Quick answer
No FDA-approved medication exists for cocaine use disorder, so treatment is behavioral: contingency management has the strongest evidence, alongside CBT. Within 30 miles of New Castle, FindTreatment.gov lists 47 outpatient facilities. CDC provisional data count 20 overdose deaths in Lawrence County in the 12 months ending December 2025.
Published: 2026-10-24 Updated: 2026-10-24
There is no pill that turns cocaine use disorder off. There is also no shortage of evidence about what does work: behavioral treatment, delivered consistently, by programs that take stimulant use seriously. This page covers what that treatment looks like, where to find it near New Castle, and how to pay for it.
Is there a medication for cocaine addiction?
No — and it helps to know that up front so no program can oversell one. According to NIDA, there are currently no medications approved by the FDA to treat cocaine use disorder. What has proven effective, in both residential and outpatient settings, is behavioral treatment:
- Contingency management (CM). Patients earn vouchers or prize draws for verified drug-free tests. NIDA describes CM as showing positive results for cocaine use disorders, particularly for achieving initial abstinence and staying in treatment. It is the single best-supported treatment for stimulant use, and it only exists where a program offers it — so make it the first question you ask.
- Cognitive behavioral therapy (CBT). Learning to recognize the situations, moods, and people that lead back to use, and rehearsing a different response until it holds.
- Structured outpatient schedules. Regular group and individual sessions, often with drug testing, that keep accountability steady between visits.
Motivational interviewing can help early on, when part of you is still unsure about stopping. None of this requires a dramatic rock-bottom moment; an assessment at an outpatient program is enough to start.
Why cocaine pages now talk about fentanyl
Because the supply changed. NIDA warns that adulteration of cocaine with highly potent fentanyl is a major contributor to rising drug overdose deaths — often without the person using it knowing. That is why naloxone belongs on this page: naloxone reverses the fentanyl, not the cocaine. If someone is unresponsive or breathing slowly after using, call 911 and give naloxone if you have it. Keeping the two facts straight — a stimulant emergency and an opioid overdose look different — can save a life.
Overdose data for Lawrence County
CDC's provisional county-level data count 20 drug overdose deaths in Lawrence County in the 12 months ending December 2025, down from 36 the year before. These are provisional counts as of July 2026 and may be revised. Statewide, CDC's provisional counts show 2,866 drug overdose deaths in Pennsylvania in the same 12 months, down from 3,360. The direction is good news; a mixed drug supply is not.
Where to get help near New Castle
Within 30 miles of New Castle, the SAMHSA treatment locator lists 57 substance use facilities:
- 47 offering outpatient services
- 12 offering detoxification (withdrawal management)
- 13 with residential programs
Outpatient care is where most stimulant treatment happens. When you call a program, ask directly: "Do you offer contingency management, and when could I start?" Many programs list stimulant services only in their program descriptions, not their headlines. Counts change as programs open and close, so confirm by phone.
Paying for treatment
Pennsylvania expanded Medicaid, so Medical Assistance (Pennsylvania Medicaid) covers medically necessary substance use disorder treatment, including outpatient and intensive outpatient care, for eligible members. The program is administered by the Pennsylvania Department of Human Services; covered services and prior authorization vary by plan. Private plans must cover substance use care on comparable terms under federal parity rules. If you are uninsured, PA Get Help Now at 1-800-662-4357 can help you find publicly funded options. Details are in our Medicaid and rehab guide.
How to start today
- In a medical emergency, call 911 — and give naloxone if opioids might be in the picture. For a mental health or substance use crisis, call or text 988.
- Call or text (800) 653-9376 to talk with a treatment specialist about stimulant programs, 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 New Castle ZIP code and filter for outpatient care.
- Ask each program the contingency management question. The answer will tell you a lot about the program.
Peer support
Cocaine-focused recovery support exists: Cocaine Anonymous runs meetings in the region, and Narcotics Anonymous and SMART Recovery welcome anyone whose use has gotten away from them. Search our meeting finder for in-person and online meetings near New Castle. Other Cocaine treatment in Pennsylvania: Cocaine treatment in Allentown, Pennsylvania, Cocaine treatment in Altoona, Pennsylvania, Cocaine treatment in Bethlehem, Pennsylvania, Cocaine treatment in Erie, Pennsylvania, Cocaine treatment in Harrisburg, Pennsylvania, Cocaine treatment in Johnstown, Pennsylvania, Cocaine treatment in Lancaster, Pennsylvania, Cocaine treatment in Philadelphia, Pennsylvania, Cocaine treatment in Pittsburgh, Pennsylvania, Cocaine treatment in Reading, Pennsylvania, Cocaine treatment in Scranton, Pennsylvania, Cocaine treatment in Wilkes-Barre, Pennsylvania.
Last updated: Sat Oct 24 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
Is there a medication for cocaine addiction?
No. NIDA states that there are currently no medications approved by the FDA to treat cocaine use disorder, and that behavioral treatments have proven effective in both residential and outpatient settings. The question to ask any program is whether it offers contingency management — rewards for confirmed drug-free tests — which has the strongest evidence for stimulant use.
Why does naloxone matter on a page about cocaine?
Because the powder cocaine sold today is often not cocaine alone. NIDA warns that adulteration of cocaine with fentanyl is a major contributor to rising overdose deaths, often without the user knowing. Naloxone reverses the fentanyl, not the cocaine. If someone is unresponsive or breathing slowly, call 911 and give naloxone.
What treatment programs are near New Castle?
Within 30 miles of New Castle, the SAMHSA FindTreatment.gov locator lists 57 substance use facilities, including 47 offering outpatient services, 12 offering detoxification, and 13 with residential programs. Counts change as programs open and close, so confirm current openings by phone and ask specifically about stimulant services.
How can I pay for cocaine treatment in Pennsylvania?
Pennsylvania expanded Medicaid, and Medical Assistance covers medically necessary substance use disorder treatment, including outpatient and intensive outpatient care. If you are uninsured, the PA Get Help Now line at 1-800-662-4357 can route you to publicly funded and sliding-fee programs.
What if I use cocaine and alcohol together?
Many people do, and the combination is harder on the body than either alone — cocaine and alcohol interact in the liver. If you drink heavily and want to stop, alcohol withdrawal can be dangerous and needs medical supervision; be honest with the clinician about both substances so the plan covers both.