Heroin Rehab in Los Angeles — Detox Through Residential, One Team
Heroin rehab in Los Angeles isn't a 5-day detox and a discharge — not when it's done properly. At Titan Recovery Center it's the full clinical journey: ASAM 3.7 medical detox followed by residential treatment, delivered by the same team in the same facility, with no handoff to a third party in between.
Heroin rehab in Los Angeles at Titan Recovery Center is a two-phase program: ASAM Level 3.7 medical detox (5–7 days for the acute phase) followed directly by 30–90 days of residential treatment — same clinical team, same building, no handoff. Most facilities advertising "heroin rehab Los Angeles" are referral networks or brokers that send you to a third-party detox first. Titan delivers both phases on-site, with a Medical Director physically present, 24/7 COWS-guided nursing during the acute phase, MAT (Suboxone or Vivitrol) when clinically appropriate, and dual-diagnosis psychiatric care through residential. Most major PPO insurance accepted. Call (747) 292-7904.
Most facilities advertising "heroin rehab Los Angeles" are referral networks, marketing brokers, or outpatient programs that hand you off to a third-party detox before residential. Titan Recovery Center is different in three specific ways: our inpatient medical detox is delivered on-site by a board-certified Medical Director who is physically present, not on call across town. Our nursing staff conducts COWS withdrawal assessments around the clock during the acute phase. And the same clinical team that manages your heroin detox manages your residential treatment in the same building — no transfer, no new intake, no losing momentum at the most fragile point in recovery.
As a Joint Commission accredited Los Angeles detox and rehab provider, we treat the full spectrum of opioid dependence — one of the substance use disorders we treat across our programs. And because nearly all street heroin in 2026 is contaminated with fentanyl, your detox protocol may overlap with our fentanyl detox program — a clinical reality we screen for on admission. This page explains the full rehab journey: how detox works, what residential treatment actually involves, the medications we use, the timeline, and what evidence-based recovery looks like beyond the acute phase.
Heroin Rehab in Los Angeles Is Two Phases — Most Pages Only Describe One
"Rehab" and "detox" aren't the same thing. Detox handles the body's acute withdrawal; rehab is the work that actually changes the trajectory. Titan delivers both, in sequence, under one roof.
Medical Detox (ASAM 3.7)
Physician-supervised withdrawal management with 24/7 nursing and COWS scoring. Individualized medication protocols (MAT plus comfort medications) stabilize the body safely through the acute window. This is the phase that gets the most attention — but it's the foundation, not the finish.
Residential Treatment (ASAM 3.5)
Where recovery is actually built: individual and group therapy, dual-diagnosis psychiatric care, MAT maintenance, relapse-prevention skills, and aftercare planning — 30 to 90 days in the same facility with the same team. This is the part that separates lasting recovery from a revolving door.
Quick clinical summary
Heroin rehab at Titan Recovery Center: ASAM Level 3.7 inpatient medical detox (5–7 day acute phase) using individualized protocols that may include Suboxone, Subutex, Clonidine, Gabapentin, Hydroxyzine, Trazodone, and Zofran — transitioning directly into 30–90 day residential treatment in the same facility with the same clinical team. MAT continuation (Suboxone or Vivitrol) offered post-detox when clinically appropriate. Joint Commission accredited. Los Angeles (North Hollywood) location. Most major PPO insurance accepted. Call (747) 292-7904 for 24/7 admissions.
Why On-Site Physician Coverage Matters for Heroin Detox
The American Society of Addiction Medicine defines Level 3.7 — Medically Managed Intensive Inpatient as the appropriate level of care when withdrawal severity requires 24-hour physician availability and continuous nursing observation. Heroin withdrawal isn't usually life-threatening on its own — unlike alcohol or benzodiazepine withdrawal, which can cause seizures without medical management — but heroin detox in practice almost always involves complications that benefit from physician oversight: dehydration from vomiting and diarrhea, electrolyte imbalance, polysubstance withdrawal when fentanyl or benzodiazepines are also present, co-occurring psychiatric symptoms that intensify during the acute phase, and precipitated-withdrawal risk during MAT induction.
The difference between Titan's inpatient detox and a lower level of care (residential or clinically managed without continuous physician availability) is that our Medical Director writes individualized prescriptions on admission day based on your COWS (Clinical Opiate Withdrawal Scale) score, reassesses every protocol daily, and is physically on site to handle complications in real time rather than by phone. That's the standard ASAM defines for medically managed care — and it isn't the standard at most places advertising "heroin rehab Los Angeles."
The Heroin Detox Timeline: What Each Day Looks Like
Heroin and short-acting opioid withdrawal follows a predictable clinical course. Here's how it unfolds at Titan.
Anxiety, restlessness, muscle aches, watery eyes, runny nose, sweating, yawning. Cravings intensify; sleep is disrupted. This is the window most people relapse during in unmedicated attempts. At Titan, COWS assessment begins on admission and first medication doses are given on physician orders.
Severe muscle aches, abdominal cramping, vomiting, diarrhea, dilated pupils, gooseflesh, elevated heart rate and blood pressure. Nursing checks at least every 4 hours; IV fluids and electrolytes as indicated. MAT (Suboxone or Subutex) is typically initiated in this window when clinically appropriate.
Physical symptoms subside; sleep starts to normalize. Appetite returns. Initial therapy sessions begin, MAT dose stabilizes, and a psychiatric assessment for co-occurring conditions (depression, anxiety, PTSD) is completed.
The acute medical phase ends and the client transitions into residential treatment — same facility, same team. MAT continuation is discussed, individual therapy intensifies, group therapy begins, and family-contact protocols start as clinically appropriate.
Post-Acute Withdrawal Symptoms (sleep disruption, mood changes, intermittent cravings, cognitive fog) can persist for weeks. These are managed through residential therapy, MAT continuation, dual-diagnosis care, and structured aftercare planning. Length of stay is individualized.
Medications Used for Heroin Detox at Titan
Detox medication protocols are individualized prescriptions written by our Medical Director on admission day and reassessed daily based on clinical response. Every medication is used for a specific reason — and the medication-assisted treatment options below (buprenorphine and naltrexone) are the evidence-based standard for opioid use disorder recognized by the National Institute on Drug Abuse (NIDA).
| Medication | Used For | Clinical Notes |
|---|---|---|
| Suboxone (buprenorphine/naloxone) | Heroin & opioid detox; first-line MAT | SAMHSA first-line treatment for opioid use disorder. Reduces cravings and withdrawal severity; the naloxone component deters misuse via injection. |
| Subutex (buprenorphine) | Detox when naloxone contraindicated | Used when the naloxone component is clinically inappropriate (specific liver profiles, pregnancy considerations). |
| Vivitrol / Naltrexone | Post-detox relapse prevention (long-acting) | Monthly injectable Vivitrol or oral Naltrexone offered as maintenance after acute detox. An opioid antagonist — blocks heroin's effects. |
| Clonidine | Autonomic withdrawal symptoms | Reduces sweating, anxiety, elevated blood pressure, and GI distress during the acute window. |
| Gabapentin | Cravings & nerve pain | Reduces cravings, neuropathic pain, and anxiety; used across multiple withdrawal types. |
| Hydroxyzine | Anxiety and nausea | Non-addictive anxiolytic and antihistamine; standard comfort protocol. |
| Trazodone | Sleep disruption | Non-habit-forming sleep aid for the sleep-disrupted phase of withdrawal. |
| Seroquel (quetiapine) | Severe sleep disruption, agitation | Off-label use for insomnia, agitation, and mood dysregulation when Trazodone is insufficient. |
| Zofran (ondansetron) | Nausea and vomiting | Antiemetic administered by nursing to reduce discomfort during peak withdrawal. |
| IV Fluids / Electrolytes | Dehydration & electrolyte balance | Administered as clinically indicated during the peak-withdrawal window. |
What Residential Heroin Rehab Involves at Titan
Detox stabilizes the body in a week. Staying off heroin is the work of the weeks that follow — and it's where a real rehab program earns its name. Opioid relapse rates are high precisely because so many people stop at detox. Residential treatment is built to close that gap.
⚠️ The lost-tolerance overdose risk after heroin detox
After detox, tolerance drops fast — so a return to a previously "normal" dose can be fatal, especially with fentanyl-contaminated supply. This is exactly why completing residential treatment (and continuing MAT when appropriate) matters so much more than detox alone. If you or someone you love is at risk right now, call (747) 292-7904 or 988.
Start heroin rehab in Los Angeles today
Admissions are open 24/7. We'll verify your insurance, answer your questions honestly, and — if Titan is the right fit — get you or your loved one in safely, often the same day.
Verify insurance & get startedHeroin Rehab in Los Angeles — FAQ
What's the difference between heroin detox and heroin rehab?
Detox is the medical phase — safely managing acute withdrawal over about 5–7 days. Rehab is the full program: detox plus the residential treatment that follows (therapy, dual-diagnosis care, MAT maintenance, aftercare). Detox alone has high relapse rates; the residential phase is what builds lasting recovery. At Titan both happen in the same building with the same team.
How long does heroin rehab take?
The acute medical detox phase is typically 5–7 days for heroin and short-acting opioids. Residential treatment after that is usually 30 to 90 days, individualized to clinical progress and insurance authorization. Post-acute withdrawal symptoms can persist for weeks and are managed through residential care.
Do you use Suboxone or other medications for heroin detox?
Yes. Our Medical Director writes individualized protocols that may include Suboxone or Subutex (MAT), plus comfort medications like Clonidine, Gabapentin, Hydroxyzine, Trazodone, and Zofran. MAT (Suboxone or Vivitrol) can be continued past detox as maintenance when clinically appropriate. See our inpatient detox page for more.
Most street heroin now contains fentanyl — does that change detox?
It can. Nearly all street heroin in 2026 is contaminated with fentanyl, which is more potent and lingers in the body differently. We screen for this on admission and adjust the protocol accordingly; your care may overlap with our fentanyl detox protocol.
Do you accept insurance, and where are you located?
Titan accepts most major PPO insurance. We're located in North Hollywood and serve all of Los Angeles. Call (747) 292-7904 for free, confidential 24/7 admissions, or verify your insurance online.