioid use disorder.

Read more

Prescription refills

Your Suboxone treatment prescription will be refilled during weekly, biweekly, or monthly telehealth visits with your Bicycle Health provider.

Read more

Your Journey to Recovery with Bicycle Health

Here at Bicycle Health, we combine buprenorphine/naloxone (Suboxone) treatment with behavioral health supports, like online support groups and health coaches.

Learn more about how our process works here.

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!
Mary Z.
‍‍
Bicycle Health Patient

We are physicians, nurse practitioners, and physician assistants who are invested in your recovery.

Bicycle Health providers, staff, and leadership believe everyone deserves access to confidential, individualized, and non-judgmental care for heroin addiction.

Schedule a call with an enrollment coordinator to learn how buprenorphine/naloxone (Suboxone) treatment can improve your heroin withdrawal symptoms and overall quality of life.

This page has been medically reviewed by Rebekah L. Rollston, MD, MPH

Rebekah L. Rollston, MD, MPH

Rebekah L. Rollston, MD, MPH, is a board-certified Family Medicine Physician and Head of Research at Bicycle Health. She earned her Medical Degree from East Tennessee State University Quillen College of Medicine (in the Rural Primary Care Track) and her Master of Public Health (MPH) from The George Washington University Milken Institute School of Public Health. Dr. Rollston completed her residency at Tufts University and Cambridge Health Alliance, a Harvard-affiliated community healthcare system in Greater Boston, with emphases in addiction medicine and sexual & reproductive health. Her professional interests focus on social determinants of health & health equity, addiction medicine, gender-based violence, sexual & reproductive health, rural health, homelessness & supportive housing, and immigrant health. Dr. Rollston has published on these topics in The Lancet, Journal of Health Care for the Poor and Underserved, American Journal of Health Promotion, Journal of Appalachian Health, and Medical Care.

We’ve helped thousands of patients take their lives back from addiction.

See more stories ⇢

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.

Mia S.

2019

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.

Ryan K.

2019

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!

Mary Z.

2019

My experience with my Bicycle Health Provider and my health coach has been amazing. They are an experienced  company that truly cares about my well being emotionally and physically. They are the best treatment program company that I have experienced and I highly recommend using them!

Anonymous Patient

2020

They care so much. They take the time to meet with you throughout the week to see how your treatment is affecting you personally. They care to find what works best for your body and your recovery. I have taken my life back. I have control over my finances again, I can get in touch with my emotions again and I am no longer hating myself at the end of the day. I’m happier and healthier all around.

Anonymous Patient

2020

I got quick immediate help when I needed it, and everyone I have spoken to has been very helpful and informative during my time of reaching out for help to get and stay clean. I extremely appreciate how helpful the staff and doctor have been. I’m so excited to be a part of Bicycle Health and I couldn’t be more thankful for the help I’ve been receiving. I’ve been able to function throughout the day and just live a better, happier, sober life.

Anonymous Patient

2020

I have not ever had a staff as caring and efficient as Bicycle Health. I have always had every question answered and really feel like my sobriety had been due to the way they care about their patients.

My life has improved 100% on this medication. I can deal with the ups and downs, am rarely depressed, don't have a lot of anxiety and have my energy back. I feel like a normal person again.

Anonymous Patient

2020

Patient quotes are provided by Bicycle Health patients with consent to be shared publicly, and the name has been changed to respect treatment confidentiality.

Get started with Bicycle Health

No need to go to a doctor’s office or clinic.
Even lab testing can be done from home.
Call (844) 943-2514