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FDA Detox Medications & Clinical Research Encyclopedia

Official US Food & Drug Administration (FDA) monographs, PubChem chemical pharmacology profiles, and active ClinicalTrials.gov research studies for addiction recovery and 24/7 medical detox.

FDA-Approved MAT & Detox Medications

Partial Opioid Agonist / MAT

Buprenorphine / Naloxone

FDA Approved (2002)
Brand Names: Suboxone, Zubsolv, Sublocade
FDA Indication:

Maintenance treatment of opioid dependence as part of a complete treatment plan including counseling and psychosocial support.

Receptor Mechanism: Partial agonist at the mu-opioid receptor and antagonist at the kappa-opioid receptor.
🚨 FDA Boxed Warning: WARNING: RISK OF SERIOUS HARM OR DEATH WITH ACCIDENTAL INGESTION; ADDICTION, ABUSE, AND MISUSE.
Package NDCs:54868-5256-012496-1208-10093-5720-56
OpenFDA API SynchronizedFind MAT Centers Offering Suboxone
Full Opioid Agonist / OTP

Methadone Hydrochloride

FDA Approved (1947)
Brand Names: Methadose, Dolophine
FDA Indication:

Detoxification treatment of opioid addiction and maintenance treatment of opioid dependence in certified Opioid Treatment Programs (OTP).

Receptor Mechanism: Full agonist at the mu-opioid receptor and NMDA receptor antagonist.
🚨 FDA Boxed Warning: WARNING: ADDICTION, ABUSE, AND MISUSE; LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL INGESTION; QT PROLONGATION.
Package NDCs:0054-3556-630054-4571-25
OpenFDA API SynchronizedFind MAT Centers Offering Methadose
Opioid Receptor Antagonist

Naltrexone Extended-Release

FDA Approved (1984 (Oral) / 2006 (Vivitrol Injectable))
Brand Names: Vivitrol, ReVia
FDA Indication:

Prevention of relapse to opioid dependence following opioid detoxification, and treatment of alcohol dependence.

Receptor Mechanism: Competitive antagonist at mu-opioid receptors, blocking euphoric effects of opioids and alcohol.
🚨 FDA Boxed Warning: WARNING: RISK OF HEPATOTOXICITY AT EXCESSIVE DOSES; OPIOID OVERDOSE RISK IF OPIOID BLOCK IS OVERRIDDEN.
Package NDCs:65757-300-010056-0079-01
OpenFDA API SynchronizedFind MAT Centers Offering Vivitrol
Opioid Antagonist / Emergency Reversal

Naloxone Hydrochloride

FDA Approved (1971 (FDA Over-The-Counter Approved 2023))
Brand Names: Narcan, Kloxxado, Zimhi
FDA Indication:

Emergency treatment of known or suspected opioid overdose, manifested by respiratory and/or central nervous system depression.

Receptor Mechanism: Pure opioid antagonist that competes for and displaces opioids at mu-opioid receptor sites.
Package NDCs:69547-353-0270518-2450-0
OpenFDA API SynchronizedFind MAT Centers Offering Narcan
GABA Modulator / Glutamate Receptor Antagonist

Acamprosate Calcium

FDA Approved (2004)
Brand Names: Campral
FDA Indication:

Maintenance of abstinence from alcohol in patients with alcohol dependence who are abstinent at treatment initiation.

Receptor Mechanism: Restores glutamate and GABA balance in the central nervous system altered by chronic alcohol exposure.
Package NDCs:0456-3200-01
OpenFDA API SynchronizedFind MAT Centers Offering Campral
Alcohol Dehydrogenase Inhibitor / Aversion Agent

Disulfiram

FDA Approved (1951)
Brand Names: Antabuse
FDA Indication:

Aid in the management of selected recovery patients who want to remain in a state of enforced sobriety from alcohol.

Receptor Mechanism: Inhibits aldehyde dehydrogenase (ALDH), leading to toxic accumulation of acetaldehyde upon alcohol consumption.
🚨 FDA Boxed Warning: WARNING: DISULFIRAM SHOULD NEVER BE ADMINISTERED TO AN INDIVIDUAL WHEN THEY ARE IN A STATE OF ALCOHOL INTOXICATION.
Package NDCs:0054-0065-25
OpenFDA API SynchronizedFind MAT Centers Offering Antabuse

MAT & Detox Centers Geo-Map

FDA-Approved Medication Assisted Treatment (MAT) Centers

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Active US Clinical Research Trials (ClinicalTrials.gov APIv2)

Live interventional studies currently recruiting patients for addiction and detox research

NCT06395467RECRUITING (NA)

Integrated Treatment for Enhancing Growth in Recovery During Adolescence

This is a Phase II parallel group randomized controlled trial with 294 adolescents (age: 14-21 years) with alcohol and other drug \[AOD\] use disorder (hereafter substance use disorder), that compares two different active psychosocial interventions designed to address adolescent substance use disorder. Participants are recruited from our clinical settings and the community at two sites: one in the metro Boston, Massachusetts (MA) area and the other in the metro Farmington, Connecticut (CT), area. Study aims and hypotheses are as follows: 1. To extend the evidence for the initial efficacy of Integrated Treatment for Enhancing Growth in Recovery During Adolescence (InTEGRA), which integrates 12-Step Facilitation (TSF) with Motivational Enhancement Therapy/Cognitive Behavioral Therapy (MET/CBT) relative to gold standard MET/CBT alone (N = 294). It is hypothesized that youth assigned to InTEGRA will have greater 12-step participation during and following treatment, higher abstinence rates, and fewer substance-related negative consequences. 2. Investigate the personal recovery capital (PRC) and social recovery capital (SRC) mechanisms of behavior change through which InTEGRA may confer benefits dynamically over time (e.g., PRC: motivation, self-efficacy, coping; SRC: 12-step involvement; social network changes). 3. Investigate moderators of InTEGRA's effects on outcomes across one-year follow-up (e.g., effect of age, network support for AOD use; psychiatric severity; age composition of 12-step meetings on substance use and substance-related consequences). It is hypothesized that higher network support for AOD use, abstinence motivation, and greater AOD severity, will have a better response to InTEGRA. 4. Explore barriers and facilitators to InTEGRA adoption and implementation across providers and system administrators within the context of a type I hybrid effectiveness-implementation research design.

Sponsor: Massachusetts General Hospital
View Study on ClinicalTrials.gov
NCT06355778RECRUITING (NA)

Adversity, Brain and Opioid Use Study

The way people process and remember information may be related to adverse childhood experiences and Opioid Use Disorder symptoms. The purpose of this project is to examine brain function and performance during learning and memory tasks in adults. The study will compare measures of learning and memory across three groups of participants: those with an Opioid Use Disorder (OUD) that take buprenorphine for opioid replacement therapy, adults without an Opioid Use Disorder taking buprenorphine, and healthy adults that do not have an Opioid Use Disorder and are not taking buprenorphine.

Sponsor: University of Michigan
View Study on ClinicalTrials.gov
NCT02299921RECRUITING (PHASE_3)

Effect of Alcohol and Drugs of Abuse on Immune Function in Critically Ill Patients With Respiratory Failure

This study plans to learn more about people who are sick in the hospital with a lung infection, or respiratory failure. Respiratory failure, or severe lung failure, is a life-threatening disease. When it happens, the lungs have trouble carrying out their normal function of getting oxygen into the blood, and removing carbon dioxide from the body. Investigators are conducting this study to see what drinking too much alcohol, using tobacco products, or using drugs (both legal and illegal) may do to lung infections and respiratory failure. Subjects are asked to be in this research study because they are thought to have a lung infection and may also have respiratory failure. Alcohol, tobacco, and drug use have been linked to lung infections, respiratory failure, and even death, but the reasons for this aren't known. People who use unhealthy amounts of alcohol, tobacco, and or drugs may be more at risk for lung infections, and for severe complications due to lung infection. Subject participation is important whether or not you use alcohol and or drugs.

Sponsor: University of Colorado, Denver
View Study on ClinicalTrials.gov
NCT05785884RECRUITING (NA)

Diet Interventions: Remitted and Evaluated as Complementary Treatments for Pain

Knee osteoarthritis (OA) is the most prevalent form of arthritis, a significant cause of disability in the U.S. With an aging population and the rise in obesity rates, the prevalence of knee OA is expected to climb, significantly reducing quality of life (QOL) for those suffering from this debilitating condition. Current national efforts to reduce analgesic utilization highlight the critical need for safe, effective, and accessible alternatives for pain relief. Low-carbohydrate diets (LCDs) reduce inflammation and pain independent of weight loss, indicating that diet interventions offer a non-pharmacological complementary treatment. However, differences exist in metabolism that are rarely addressed in diet intervention studies. Thus, it is important to assess the potential of different diets in a broad population of chronic pain sufferers to determine the potential of diets to reduce knee OA pain. We have shown that a LCD was associated with reduced evoked knee OA pain, daily pain and oxidative stress when compared to either a USDA diet or a diet-as-usual control. Both experimental diets reduced weight to a similar degree, arguing that diet quality was likely the key factor in pain reduction, as opposed to weight loss. However, previous studies comparing diets have utilized diet prescriptions with less control for adherence to the diets. To overcome this obstacle, and in line with our recent work, we will provide all snacks and meals during the diet intervention to increase adherence and retention in the study, allowing for better control over diet interventions and consistency of foods within each study group. We will recruit adults with knee OA (N=200) to complete our two-phase protocol. Phase 1 will involve a 1-week diet run-up that will allow for quantification of pain measures, psychosocial variables (socioeconomic status, nutritional knowledge, proximity to grocery stores, food insecurity), and diet quality to provide a baseline for comparison. Phase 2 will be a 6-week randomized diet intervention (LCD or USDA diet) in which both groups will be provided with all meals at the direction of study personnel and input from participants. Evoked pain tasks, measures of pain disability, severity, catastrophizing, and interference will be assessed every 3 weeks in addition to QOL measures, mood, and depression. Physiological variables will be assessed through blood draws (inflammatory profile) and dual-energy X-ray absorptiometry scans (DXA; body composition, visceral fat) at the end of Phases 1 and 2. This will be the first study to examine the efficacy of these diets to reduce knee OA pain with an emphasis on interactions with biopsychosocial variables. Changes in all pain measures following Phase 2 will be assessed with respect to published measures of clinically-meaningful differences in pain and disability, as well as for statistical significance. The central hypothesis is that the LCD will improve pain and QOL in participants with knee OA more than the USDA diet, but that both will be beneficial. Specific Aim 1: To investigate the efficacy of the diets to reduce pain and improve QOL. Hypothesis 1: The LCD group will show significantly greater reductions in: a) self-reported pain (\>1.7 in pain intensity) and, b) evoked pain (\>30%) when compared to the USDA diet. Hypothesis 2: The LCD group will show greater improvements in: a) QOL, b) mood, and c) self-reported improvement (\>50% participants reporting "much improved" or "very much improved"). Hypothesis 3 (secondary): Both diets will result in improved pain disability, severity, catastrophizing and pain related fear; the LCD will outperform the USDA diet. Specific Aim 2: To explore individual differences in diet and baseline measures. Hypothesis 1: Baseline diet quality will be negatively associated with baseline pain sensitivity Hypothesis 2: Those reporting greater a) food insecurity and/ or b) proximity to grocery stores will report poorer-quality diets. Specific Aim 3: To determine whether physiological variables contribute to diet effects or lack thereof. Hypothesis 1: Baseline physiological measures (inflammatory profile) will predict: a) pain sensitivity, and b) reductions in pain. Hypothesis 2: Change in physiological measures (inflammatory profile, adiposity, leptin) will be related to: a) change in pain measures, b) change in QOL, c) self-reported improvement and, d) mood.

Sponsor: University of Alabama at Birmingham
View Study on ClinicalTrials.gov