Quick answer
Montgomery County recorded 8 overdose deaths involving natural and semi-synthetic opioids like oxycodone in 2024, half the 2023 count, while statewide deaths in this category fell 23%. Within 30 miles of Dayton, 14 opioid treatment programs and 48 buprenorphine prescribers are listed on FindTreatment.gov.
How do I treat oxycodone dependence in Dayton?
It depends on how much you are taking and how long you have been taking it. If you have a prescription and want to cut back, the safest first call is to the doctor who prescribed it, because stopping opioids abruptly after daily use brings bone-deep aches, nausea, and diarrhea for several days. If your use has grown beyond a prescription - buying pills, running out early, mixing with other drugs - medication treatment with buprenorphine is the best-supported option, and Dayton has dozens of places that can start it quickly. If you are taking pills that did not come from a pharmacy, assume they contain fentanyl and keep naloxone in the house.
Oxycodone is the prescription opioid most people in Dayton mean when they talk about pain pills, and it sits in the same treatment category - natural and semi-synthetic opioids - as hydrocodone. The good news from the local data is that this category is shrinking rather than growing. The hard part is that the pills sold on the street under oxycodone names are rarely oxycodone anymore.
What the Montgomery County numbers show
Ohio's 2024 Unintentional Drug Overdose Report gives the clearest county picture:
- 8 Montgomery County deaths involved natural and semi-synthetic opioids in 2024 - the category that covers oxycodone and hydrocodone - down from 16 in 2023.
- Statewide, 224 Ohio deaths involved this category in 2024, about 8% of the state's 2,931 overdose deaths, a 23% decrease from 2023.
- 58% of Ohio's natural and semi-synthetic opioid deaths also involved fentanyl - meaning even people taking prescription-type opioids are often getting fentanyl without knowing it.
The Montgomery County Community Overdose Action Team's 2024 Data Unit report adds street-level detail. Prescription opioids were found in 25 of the county's 175 confirmed 2024 overdose deaths (14%). Among the 29,490 urine drug screens Montgomery County Adult Probation ran in 2024, oxycodone showed up in just 272 screens (1%) - a small share compared with the 23% that tested positive for marijuana or the 4% for fentanyl.
Prescribing itself keeps contracting. Ohio's prescription monitoring data show Montgomery County opioid doses dispensed per capita fell from 68.7 in 2015 to 29.3 in 2024, a decline in every single year, and the county's rate (7.4 doses per capita in Q3 2024) still runs above Ohio's (6.5).
The CDC's provisional count tells a similar story county-wide: drug overdose deaths among Montgomery County residents in the 12 months ending March 2026 were provisionally counted at 137, well below the 293 confirmed deaths the county recorded in 2023.
What treatment actually looks like
For opioid dependence - whether the drug was oxycodone, heroin, or fentanyl - the medications are the same, and they are the treatments with the strongest evidence:
- Buprenorphine (the active ingredient in Suboxone and generics) quiets withdrawal and cravings. It can be prescribed in a regular office visit, which means you do not have to report to a clinic every day.
- Methadone is dispensed daily through federally certified opioid treatment programs.
- Naltrexone (Vivitrol) is a monthly injection that blocks opioids - an option once you have fully detoxed.
Within 30 miles of Dayton (ZIP 45402), the SAMHSA treatment locator lists 54 substance use treatment facilities as of October 2026, including 14 federally certified opioid treatment programs and 48 facilities that prescribe buprenorphine. Counts change as programs open and close, so confirm current options on the locator.
Detox alone is not treatment. A few days of withdrawal management can get the drug out of your system, but without follow-up medication and counseling the return to use - and the overdose risk that comes with lost tolerance - is high.
Paying for treatment
Ohio Medicaid covers medically necessary substance use treatment, including buprenorphine and naltrexone, for eligible members through OhioMHAS-certified providers. Most members enroll through one of Ohio's managed care plans, so confirm your plan and network before booking. If you are uninsured, the Montgomery County ADAMHS Board at (937) 443-0416 funds treatment and recovery supports through a network of local providers and can point you to sliding-fee options, and the statewide Ohio CareLine at 1-800-720-9616 offers free, confidential referrals around the clock.
How to start today
- If this is a medical emergency, call 911. For a crisis, call or text 988.
- Call or text (800) 653-9376 to talk through your options 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 from ZIP 45402 and filter for buprenorphine or opioid treatment programs.
- If cost is the barrier, call the Montgomery County ADAMHS Board at (937) 443-0416 or the Ohio CareLine at 1-800-720-9616.
- Keep naloxone where you and the people around you can reach it - free through Naloxone.Ohio.gov and over the counter at pharmacies.
Pain-pill dependence usually starts with something ordinary - a surgery, a back injury, a prescription that kept getting refilled. What matters now is not how it started but that buprenorphine can pull the weight off your shoulders within a day or two of your first appointment. Other Oxycodone treatment in Ohio: Oxycodone treatment in Akron, Ohio, Oxycodone treatment in Canton, Ohio, Oxycodone treatment in Chillicothe, Ohio, Oxycodone treatment in Cincinnati, Ohio, Oxycodone treatment in Cleveland, Ohio, Oxycodone treatment in Columbus, Ohio, Oxycodone treatment in Hamilton, Ohio, Oxycodone treatment in Kettering, Ohio, Oxycodone treatment in Lorain, Ohio, Oxycodone treatment in Portsmouth, Ohio, Oxycodone treatment in Springfield, Ohio, Oxycodone treatment in Steubenville, Ohio.
Last updated: Fri Oct 23 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
How big is the oxycodone problem in Montgomery County?
It is smaller than the fentanyl problem but it has not gone away. Ohio's 2024 overdose report counted 8 Montgomery County deaths involving natural and semi-synthetic opioids - the category that covers oxycodone and hydrocodone - down from 16 in 2023. Statewide, deaths in this category fell 23% from 2023 to 2024, and 58% of the remaining deaths also involved fentanyl.
What should I do if someone is overdosing right now?
Call 911 immediately and give naloxone if you have it - naloxone will not harm someone who is not overdosing. Lay the person on their side and stay with them until help arrives. If you are in a mental health or substance use crisis, call or text 988, or call or text (800) 653-9376 to talk with a treatment specialist.
Where can I get medication treatment for oxycodone dependence near Dayton?
Within 30 miles of Dayton, the SAMHSA locator lists 14 federally certified opioid treatment programs and 48 facilities that prescribe buprenorphine, as of October 2026. Buprenorphine works for prescription-opioid dependence the same way it works for heroin or fentanyl dependence, and 42 of the area's facilities offer outpatient methadone, buprenorphine, or naltrexone treatment.
Is oxycodone still widely prescribed in Montgomery County?
Prescribing keeps shrinking. Ohio's prescription monitoring data show opioid doses dispensed per capita in Montgomery County fell every year between 2015 and 2024, from 68.7 doses per person in 2015 to 29.3 in 2024, and the county's quarterly dispensing rate of 7.4 doses per capita in Q3 2024 still ran above the state's 6.5.
Does Ohio Medicaid cover oxycodone treatment?
For eligible members, Ohio Medicaid covers medically necessary substance use treatment - withdrawal management, buprenorphine or naltrexone, intensive outpatient, and residential care - from OhioMHAS-certified providers. If you are uninsured, ask programs about sliding-scale fees, call the Montgomery County ADAMHS Board at (937) 443-0416, or call the statewide Ohio CareLine at 1-800-720-9616.