Quick answer
NIDA names methadone, buprenorphine, and naltrexone as effective heroin treatments, and Pinellas County overdose deaths fell from 367 in 2024 to 251 in 2025 (CDC). Within 30 miles of St. Petersburg, 7 federally certified opioid treatment programs and 27 buprenorphine prescribers. Call (800) 653-9376.
Where should someone start heroin treatment in St. Petersburg?
It depends on which medication route fits your week, and St. Petersburg offers all of them. Within 30 miles of downtown (ZIP 33701), the SAMHSA locator lists 7 federally certified opioid treatment programs, 27 facilities that prescribe buprenorphine, and 24 offering outpatient methadone, buprenorphine, or naltrexone treatment — and the 30-mile circle also reaches into Tampa's larger network across the bay. Medication first, counseling alongside it: that sequence has the strongest evidence behind it. Call or text (800) 653-9376 to check openings, or start with
.What the data show for Pinellas County
Pinellas has been one of Florida's hardest-hit counties and one of its clearest turnarounds:
- 367 drug overdose deaths among Pinellas County residents in the 12 months ending December 2024, falling to 251 in the 12 months ending December 2025 — about a 32 percent decline (CDC provisional data)
- the Florida Medical Examiners Commission recorded 402 deaths with fentanyl in District 6 (Pinellas and Pasco) in 2024, 383 of them fentanyl-caused
- statewide, fentanyl-caused deaths fell about 35 percent from 2023 to 2024, and at least 85 percent of fentanyl occurrences were illicitly obtained
- Pinellas County holds about 965,870 residents, with St. Petersburg at roughly 267,000 (2024 Census estimates)
The heroin-specific point is supply: what is sold as heroin here is frequently fentanyl or fentanyl-cut, which is why treatment advice and naloxone advice have converged regardless of which opioid someone has been using.
What treatment involves
NIDA's heroin research report describes heroin as a highly addictive opioid and is unambiguous about treatment: pharmacological treatment increases retention and cuts drug use, disease transmission, and criminal activity.
- Methadone — a slow-acting full agonist, dispensed daily through the county's certified opioid treatment programs
- Buprenorphine — a partial agonist that relieves cravings without the high; office-based prescribing removes the daily-clinic barrier, and generic forms since 2013 lowered the cost
- Naltrexone — a monthly injection that blocks opioids; it requires full detox first, so switching needs medical help
- Lofexidine — a non-opioid option that eases the physical symptoms of withdrawal at the start
NIDA also notes that for many people, combining medication with behavioral treatment is the most effective approach — which is what Pinellas outpatient programs are built to do.
The safety plan
- Call 911 for any suspected overdose — unresponsiveness, slow or stopped breathing, blue or gray lips — and give naloxone while you wait. A fentanyl overdose can need more than one dose.
- Naloxone access: under section 381.887, Florida Statutes, pharmacists can dispense it without a personal prescription.
- Call or text 988 for a crisis that is not a medical emergency.
- If you are uninsured, Central Florida Behavioral Health Network (CFBHN), the DCF managing entity for Pinellas, is the public-network door for assessment and placement.
How to start this week
- Call or text (800) 653-9376 or submit to check same-week medication availability.
- Search findtreatment.gov with ZIP 33701, filtering for opioid treatment programs or buprenorphine.
- Say what you have been using on the first call. Fentanyl exposure changes how medication is started, and local programs adjust induction for it regularly. Other Heroin treatment in Florida: Heroin treatment in Daytona Beach, Florida, Heroin treatment in Fort Lauderdale, Florida, Heroin treatment in Fort Myers, Florida, Heroin treatment in Gainesville, Florida, Heroin treatment in Jacksonville, Florida, Heroin treatment in Lakeland, Florida, Heroin treatment in Miami, Florida, Heroin treatment in Ocala, Florida, Heroin treatment in Orlando, Florida, Heroin treatment in Pensacola, Florida, Heroin treatment in Sarasota, Florida, Heroin treatment in Tallahassee, Florida.
Last updated: Wed Oct 21 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
Is heroin still common in St. Petersburg?
Fentanyl has largely displaced it in the supply. Florida's Medical Examiners Commission counted 402 deaths with fentanyl in District 6 (Pinellas and Pasco) in 2024, 383 of them fentanyl-caused. What is sold as heroin is frequently cut with fentanyl, so the treatment and overdose advice are the same.
What treatments work for heroin use disorder?
Medication, per decades of research. NIDA's heroin research report lists methadone (dispensed at certified opioid treatment programs), buprenorphine (prescribable in a regular medical office), and naltrexone (a monthly injection after full detox), with lofexidine available to ease withdrawal symptoms.
How many treatment options are near St. Petersburg?
Within 30 miles of downtown (ZIP 33701), the SAMHSA locator lists 7 federally certified opioid treatment programs, 27 facilities that prescribe buprenorphine, 20 that prescribe naltrexone, and 24 offering outpatient methadone, buprenorphine, or naltrexone treatment — with Tampa's network across the bay as a fallback.
Where can I get naloxone in Pinellas County?
Naloxone is available at pharmacies without a personal prescription under Florida law, and community programs distribute kits. In an overdose, call 911 and give naloxone — it will not harm someone who is not overdosing.
What does treatment cost?
Florida Medicaid (AHCA) covers medically necessary medication for opioid use disorder for eligible members through Statewide Medicaid Managed Care plans; Florida has not expanded Medicaid. Uninsured residents can ask Central Florida Behavioral Health Network, the DCF managing entity for Pinellas, about publicly funded options.