Quick answer
Fentanyl was present in 69% of Montgomery County's 175 confirmed 2024 overdose deaths, often alongside xylazine. Within 30 miles of Kettering, FindTreatment.gov lists 13 federally certified opioid treatment programs and 45 facilities that prescribe buprenorphine, and county agencies handed out 6,728 naloxone kits in 2024. Medication and naloxone are how people survive fentanyl.
How do I get treatment for fentanyl use near Kettering, OH?
It depends on what is in the supply you are using and what you are ready to do. Because fentanyl is an opioid, it responds to medication - methadone, buprenorphine, or naltrexone - and there are 13 federally certified opioid treatment programs within 30 miles of Kettering. If you are still using, carrying naloxone matters now, because fentanyl is often mixed with xylazine, which naloxone does not reverse. If a pill, powder, or "cocaine" is involved, treat it as fentanyl until proven otherwise. Start with an assessment, and start soon.
Fentanyl was present in 69% of Montgomery County's 175 confirmed 2024 overdose deaths, often alongside xylazine. Within 30 miles of Kettering, FindTreatment.gov lists 13 federally certified opioid treatment programs and 45 facilities that prescribe buprenorphine, and county agencies handed out 6,728 naloxone kits in 2024. Medication and naloxone are how people survive fentanyl.
What fentanyl is doing in Montgomery County
The Montgomery County Community Overdose Action Team confirmed 175 overdose deaths in 2024, a 39% decrease from 293 in 2023 and less than a third of the county's worst year, 2017, when 566 people died. Even so, the drug picture has not gotten simpler:
- Fentanyl was found in 69% of deaths (120 of 175).
- Any opioid was present in 76%.
- Xylazine - a veterinary sedative that naloxone does not reverse - was in 47%.
- Fentanyl analogs were in 20%, and in December 2024 the crime lab saw the re-emergence of carfentanil in a handful of cases.
County emergency departments logged 1,049 overdose visits by 987 residents in 2024, a 25% drop from 1,402 in 2023 - but Montgomery County still ranked 4th of Ohio's 88 counties for the number of those visits. Statewide, the Ohio Department of Health reported 2,931 unintentional overdose deaths in 2024, with fentanyl or a fentanyl analog involved in 69%, and fentanyl-related deaths falling 42% from the year before.
Medication is what changes the odds
Because fentanyl is an opioid, it responds to medication. The National Institute on Drug Abuse lists three FDA-approved choices, each paired with counseling:
- Methadone - a full opioid agonist that quiets withdrawal and cravings, dispensed through a certified opioid treatment program.
- Buprenorphine - a partial agonist that eases withdrawal and cravings and can be prescribed from a doctor's office.
- Naltrexone - blocks opioid receptors so opioids stop producing a high; it can only be started after opioids have cleared the body.
People on methadone or buprenorphine are less likely to die or to overdose than people who go without treatment. Within 30 miles of Kettering, the SAMHSA locator lists (pull dated October 23, 2026):
- 13 federally certified opioid treatment programs
- 45 facilities that prescribe buprenorphine and 52 that prescribe naltrexone
- 46 offering outpatient methadone, buprenorphine, or naltrexone
- 57 treatment facilities total
The Montgomery County ADAMHS Board (409 E. Monument Avenue, Suite 102, Dayton, OH 45402; (937) 443-0416) funds the county's behavioral health network through 16 providers, nine of which offer medication-assisted treatment. The statewide Ohio CareLine is 1-800-720-9616.
Naloxone, xylazine, and test strips
Naloxone reverses an opioid overdose, including fentanyl, and it cannot hurt someone who is not overdosing. It does not reverse xylazine, so a person sedated by "tranq" may still need emergency care after naloxone. Ohio distributes free naloxone through Naloxone.Ohio.gov and community partners, and Montgomery County agencies distributed 6,728 naloxone kits in 2024.
Fentanyl test strips let you check a drug before you use it. If someone is unresponsive, breathing slowly or not at all, or has pinpoint pupils, call 911 and give naloxone if you have it. Ohio's Good Samaritan law protects people who call for help.
Paying for fentanyl treatment in Kettering
Ohio expanded Medicaid in 2014, and Ohio Medicaid covers medically necessary medications for opioid use disorder through participating providers. Ask specifically about opioid treatment program methadone, office-based buprenorphine, and prior authorization. Kettering is home to about 57,028 people; if you are uninsured, the ADAMHS Board serves county residents based on need and can point you to sliding-fee options.
Crisis lines and emergencies
- If someone is overdosing, call 911 and give naloxone. Stay with them; naloxone can wear off before the fentanyl does.
- 988 - call or text for any mental health or substance use crisis
- Ohio CareLine - 1-800-720-9616 - free, confidential, staffed 24/7
- Montgomery County ADAMHS Board - (937) 443-0416 - for a referral to a publicly funded program
How to start today
- 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 from a Kettering ZIP code such as 45429 and filter for opioid treatment programs or buprenorphine.
- Ask any program whether same-week medication starts are available, and whether they help with naloxone and fentanyl test strips.
Montgomery County has cut its overdose deaths by more than a third in a single year - proof that treatment reaches people here. Fentanyl use disorder is treatable, and the medication is already in the Dayton area. The first call is usually the hardest part.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above. Other Fentanyl treatment in Ohio: Fentanyl treatment in Akron, Ohio, Fentanyl treatment in Canton, Ohio, Fentanyl treatment in Chillicothe, Ohio, Fentanyl treatment in Cincinnati, Ohio, Fentanyl treatment in Cleveland, Ohio, Fentanyl treatment in Columbus, Ohio, Fentanyl treatment in Dayton, Ohio, Fentanyl treatment in Hamilton, Ohio, Fentanyl treatment in Lorain, Ohio, Fentanyl treatment in Portsmouth, Ohio, Fentanyl treatment in Springfield, Ohio, Fentanyl treatment in Steubenville, Ohio.
Last updated: Fri Oct 23 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
How many Montgomery County overdose deaths involve fentanyl?
The Montgomery County Community Overdose Action Team found fentanyl in 69% of the county's 175 confirmed 2024 overdose deaths - 120 of them. Any opioid was present in 76%. Total overdose deaths still fell 39% in 2024, from 293 in 2023 to 175.
Is there medication treatment for fentanyl use disorder near Kettering?
Yes. Within 30 miles of Kettering, the SAMHSA locator (pull dated October 23, 2026) lists 13 federally certified opioid treatment programs, 45 facilities that prescribe buprenorphine, and 46 offering outpatient methadone, buprenorphine, or naltrexone treatment. Counts change as programs open and close.
What is xylazine, and why does it matter for fentanyl?
Xylazine is a veterinary sedative that is not an opioid, so naloxone does not reverse it. The COAT report found xylazine in 47% of Montgomery County's 2024 overdose deaths, usually alongside fentanyl. If someone is sedated but breathing, call 911 - xylazine overdose can need medical care even after naloxone.
Where can I get naloxone in Kettering?
Ohio distributes free naloxone through Naloxone.Ohio.gov and community partners, and pharmacies sell it over the counter. Montgomery County agencies distributed 6,728 naloxone kits in 2024 and EMS administered 1,382 doses. The ADAMHS Board can point you to local distribution partners.
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. If you are in a mental health or substance use crisis, call or text 988, or call or text (800) 653-9376 to speak with a treatment specialist.