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Opioid and fentanyl treatment in Dallas
Medicines that treat opioid use disorder, and what to know about naloxone.
The short answer
Opioid and fentanyl treatment in Dallas often centers on medicine: methadone, buprenorphine or naltrexone, usually with counseling. Naloxone is a separate medicine that can reverse an overdose.
If you think someone is overdosing
- Call 911
- Use naloxone if you have it
- Try to keep them awake and breathing
Slow or stopped breathing can mean an opioid overdose. See get help now for more numbers.
Medicines for opioid use disorder
Opioid use disorder is the medical term for opioid addiction. NIDA says effective, FDA-approved medicines can help people stop or reduce opioid use. They include methadone, buprenorphine and naltrexone.
Methadone eases withdrawal and cravings. To treat this disorder, it is only available from approved opioid treatment programs. Buprenorphine also reduces cravings and withdrawal, and many doctors, nurse practitioners and physician assistants can prescribe it. Naltrexone blocks opioids from causing feelings of pleasure, and any health care provider can prescribe it. A doctor can explain which medicine fits you. See medication-assisted treatment.
Naloxone: what it is and how to get it
Naloxone is a medicine that can reverse an opioid overdose. Narcan is one brand. NIDA says it is available over the counter, without a prescription, and comes as a nasal spray that anyone can give. Some community programs and health departments also give it out for free. Keeping it at home can make sense for anyone who uses opioids, and for the people around them.
NIDA says standard-strength naloxone works in most fentanyl overdoses, and that some research suggests a second dose may sometimes be needed. It wears off, and an overdose can return, so the person still needs emergency care. Always call 911 too. Naloxone has no effect on a person with no opioids in their body, so if you are unsure, it is reasonable to give it.
About fentanyl
Fentanyl is a very strong opioid. NIDA says it may be a hidden ingredient in other illegal drugs, including heroin, cocaine and meth. That means a person may take it without knowing. Be open with any treatment provider about what you have used and what you think was in it.
Help in Dallas County
The Dallas County Overdose Prevention Hotline is (214) 590-4000, from 7am to 11pm daily, in English and Spanish. It is not for emergencies. For screening and referral, the OSAR line is 844-275-0600. The SAMHSA National Helpline at 1-800-662-4357 is free and open all day and night.
The list below shows Dallas programs that list medication treatment. Ask each one which medicines it offers, because not every program offers all three. For costs, see paying for treatment.
Dallas programs that list medication treatment
Ratings from Google Maps, November 2026. Not a ranking.
Compass Clinic Dallas
3330 Douglas Ave (inside Today Clinic), Dallas
(972) 893-3368
Google rating: 4.9 (86)
Cross Roads Recovery Center, Inc.
5552 S Hampton Rd, Dallas
(214) 339-3181
Google rating: 4.6 (57)
Guardian Recovery Dallas
5217 Village Creek Dr, Plano
(972) 220-8617
Google rating: 4.8 (64)
Homeward Bound, Inc.
5300 University Hills Blvd, Dallas
(214) 941-3500
Google rating: 3.6 (151)
Life's Second Chance Treatment Center South
2615 S Lancaster Rd, Dallas
(214) 376-7388
Google rating: 4.8 (57)
Nexus Family Recovery Center
8733 La Prada Dr, Dallas
(214) 321-0156
Google rating: 4.1 (165)
Texas Recovery Centers
6950 Shady Ln, Scurry
(214) 283-5776
Google rating: 4.0 (232)
Tru Dallas Detox & Recovery Center
2219 W Euless Blvd suite 100, Euless
(866) 479-8883
Google rating: 4.8 (54)
Questions to ask on the phone
- Which opioid medicines do you offer?
- Can I start medicine right away?
- Do you take my insurance?
- Do you offer counseling too?
Common questions
Does naloxone work on fentanyl?
Yes. NIDA says standard-strength naloxone works in most people who overdose from fentanyl. Some may need a second dose or a high-strength dose. Call 911 either way.
Is opioid withdrawal dangerous?
It can feel very rough, and medicines can ease it. Talk to a doctor. After time away from opioids, the body is no longer used to the old amount, so NIDA warns that a person who returns to use can overdose more easily. See detox.
Do I have to stop medicine at some point?
Not on any set schedule. SAMHSA says these medicines are safe for long-term use, from months to a lifetime. Talk with your prescriber before any change.
Is buprenorphine or methadone just a swap for opioids?
No. NIDA calls that idea a misconception. These medicines are prescribed treatment for a medical condition. A doctor can answer questions about your own care.
