Opioids & Fentanyl

What we treat
Problem use of prescription opioids (oxycodone, hydrocodone), heroin, and fentanyl—including polysubstance use (e.g., opioids + benzodiazepines/alcohol).

How opioids affect the body
Opioids bind to mu-receptors and slow pain signaling, breathing, and GI motility. Tolerance builds quickly; stopping suddenly can trigger significant withdrawal.

Withdrawal—what it can look like (typical, not exact)

• Early (8–24h after short-acting; 24–48h after methadone): anxiety, yawning, sweating, runny nose, dilated pupils, restlessness, insomnia.

• Peak (1–3 days): severe muscle/abdominal cramps, nausea/vomiting/diarrhea, gooseflesh, chills/hot flashes, fast heart rate, intense cravings.

• Resolving (3–7+ days): symptoms taper; post-acute issues (sleep, mood, energy) can last weeks.

When telehealth fits vs. when it doesn’t
Sobio is outpatient telehealth—great for stabilization, skills, and ongoing support. If you have severe withdrawal, uncontrolled vomiting, chest pain, fainting, pregnancy, heavy sedative/alcohol use, or overdose risk, seek in-person care or a supervised detox first.

How Sobio helps

• Weekly therapy (evidence-based relapse-prevention, craving management, triggers, routines).

• Daily coach check-ins for accountability and micro-goals.

• Coordination with your existing prescriber about medications for opioid use disorder (MOUD)—e.g., buprenorphine—when clinically appropriate and available locally. (Sobio isn’t a pharmacy and doesn’t guarantee medication.)

• Measurable plan and reviews every 2–4 weeks.

Get started

• Start now (Client intake): https://www.sobioapp.com/sign-up/client

• Questions: support@sobioapp.com

Safety
Emergencies: 911. 24/7 support: 988 (Suicide & Crisis Lifeline) or SAMHSA 1-800-662-HELP (4357). Carry naloxone where legal/available.