Fentanyl Addiction Treatment in Boca Raton, FL
Still Detox provides 24/7 medically supervised fentanyl addiction treatment for adults in Boca Raton, Florida. Our Medical Director manages fentanyl withdrawal using COWS-guided protocols, comfort medications, and Medication-Assisted Treatment (MAT) including buprenorphine — in a private, 14-bed setting adjacent to Boca Regional Hospital. A major danger of fentanyl is not the withdrawal itself but the overdose that can follow relapse. Call now for a confidential, same-day assessment.
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Verified by Psychology TodayWhat Is Fentanyl Addiction?
Fentanyl addiction is classified by the DSM-5 as opioid use disorder — a chronic neurological condition defined by compulsive fentanyl use despite significant harm to health, relationships, and daily functioning. Fentanyl is a synthetic opioid that is about 50 times more potent than heroin and 100 times more potent than morphine, per the DEA. It acts by binding to mu-opioid receptors in the brain, producing intense analgesia, euphoria, and CNS depression. With repeated use, the opioid receptor system adapts — natural endorphin production is suppressed, receptor sensitivity decreases, and the brain becomes physically dependent on fentanyl to maintain baseline function.
Fentanyl arrives in two forms: pharmaceutical fentanyl (prescription patches, lozenges, nasal sprays) and illicitly manufactured fentanyl (IMF), which is responsible for the majority of overdose deaths in the current crisis. IMF is often mixed into other drugs — counterfeit pills, heroin, cocaine — without the user's knowledge, making every use a potentially lethal event. Still Detox manages fentanyl use disorder alongside the full spectrum of opioid addiction, including heroin and prescription opioids.
Why Medically Supervised Fentanyl Detox Is Critical
Fentanyl withdrawal is not life-threatening in the same way alcohol or benzodiazepine withdrawal is — it does not carry a risk of fatal seizures or cardiovascular collapse during the withdrawal itself. But this clinical distinction misses the most important danger: the overdose that happens after unsupported detox.
When someone stops fentanyl, opioid tolerance falls. A person who detoxes and then relapses at their previous dose may no longer be tolerant to that dose. They are at high risk of a fatal overdose from an amount they previously used without incident. Per SAMHSA, people who complete medically supervised withdrawal are at risk of opioid overdose, which is why fentanyl detox should lead into Medication-Assisted Treatment (MAT) and residential follow-through. Per SAMHSA, hospitalization or 24-hour medical care is the preferred setting for opioid detoxification.
At Still Detox, fentanyl detox is managed using COWS (Clinical Opiate Withdrawal Scale) assessments to guide medication decisions. Buprenorphine (Suboxone) is available for induction during detox to manage withdrawal symptoms and reduce craving. Naltrexone (Vivitrol) is available for eligible clients after detox completion. The goal is not just physical stabilization — it is bridge-building to the residential program where long-term recovery begins.
Why Choose Still Detox for Fentanyl Addiction Treatment in Florida
Fentanyl addiction requires a treatment environment that offers the full continuum — COWS-guided medical management, MAT, dual diagnosis care, and the residential therapeutic program that is the difference between detox and recovery.
Physician-Led Medical Oversight
Our Medical Director evaluates every client within 24 hours of admission. COWS assessments drive medication decisions throughout withdrawal. Buprenorphine induction is available during detox for appropriate candidates.
MAT as Part of the Program
Medication-Assisted Treatment with buprenorphine and naltrexone (Vivitrol) is a specialized component of Still Detox's program. Per NIDA and the CDC, MAT substantially reduces opioid overdose mortality and improves long-term recovery outcomes. MAT is not a replacement for treatment — it is part of it.
On a Hospital Campus
Located on the University Hospital campus, adjacent to Boca Regional Hospital. Emergency services are immediately accessible for any client requiring acute medical escalation during fentanyl withdrawal or stabilization.
Direct Step Into Residential
Fentanyl detox flows directly into inpatient residential treatment on the same campus. The post-detox window is the period of highest relapse and overdose risk — residential structure is not optional, it is life-saving.
Fully Bilingual Care
Every team member, from behavioral health techs through the Medical Director, is fluent in English and Spanish. Complete fentanyl addiction treatment services are available in Spanish.
Service Animals Welcome
Unlike most treatment facilities, Still Detox fully accommodates legitimate service animals during fentanyl addiction treatment. Dogs and cats are welcome. Recovery should never require leaving your companion behind.
What Patients Say About Treatment at Still Detox
People come to Still Detox at their most vulnerable. Here is what they say about the clinical care and the life they found on the other side of fentanyl addiction.
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Gary FriedmanTrustindex verifies that the original source of the review is Google.
When my life became unmanageable and I was sick and tired of being sick and tired, Still Detox showed me a better life with no emotional pain. The staff was there for me to help me on my journey. The staff is great and really understood what I was going through. I would highly recommend Still Detox to anyone who understands the problems of addiction.![]()
Vito TroianoTrustindex verifies that the original source of the review is Google.
Great experience at this detox center. The staff provided excellent support and guidance throughout my stay. A special thanks to Josh—his therapy sessions were incredibly helpful, insightful, and played a big role in my recovery. I’m grateful for the care I received and highly recommend this program.![]()
Jon ThompsonTrustindex verifies that the original source of the review is Google.
The therapist Josh was great, the food was good and all in all I have no complaints.![]()
Anonymous MomTrustindex verifies that the original source of the review is Google.
My daughter has been in and out of detox, rehab, residential, and PHP for years - with serious substance abuse and mental health conditions. This time around was the first time she made the decision fully on her own, contacted a facility, and was admitted into Still Detox. When I say we've dealt with many facilities, it's a gross understatement. But the team at Still Detox - her therapist Josh specifically - have made an impact on my daughter that we didn't think was possible. Josh has been communicative with me on my daughters progress, and has helped her with grounding techniques for dealing with acute PTSD and dual-diagnosis challenges. She's learning to self-soothe, and for the first time is genuinely putting all of her efforts into taking full advantage of this journey. She has just completed the program, and they assisted in finding a phenomenal facility for her to begin PHP. Just a reminder - no matter how much we love our family members, we can't make the decision for them to change, they have to do it on their own. When the time comes, I strongly encourage you to look into Still Detox as the first step. Sincerely, A grateful Mom![]()
MadisonTrustindex verifies that the original source of the review is Google.
This facility is a really good facility. It is a clean, organized, & has good food. The groups are usually three a day. They are super chill & not required while you’re in detox, Only Residential. I would like to give a thanks to Steve S. & the admissions team. The higher up’s. Josh the therapist. All the techs! Especially Walle, Kim, Elena, & Dawn. Nurse Whit is one of the best nurses I have ever met. Sam is cool too.![]()
Cody EcksteinTrustindex verifies that the original source of the review is Google.
Amazing staff and community, Great therapy sessions thanks to Josh.![]()
Manuel LopezTrustindex verifies that the original source of the review is Google.
I was able to detox and get started with my sobriety back home. The staff and medical were very helpful.![]()
Zenaida LupanoffTrustindex verifies that the original source of the review is Google.
Still Detox has been a lifesaver for me and helped me detox from alcohol. The facility is very clean and offers 3 catered meals daily and offer plenty of snacks. Josh and Marcella are amazing therapists. They have a knowledgeable nursing staff who are kind and caring. The techs share their experiences with addiction and help you with detox and guidance for a long term recovery. I am leaving here feeling grateful and inspired 💓![]()
Christopher FoltzTrustindex verifies that the original source of the review is Google.
I can’t say enough nice things about this place. The staff here is wonderful; Whitney, Josh, Sam, Kim, Derrick, Elena, Gladys, Dr. Martinez, Mark, et al. When issues come up, as they always will in a rehab situation, things were always handled professionally. The staff here genuinely believes in what they’re doing. The trip down here was totally worth it for the top level of care I received. Would recommend to anyone struggling with an addiction. If you are please reach out to them or someone you trust.
Fentanyl Withdrawal Timeline and Clinical Stages
Fentanyl withdrawal follows the general opioid withdrawal pattern, but a 2025 study found it was more severe and lasted longer than withdrawal from other opioids such as heroin. The researchers suggest this may be linked to fentanyl being stored in body tissues and cleared slowly. The timeline differs between immediate-release fentanyl (lozenges, nasal spray, injection) and extended-release formulations (transdermal patches), with patches producing a more delayed and gradual onset.
Fentanyl withdrawal severity is assessed using the COWS (Clinical Opiate Withdrawal Scale), a validated 11-item instrument that quantifies withdrawal severity and guides medication decisions in real time. COWS assessment scores drive buprenorphine dosing and comfort medication adjustments throughout the detox window at Still Detox.
Withdrawal symptoms begin after the last dose, and timing varies with the form of fentanyl and the pattern of use. Withdrawal after stopping a fentanyl patch usually starts later, because fentanyl from the patch leaves the body slowly. Early symptoms include anxiety, restlessness, yawning, tearing eyes, runny nose, sweating, goosebumps, and mild muscle aches. COWS assessment begins immediately on admission and drives initial medication decisions.
Symptoms intensify, and in a 2025 study fentanyl withdrawal peaked on days 2 and 3. Muscle and bone pain becomes severe — often described as deep, aching pain throughout the body. Nausea, vomiting, diarrhea, abdominal cramping, insomnia, elevated heart rate and blood pressure, and intense cravings are at their worst. This is the window of highest suffering and the period when medical support matters most.
Physical symptoms begin to subside as the opioid receptor system begins recalibrating. Most acute symptoms resolve within 7 to 10 days. Psychological symptoms — depression, anxiety, low motivation, difficulty sleeping — persist. Cravings remain significant during this window and environmental triggers can produce intense craving responses. Clinical monitoring continues throughout.
Post-acute withdrawal syndrome from fentanyl can extend depression, anhedonia, insomnia, anxiety, and cue-triggered cravings for weeks to months. Per SAMHSA, continuing medication for opioid use disorder lowers illicit opioid use and the risk of overdose death after detox.
What to Expect During Fentanyl Detox at Still Detox
Knowing what to expect removes one of the biggest barriers to asking for help. Here is how fentanyl addiction treatment at Still Detox works from first call through residential care.
Confidential Call and Insurance Verification
Your admissions representative gathers your fentanyl use history, current use pattern, co-occurring conditions, and any prior MAT experience. Out-of-network PPO benefits are verified before you commit. Travel, childcare, and logistics are coordinated before your arrival.
Pre-Admission Clinical Assessment
A pre-admission call within three days of arrival covers your full opioid history, psychiatric history, and any co-occurring depression, anxiety, trauma, or chronic pain — so the team has a complete clinical picture before you arrive and the MAT plan is ready on day one.
Arrival and Immediate COWS Assessment
A nurse and behavioral health tech meet you together for a streamlined intake. COWS assessment begins promptly to quantify withdrawal severity. Comfort medications and buprenorphine induction (for appropriate candidates) are available immediately to prevent the acute withdrawal from progressing to peak intensity without support.
Medical Director Evaluation and MAT Planning
Within 24 hours, the Medical Director completes a full history and physical and establishes your individualized treatment plan. MAT decisions — buprenorphine dosing, naltrexone candidacy — are made based on your specific opioid history, clinical presentation, and preferences.
Medically Managed Fentanyl Detox
COWS assessments guide medication adjustments throughout the acute window. Comfort medications address nausea, diarrhea, muscle pain, insomnia, and elevated blood pressure. Buprenorphine manages cravings and residual withdrawal symptoms. Typical stay is 7 to 10 days.
Seamless Step Into Residential Treatment
After stabilization, you step directly into residential treatment on the same campus. MAT continuation, individual therapy, group therapy, and dual diagnosis treatment address the psychological and behavioral drivers of opioid use disorder without facility transfer or disruption.
Signs and Symptoms of Fentanyl Addiction
The DSM-5 classifies fentanyl addiction as opioid use disorder, using 11 diagnostic criteria. A diagnosis requires 2 or more criteria in a 12-month period. Mild is 2 to 3; moderate is 4 to 5; severe is 6 or more. Per NIDA, fentanyl addiction is a treatable chronic medical condition — not a moral failure.
Using More Than Intended
Using fentanyl in larger amounts or over longer periods than planned. Tolerance builds with repeated use, so the amount needed for the same effect keeps rising, and the gap between the intended dose and the actual dose widens quickly.
Failed Attempts to Stop
A persistent desire to reduce or stop fentanyl use combined with repeated unsuccessful attempts. The severity of fentanyl withdrawal — described by many as the worst flu-like suffering imaginable — makes self-cessation feel physically impossible without clinical support, and often is.
Excessive Time Spent on Fentanyl
Spending significant time obtaining fentanyl, using it, or recovering from it. In illicitly manufactured fentanyl use, this includes the time spent navigating supply chains, managing withdrawal between uses, and recovering from overdoses or near-overdoses.
Cravings
A powerful, often overwhelming urge to use fentanyl, particularly when early withdrawal symptoms emerge. Opioid cravings are neurological in origin — the opioid receptor system, deprived of its external agonist, signals urgently for relief. Cravings are a primary driver of continued use despite the desire to stop.
Failure to Meet Obligations
Fentanyl use that interferes with work performance, family responsibilities, or daily obligations. Opioid intoxication, the cycling between use and withdrawal, and the time required to maintain supply all progressively displace functional capacity.
Continued Use Despite Relationship Harm
Persisting with fentanyl use despite conflict with family members or partners caused or worsened by the drug. Secrecy, financial instability, emotional withdrawal, and the behavioral consequences of opioid use disorder create profound relationship damage.
Abandoning Important Activities
Giving up hobbies, social engagement, or valued activities in order to use fentanyl. Life progressively narrows around the opioid cycle — obtaining, using, withdrawing, obtaining — until most previous interests and relationships have been abandoned.
Use in Hazardous Situations
Using fentanyl while driving, combining with benzodiazepines or alcohol (dramatically increasing respiratory depression risk), or using illicitly manufactured fentanyl with unknown potency and potential adulterants including nitazenes and xylazine (tranq). Every use of IMF carries a risk of fatal overdose regardless of prior tolerance.
Continued Use Despite Known Health Consequences
Persisting with fentanyl use despite awareness of physical harm including overdose history, respiratory depression episodes, endocarditis from injection use, skin infections, or fentanyl-induced hyperalgesia — a paradoxical condition where long-term opioid use increases pain sensitivity.
Tolerance
Requiring significantly higher fentanyl doses to achieve the same effect, or finding that the same dose produces a markedly diminished response. Fentanyl tolerance drives dose escalation and deepens physical dependence.
Withdrawal Symptoms
Experiencing muscle and bone pain, sweating, goosebumps, restlessness, insomnia, nausea, vomiting, diarrhea, elevated heart rate, and intense cravings when fentanyl is delayed or stopped. The presence of withdrawal symptoms — and especially the fear of them — is both a hallmark of physical dependence and the primary driver of continued use despite wanting to stop.
Source: DSM-5 opioid use disorder criteria. Per NIDA, fentanyl addiction is a treatable medical condition. Any 2 or more criteria in a 12-month period constitutes a diagnosis. MAT with buprenorphine or naltrexone is the evidence-based first-line treatment.
Talk to Admissions ConfidentiallyLiving Proof: Alumni in Recovery From Opioid Addiction
These are real before-and-after moments from people who completed treatment at Still Detox and built lasting recovery. Each one represents a life that fentanyl did not take — and a future that treatment made possible.





Why Fentanyl Detox Without Clinical Support Is Potentially Fatal
The Overdose That Follows Relapse After Unsupported Detox
Fentanyl withdrawal itself is rarely fatal in healthy adults. The lethal danger comes after: opioid tolerance drops during abstinence, and someone who relapses at their pre-detox dose after detox faces a much higher risk of fatal overdose. Per the WHO, people who have withdrawn from opioids are at increased risk of overdose due to reduced tolerance, and this is the primary clinical argument for MAT and residential follow-through after detox.
IMF Potency Unpredictability Makes Every Relapse a Coin Flip
Illicitly manufactured fentanyl has no consistent potency from batch to batch or pill to pill. A person who relapsed on the same supply for months may encounter a dramatically more concentrated batch after a period of detox — with lower tolerance and without the gradual accommodation that previously allowed survival. There is no "safe" relapse with IMF.
Psychological PAWS Without Therapeutic Support Drives Relapse
Post-acute withdrawal syndrome from fentanyl extends depression, anhedonia, and cue-triggered cravings for months. Without residential therapeutic support addressing the underlying trauma, depression, or chronic pain that drove initial fentanyl use, PAWS symptoms provide continuous neurological pressure toward relapse during the period when overdose death risk is highest.
Insurance and Payment for Fentanyl Addiction Treatment
Still Detox is an out-of-network provider for most insurance plans. Many clients with PPO plans that carry out-of-network benefits apply that coverage toward fentanyl detox, MAT, and residential treatment. Our admissions team verifies your specific benefits at no cost and with no obligation before admission.
We confirm what your plan covers, walk through any out-of-pocket responsibility, and explain flexible payment options including monthly payment plans and promissory arrangements. Cost should never be the reason someone does not receive fentanyl addiction treatment.
- ✓Out-of-network PPO benefitsWe verify out-of-network PPO benefits for fentanyl detox and residential care.
- ✓Real-time benefits verificationConfirmed before admission, at no cost and no obligation.
- ✓Flexible monthly payment plansPromissory arrangements available for qualifying clients.
- ✓Travel and transportation supportCoordinated for qualifying clients nationwide.
- ✓Secure payment processingBank transfer or card accepted.
Don't see your plan? Call us. Our specialists work with many coverage scenarios and will give you an honest answer about what is covered.
A Calm, Clinically Equipped Environment for Fentanyl Recovery
Fentanyl withdrawal produces significant physical discomfort. Our facility pairs hospital-adjacent medical infrastructure with an environment designed to make the most difficult days of recovery as manageable as possible.
Specialized Care for Complex Fentanyl Addiction Cases
Illicitly Manufactured Fentanyl (IMF)
IMF arrives in counterfeit pills, powders, and adulterated supplies with unpredictable potency and frequent adulterants including xylazine (tranq) and nitazenes. Still Detox manages stabilization from IMF — including cases involving xylazine co-use, which requires wound care management and modified naloxone response protocols.
Chronic Pain and Prescription Fentanyl Dependence
Many clients develop fentanyl dependence through legitimate prescription fentanyl patches or lozenges for chronic pain. Still Detox manages detox and coordinates with clients on non-opioid pain management alternatives during and after residential care — discontinuation does not mean abandoning pain management.
Polysubstance Use Including Opioids and Benzos
Fentanyl is frequently combined with benzodiazepines or alcohol — combinations that dramatically amplify respiratory depression risk. Still Detox has the clinical infrastructure to manage fentanyl withdrawal alongside medically supervised withdrawal from other substances simultaneously under physician supervision.
Fentanyl Addiction Treatment FAQ
How long does fentanyl withdrawal last?
What are the symptoms of fentanyl withdrawal?
Is fentanyl withdrawal dangerous?
What medications are used during fentanyl detox?
What is MAT and does Still Detox offer it for fentanyl addiction?
Does insurance cover fentanyl addiction treatment at Still Detox?
What happens after fentanyl detox at Still Detox?
Begin Fentanyl Addiction Treatment at Still Detox
Fentanyl addiction is treatable. The window between wanting to stop and dying from the next relapse can be very short. Our team is on-site 24 hours a day, same-day assessments are available now, and the residential care that separates detox from overdose statistics begins immediately after stabilization. Call now.
Still Detox · Fentanyl Addiction Treatment · Boca Raton, FL
On the University Hospital campus, adjacent to Boca Regional Hospital
We're here 24/7. Speak with admissions, confidentially and with no obligation.
☎ Call (561) 556-2677
Medically reviewed by
Dr. Gladys Martinez, DO
Medical Director, Still Detox
Dr. Gladys Martinez, DO, is the Medical Director at Still Detox and a licensed osteopathic physician in Florida (license OS7477). Dr. Martinez evaluates every client in person within 24 hours of admission and oversees detox medication tapers. Read Dr. Gladys Martinez’s full bio.