Quick answer
Fentanyl was present in 164 deaths in the Daytona Beach medical examiner district in 2024 and caused 156 of them, making it the leading drug in local overdose deaths. Medication for opioid use disorder - methadone, buprenorphine, or naltrexone - plus naloxone has the strongest evidence. Here is how to start care in Volusia County.
Opioid overdose deaths in Volusia County have been falling, but fentanyl still sits at the center of them - it is the single drug most often found in fatal overdoses here. Someone using opioids, whether from a prescription that ran out or from the street, needs treatment that includes medication, not counseling alone. Medication for opioid use disorder is the most effective tool available, and it is covered locally more often than people assume.
What is the fastest way to get fentanyl treatment in Daytona Beach?
It depends on how much danger the person is in right now. If someone is unresponsive or breathing slowly, that is a 911 call and naloxone, not a phone call about beds. If they are stable but using daily, same-week medication - buprenorphine or methadone - lowers the risk of dying far more than waiting for a residential opening. If they are stepping down from inpatient care, outpatient medication with counseling can hold the gains. Either way, the next step is one call to a program that can screen today.
What the local fentanyl data show
The Florida Medical Examiners Commission 2024 report counted 164 deaths with fentanyl present in District 7, which covers Volusia County and Daytona Beach, and fentanyl was the cause in 156 of them. Only 8 of those deaths involved fentanyl alone; the rest also involved other drugs. Statewide, fentanyl was present in 3,667 deaths and caused 3,224 in 2024, down about 34 percent from 2023.
Locally, the trend is encouraging without being safe. The Volusia County medical examiner reported 229 accidental drug overdose deaths in 2024, down from 303 in 2023 and a peak of 400 in 2021, with fentanyl present in about 67 percent of those deaths. Statewide FLHealthCHARTS data record 180 drug-poisoning deaths in Volusia County in 2024.
Daytona Beach has about 88,000 residents, and Volusia County about 607,000 (Census Bureau estimates, as of July 2025).
Why fentanyl is different from other opioids
Fentanyl is a synthetic opioid 50 to 100 times more potent than morphine, according to the CDC. NIDA reports that as little as 2 milligrams can be fatal. It acts on the part of the brain that controls breathing, so too much can slow breathing to a life-threatening level.
The harder problem is that it is invisible in the supply. Illegally made fentanyl is mixed into heroin, cocaine, and methamphetamine, and pressed into counterfeit pills made to look like oxycodone or Xanax. Fentanyl test strips can detect it before a drug is used, though they may miss more potent analogs such as carfentanil.
Naloxone reverses an opioid overdose, including one from fentanyl, and a fentanyl overdose can need more than one dose. Carry two, and call 911 first.
Medication is the first line of treatment
Fentanyl use disorder is treatable, and medication is the standard of care. NIDA lists three FDA-approved medications:
- Methadone - a full opioid agonist dispensed daily through a certified opioid treatment program (OTP).
- Buprenorphine - a partial agonist prescribed as a daily dose or a longer-acting injection.
- Naltrexone - blocks opioid receptors and is started only after opioids have cleared the body.
People treated with methadone or buprenorphine are less likely to die or have an overdose than people who get no medication. A fourth medicine, lofexidine, eases acute withdrawal. That is why a program offering only abstinent counseling, with no medication, is usually not the best first call for someone at high overdose risk.
Treatment options around Daytona Beach
Within 30 miles of downtown Daytona Beach (ZIP 32114), the SAMHSA treatment locator lists 30 substance use treatment facilities, including 4 offering detoxification, 7 with residential programs, and 25 offering outpatient care.
Not every facility dispenses methadone or prescribes buprenorphine, so ask directly: Does this program offer methadone on site, or buprenorphine through a prescriber? How soon can I be seen? Because starting medication quickly matters more for opioids than almost any other substance, ask whether same-week or walk-in assessment is possible. Votran, the Volusia County bus system, provides countywide transit, which matters if you will attend an opioid treatment program daily for methadone.
Paying for fentanyl treatment
Florida Medicaid (AHCA) covers medically necessary substance use disorder care, including medication for opioid use disorder, through Statewide Medicaid Managed Care plans for eligible members. Florida has not expanded Medicaid, so many working-age adults do not qualify. If you are uninsured, LSF Health Systems, the Florida DCF managing entity for Volusia County, contracts a network of providers for people who are uninsured or underinsured. Private plans and Marketplace coverage must cover substance use care under federal parity rules; confirm network status before you commit.
How to start today
- If someone is overdosing - slow or stopped breathing, blue lips, unresponsive - call 911 and give naloxone. For a mental health or substance use crisis, call or text 988.
- Call or text (800) 653-9376 to speak with a treatment specialist, or use this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Search findtreatment.gov with ZIP code 32114 and filter for opioid treatment programs or buprenorphine.
- Ask a program how soon it can start medication and whether it helps with naloxone.
Opioid use disorder is treatable, and Volusia County has more capacity than it did a few years ago. Starting medication is the fastest proven way to lower the risk of dying.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.
Last updated: Tue Oct 20 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
How many fentanyl deaths were there in Daytona Beach and Volusia County in 2024?
The Florida Medical Examiners Commission 2024 report counted 164 deaths with fentanyl present in District 7, which covers Volusia County and Daytona Beach, and fentanyl was the cause in 156 of them. That makes fentanyl the leading drug in local overdose deaths. Volusia County recorded 229 accidental overdose deaths overall in 2024.
What medication is used for fentanyl use disorder?
Three medications are FDA-approved: methadone, dispensed through a certified opioid treatment program; buprenorphine, prescribed as a daily dose or long-acting injection; and naltrexone, which blocks opioid receptors. NIDA reports that people treated with methadone or buprenorphine are less likely to die or have an overdose than people who get no medication.
Where can I get naloxone in Volusia County?
Florida issues standing orders that let pharmacists dispense naloxone without a personal prescription, and free kits are available through Florida Department of Health county offices and harm-reduction partners. A fentanyl overdose can need more than one dose, so carry two and call 911. Naloxone will not harm someone who is not overdosing.
Who do I call to start treatment in Volusia County today?
In an overdose emergency, call 911. For a mental health or substance use crisis, call or text 988. LSF Health Systems is the Florida DCF managing entity for Volusia County and can help with publicly funded assessment and placement, and you can call or text (800) 653-9376 to reach a treatment specialist.
How many opioid treatment programs are near Daytona Beach?
The SAMHSA FindTreatment.gov locator lists 30 substance use treatment facilities within 30 miles of downtown Daytona Beach, including 4 offering detoxification and 25 offering outpatient care. Not every program offers methadone or buprenorphine, so ask directly whether same-week medication is available.