Quick answer
Oxycodone was identified in 102 Kentucky overdose deaths in 2025, down 13.6% from 118 in 2024. It is a Schedule II opioid, and withdrawal is rarely dangerous on its own but returning to an old dose after a break can be. Methadone, buprenorphine, and naltrexone treat it. Pikeville has providers ready to start.
How is oxycodone addiction treated in Pikeville?
It depends on whether oxycodone is still the main drug or the supply has shifted to fentanyl pressed into pills. If you are physically dependent on oxycodone, buprenorphine or methadone can stabilize withdrawal and craving quickly, and a local program can start it. If fentanyl or a benzodiazepine is also in the picture, the plan changes, because those need a tailored start and supervision. The safest first step is an assessment that lists everything you take.
Oxycodone treatment in Pikeville means medication plus counseling. Kentucky identified oxycodone in 102 overdose deaths in 2025, down 13.6% from 118 in 2024, and Pike County recorded 20 overdose deaths that year. Certified programs and buprenorphine prescribers are a short drive away. Here is how the local system works.
What the Kentucky numbers show
The 2025 Kentucky Drug Overdose Fatality Report identifies oxycodone in 102 drug overdose deaths in 2025, a decrease of 13.6% from 118 in 2024. Oxycodone is one prescription opioid among several found in Kentucky's toxicology results: morphine appeared in 120 deaths, hydrocodone in 96, and methadone in 96. Prescription opioids often appear alongside other drugs — KIPRC reports that 91.9% of overdose deaths involving a prescription opioid in 2025 also involved at least one other drug.
The DEA lists oxycodone in Schedule II of the Controlled Substances Act, its most restrictive schedule for drugs with accepted medical use, because of a high potential for abuse that can lead to severe psychological or physical dependence.
Pike County's own numbers
Pike County recorded 20 drug overdose deaths in 2025, down from 22 in 2024, according to the 2025 fatality report. In 2024, the last year with a published rate, the county's age-adjusted overdose death rate was 42.7 per 100,000 residents, well above Kentucky's statewide rate of 32.0 that year (2024 fatality report). The county's toll peaked at 52 deaths in 2022 and has fallen every year since.
Medication is the standard of care
The National Institute on Drug Abuse describes medication for opioid use disorder as the standard of care and reports that people on methadone or buprenorphine are less likely to die or overdose than people who go without.
- Buprenorphine — a daily film or tablet, prescribable in a clinic or doctor's office.
- Methadone — dispensed at a federally certified opioid treatment program.
- Naltrexone — blocks opioid effects, but only after full detox.
Medication works best alongside counseling, and it can continue safely through pregnancy under medical care. Withdrawal from oxycodone alone is rarely life-threatening, but it is miserable, and the days right after a break are when overdose risk is highest — lower tolerance plus an old dose is a dangerous combination.
Where to get care in Pikeville
Mountain Comprehensive Care Center (MCCC) is the community behavioral health provider for the Big Sandy region — Pike, Floyd, Johnson, Magoffin, and Martin counties. Its Pikeville clinic at 118 River Drive offers outpatient and intensive outpatient substance use treatment, medication management, and a 24-hour crisis helpline at 1-800-422-1060. A SAMHSA locator search centered on Pikeville lists 19 federally listed substance use facilities within 25 miles as of October 2026, including in Pikeville itself:
- BHG Pikeville Treatment Center, 255 Church Street — a federally certified opioid treatment program offering methadone and buprenorphine.
- Spero Health, 7160 North Mayo Trail — outpatient medication for opioid use disorder.
MCCC's open-access model lets people walk in for an initial visit rather than waiting on a referral — useful when you have decided to get help today.
Paying for treatment
Kentucky expanded Medicaid, so more adults with low incomes qualify than in non-expansion states. Kentucky Medicaid covers medically necessary substance use disorder treatment, including medication, for eligible members. Confirm network status and prior authorization with your plan before you commit. If you are uninsured, the SAMHSA National Helpline at 1-800-662-4357 gives free, confidential referrals.
How to start today
- If someone is unresponsive or breathing slowly, call 911 and give naloxone if you have it. For a crisis, call or text 988.
- Call or text (800) 653-9376 to talk through options with a treatment specialist — free and without obligation:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Call MCCC at 1-800-422-1060 and ask for a substance use assessment.
- Ask about starting buprenorphine this week, and keep naloxone at home in case a return to use happens.
Oxycodone use disorder is treatable, and Pikeville has providers ready to start. The first call is the hardest part.
Emergency and crisis lines
Call 911 first if someone is unresponsive, breathing slowly, or turning blue. For a mental health or substance use crisis that is not a medical emergency, call or text 988, the national Suicide and Crisis Lifeline.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.
Other Oxycodone treatment in Kentucky: Oxycodone treatment in Ashland, Kentucky, Oxycodone treatment in Bowling Green, Kentucky, Oxycodone treatment in Covington, Kentucky, Oxycodone treatment in Danville, Kentucky, Oxycodone treatment in Elizabethtown, Kentucky, Oxycodone treatment in Frankfort, Kentucky, Oxycodone treatment in Hazard, Kentucky, Oxycodone treatment in Hopkinsville, Kentucky, Oxycodone treatment in Lexington, Kentucky, Oxycodone treatment in London, Kentucky, Oxycodone treatment in Louisville, Kentucky, Oxycodone treatment in Owensboro, Kentucky.
Last updated: Thu Oct 22 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
What medications treat oxycodone addiction?
The three FDA-approved medications for opioid use disorder are methadone, dispensed through a certified opioid treatment program; buprenorphine, which a doctor can prescribe in an office; and naltrexone, which blocks opioid effects. NIDA notes these medications reduce cravings and withdrawal and work best alongside counseling.
How common is oxycodone in Kentucky overdoses?
The 2025 Kentucky Drug Overdose Fatality Report identifies oxycodone in 102 drug overdose deaths in 2025, a decrease of 13.6% from 118 in 2024. Pike County recorded 20 drug overdose deaths in 2025, down from 22 in 2024 and 52 in 2022. Counts are provisional and may be revised.
Can I stop oxycodone on my own?
Many people try, and the withdrawal alone usually defeats them. The bigger danger is returning to your old dose after a break: tolerance drops fast, and that dose can now cause an overdose. A doctor can also prescribe medication for opioid withdrawal, which makes staying stopped far more likely.
Where can I get treatment for oxycodone use in Pikeville?
Mountain Comprehensive Care Center (MCCC) is the community behavioral health provider for Pike and four neighboring counties, with a Pikeville clinic at 118 River Drive and a 24-hour crisis helpline at 1-800-422-1060. Pikeville also has an opioid treatment program, BHG Pikeville Treatment Center, and Spero Health on North Mayo Trail.
What should I do in an opioid emergency?
If someone is unresponsive, breathing slowly, or turning blue, call 911 and give naloxone if you have it. For a mental health or substance use crisis that is not a medical emergency, call or text 988, or call or text (800) 653-9376.