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Opioids · ICD-10 F11.20

Prescription Opioid Addiction in Louisville, KY

Prescription opioid addiction is opioid use disorder involving pain medications such as oxycodone, hydrocodone, morphine, codeine and tramadol.

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Overview

What prescription opioid addiction looks like.

Prescription opioid addiction is opioid use disorder involving pain medications such as oxycodone, hydrocodone, morphine, codeine and tramadol. For many people it starts with a legitimate prescription after an injury or surgery, and dependence builds over time; for others it starts with pills that were never prescribed to them. Pills bought outside a pharmacy can be counterfeit and contain fentanyl, so if someone may be overdosing — hard to wake, slow or stopped breathing, pinpoint pupils — call 911 right away and give naloxone if you have it. Opioid use disorder is treatable. At Golden Grove Recovery in Louisville, residential care, medication-assisted treatment (MAT), counseling and care for co-occurring conditions happen in one place.

Also known as: oxycodone (OxyContin, Percocet), hydrocodone (Vicodin, Norco), oxymorphone, hydromorphone (Dilaudid), morphine, codeine, tramadol, prescription painkillers, pain pills.

Signs of use

What patients and families actually notice.

  • Taking pills in larger doses, more often, or for longer than prescribed
  • Running out of a prescription early
  • Seeing more than one prescriber or pharmacy to get more pills
  • Crushing, snorting or injecting pills meant to be swallowed
  • Using someone else's prescription or buying pills outside a pharmacy
  • Feeling sick, anxious or achy between doses
  • Continuing to use after the original pain has resolved
  • Using despite problems at work, at home or with health
Withdrawal timeline

What withdrawal tends to look like.

Every person's experience varies. The windows below describe typical clinical patterns — your plan is adjusted based on how you respond.

8–24 hours (short-acting) / up to 36 hours (extended-release)

  • — Anxiety
  • — yawning
  • — runny nose
  • — sweating
  • — muscle aches
  • — insomnia

1–3 days

  • — Peak discomfort: nausea
  • — vomiting
  • — diarrhea
  • — abdominal cramps
  • — goosebumps
  • — strong cravings

4–10 days

  • — Acute physical symptoms ease
  • — fatigue
  • — low mood
  • — sleep disruption

Weeks 2–8+

  • — Post-acute withdrawal: cravings
  • — dysphoria
  • — sleep disruption — lost tolerance raises overdose risk after a period without opioids; if someone may be overdosing, call 911 and give naloxone if you have it
Treatment approach

How we treat prescription opioid addiction.

If you need withdrawal management first

Golden Grove does not provide medical detox on site. If you need medical detox first, admissions will help arrange it, and you step into residential care once you are medically stable.

Residential treatment

Residential care at Golden Grove is 24/7 structure in a sober setting, with 24/7 nursing support. Individual therapy, group therapy, cognitive behavioral therapy (CBT), relapse prevention and psychoeducation address what keeps opioid use going.

Medication-assisted treatment inside residential care

Golden Grove's MAT for opioid use disorder is Suboxone, buprenorphine (Subutex) and Vivitrol, delivered inside residential care. Methadone is also FDA-approved for opioid use disorder but is delivered through separate licensed opioid treatment programs, not at Golden Grove.

Your medications reviewed at admission

Bring medications in the original, labeled packaging. At admission the attending provider reviews everything you bring, including vitamins, supplements and over-the-counter products, and decides what continues.

Care for co-occurring conditions

At admission the clinical team assesses substance use and mental health together and builds one treatment plan. Golden Grove treats co-occurring depression, anxiety and trauma-related symptoms alongside opioid use disorder.

Same-day admission when it fits

Same-day admission is possible, depending on clinical needs and your plan's requirements. Admissions answers 24/7. We arrange transportation 24/7.

In Kentucky

The local picture.

In Kentucky, counterfeit pills made to look like oxycodone or other prescription painkillers can contain fentanyl, which makes pills from outside a pharmacy far more dangerous than they look. If someone may be overdosing, call 911 and give naloxone if you have it. Naloxone is available without a prescription in Kentucky, and pharmacists can explain how to use it.

Kentucky Medicaid coverage

Prescription Opioid Addiction is typically covered.

Kentucky Medicaid plans typically cover residential treatment and medication-assisted treatment for opioid use disorder, including addiction to prescription opioids. Golden Grove accepts Kentucky Medicaid through Passport by Molina, Aetna Better Health of Kentucky and UnitedHealthcare Community Plan of Kentucky. Medicaid, commercial insurance and private pay are accepted. Coverage check happens on the call.

Coverage is determined by medical necessity using the American Society of Addiction Medicine (ASAM) criteria. Admissions verifies your specific plan on the call.

Frequently asked

Common questions.

What does prescription opioid rehab at Golden Grove involve?

Residential treatment in Louisville, with medication-assisted treatment (MAT) delivered inside residential care, individual and group therapy, and care for co-occurring mental health conditions in the same program. If you need medical detox first, admissions will help arrange it. Discharge planning starts at admission, and length of stay is determined by medical necessity, not a fixed number of days.

Is prescription opioid addiction treated differently from heroin or fentanyl?

The clinical approach is the same: MAT plus behavioral care is the standard for opioid use disorder, whatever the opioid. What differs is often the story. Many people started with a prescription, and therapy makes room for the pain, the injury and the trust in a prescriber that came before the addiction.

Can I continue Suboxone or start Vivitrol at Golden Grove?

Suboxone, buprenorphine (Subutex) and Vivitrol are available inside residential care at Golden Grove. Your medical provider decides which medication fits and when. Methadone is dispensed only at federally licensed opioid treatment programs, which Golden Grove is not.

What should I do about my other prescriptions?

Bring them in the original, labeled packaging. At admission the attending provider reviews everything you bring and decides what continues.

How long is prescription opioid rehab?

Length of stay is determined by medical necessity, not a fixed number of days. Treatment plans are individualized to each person, and before discharge the team identifies the next level of care, makes referrals and schedules follow-up appointments when possible.

How fast can I get into treatment?

Same-day admission is possible, depending on clinical needs and your plan's requirements. Admissions answers 24/7 and helps arrange transportation. Coverage check happens on the call.

Does Kentucky Medicaid cover prescription opioid addiction treatment?

Kentucky Medicaid plans typically cover residential treatment and MAT for opioid use disorder. At Golden Grove, Kentucky Medicaid is accepted through Passport by Molina, Aetna Better Health of Kentucky and UnitedHealthcare Community Plan of Kentucky, Curative is accepted for commercial insurance, and private pay is an option. Coverage check happens on the call.

Take the next step

Discuss prescription opioid addiction with admissions.

Admissions answers 24/7. Golden Grove accepts Kentucky Medicaid. Coverage check happens on the call.