Opioid Overview

Prescription opioids can be addictive and dangerous. Keep yourself informed.

Opiates and Opioids

Both groups of drugs are "narcotics." (The word "narcotic" simply means sleep-inducing or numbness-inducing (from the Medieval Latin narcoticus, from the Greek narkoun "to be numb.")

It's most precise to refer to both groups of narcotic drugs as "opiates and opioids," the naturally-derived and the synthetic. But currently, when people wish to refer to all of these drugs, they often use the term "opioid."

Prescription Drug Misuse

Pharmaceutical opioids were involved in 75% of all pharmaceutical overdose deaths in the United States in 2010. In Colorado, pharmaceutical opioids contribute to at least 33% of all drug deaths in 2016.

Commonly Abused Drugs

Signs Someone is Misusing

General changes in mood and behavior can be an indicator of substance use. A person who is actively misusing opioids may seem drowsy and disoriented."Heroin nods" are a common side effect; when this happens, a user seems to fall asleep, while sitting or even standing, with their head hung down. Movements may be slowed and speech may be slurred.

 

Community Resource Glossary

Substance Use Treatment Resources

 

Pueblo Department of Public Health & Environment
SURE: Substance Use Response Ecosystem

                             Medication-Assisted Treatment (MAT)

 

Medication-Assisted Treatment (MAT)
FACILITIES HOURS MEDICATION PROVIDERS WAIT TIME FOR TREATMENT ADDITIONAL INFORMATION
Colorado Treatment Services
511 W 29th Street, Ste. B
Pueblo, CO 81008
(719) 621-1929

Mon – Fri
5:30 am – Noon
Saturday
6:00 – 9:00 am

Methadone
Suboxone
  • Ron Peterson, NP
Same-day induction - must arrive prior to 9:00 am

 

Walk-ins accepted
Medicaid
Self Pay:
$12/day Methadone
$14/day Suboxone

 

Pregnant patients are welcome
Crossroads Turning Points
509 East 13th Street
Pueblo, CO 81001
(719) 546-6666

Mon – Sat
6:30 am – 5:00 pm
Sun and Holidays
7:00 – 9:30 am

 

Current Clients
7 days a week

Methadone
Suboxone
Vivitrol
  • Dr. W. Gonzales
  • Dr. Anaya
One week Programs: CIRCLE, Sober Living, Co-Occurring Outpatient,
Men: Residential
Women: Residential, STAR-TC
Group: CRAFT, SMART Recovery, Circle of Parents in Recovery
Front Range Clinic
710 Hunter Drive
Pueblo, CO 81001
(719) 225-8246

Mon - Fri
9:00 am – 4:00 pm
Sat
9:00 am – noon
Tues – 6:00 pm
Group Counseling

Sublocade
Suboxone
Vivitrol
  • Dr. Shaun Gogarty
  • Candance Ash, NP
Walk-ins accepted
OR
Call for a same-day appointment
Cigna, Medicaid/Medicare, United Health Care

 

Reasonable rates for private pay but not a sliding scale
Gateway to Success
2429 S. Prairie Avenue
Pueblo, CO 81005
(719) 564-5070

Mon – Thurs
8:00 am – 9:00 pm
Fri
8:00 am – 7:00 pm
Sat
8:00 am – 3:00 pm

Suboxone
Vivitrol
  • Katherine DeRossett, NP
  • Cyndi Souleret, NP
  • Nadine Martin, NP
One week Medicaid/Medicare Kaiser, United Health Care

 

Pregnancy care using Buprenorphine
MARC at Health Solutions
41 Montebello Road, Ste. 120
Pueblo, CO 81001
(719) 423-1500

Mon – Fri
8:00 am – 5:00 pm

Sublocade
Suboxone
Vivitrol

 

Methadone pending DEA approval
  • Dr. Kay Hooshmand-Parsi
  • Dr. Brad Roberts
  • Leann Gronemeyer, NP
  • Julie Klaker, NP
  • Peggy Lucas, NP
  • Denise Searles, NP
Walk-ins accepted during hours of operation:
  1. Walk in with a photo ID.
  2. Start application process by 4:00 pm.
  3. Be seen or scheduled within two business days.
Medicaid/Medicare
Parkview Behavioral Services
Chemical Dependency Unit

58 Club Manor Drive
Pueblo, CO 81008
(719) 584-4778

Outpatient Detox
24 hrs. a day

Suboxone
Vivitrol
  • Dr. Nazami
  • Dr. Kandaduri
  • Dr. Tehrakopain
Parkview Internal Medicine
4491 Bent Brothers Boulevard
Colorado City, CO 81019
(719) 595-7525

Mon
7:30 am – 6:00 pm
Tues & Wed
8:30 am – 5:00 pm

Suboxone
Vivitrol
  • Dr. Maureen Kelly
  • Lynn Shields, NP
Often less than one week
Dr. Jamie Pollock
509 Colorado Avenue, Ste. C
Pueblo, CO 81004
(719) 696-9828

Mon – Fri
8:30 – 11:30 am
1:30 – 4:30 pm

Sublocade
Suboxone
Vivitrol
  • Dr. Jamie Pollock
  • Behavioral Health Counselors - Three
Usually within a week or less All insurance accepted including Medicaid/ Medicare

 

LEAD program

 

Treatment while in detox w/pre-plan
Pueblo Community Health Center
300 Colorado Avenue
Pueblo, CO 81004
(719) 543-8711

Mon, Tues, Thurs
8:30 am – 9:00 pm
Wed
9:00 am – 9:00 pm
Fri
8:30 am – 5:00 pm

Suboxone
Subutex
Vivitrol
Oral
Naltrexone
  • Dr. Libby Stuyt
  • Dr. Claire Reed, CMO
  • Adam Randal, FNP
  • Lisa Rich, FNP
  • Mary Hund-Snyder, CNM
  • Shaudra Lujan, CNM
  • Maria Lengale, CNM
Depending on the program - Same day, 72 hours or 5 days Must be a current Pueblo Community Health Center patient.

 

Priority population - pregnant women and partners who use drugs
Rocky Mountain Primary Care
131 S. Main Street, Ste. 101
Pueblo, CO 81003
(719) 924-9398

Mon – Fri
8:00 am – 5:00 pm

Sublocade
Suboxone
Vivitrol
  • Nicole Betts, NP
  • Jill Olvey, NP
  • Ashley Kirby, NP
Usually same day or next day No Kaiser Insurance

 

No pregnant women
Springbok Health
265 Joe Martinez Boulevard
Pueblo West, CO 81007
(719) 766-8511

Mon – Fri
8:00 am – 4:30 pm

Vivitrol
  • Mark Jankelow, PMHNP-BC
  • Lana Brumfield, PhD
Usually within a week Medicaid/Medicare or self-pay

Poisoning and Drug Overdose

What is a poison?

Any product or substance, including medications, can be harmful if it is used in the wrong way, by the wrong person, or in the wrong amount. A poisoning can occur from a product or substance by eating it, drinking it, breathing it, injecting it, getting it on the skin, or getting it into the eyes.

A drug overdose is considered a poisoning. In this case, the drug is the product that is used in the wrong way, by the wrong person, or in the wrong amount.

THE OPIOID EPIDEMIC BY THE NUMBERS IN 2016...  116 People died every day from opioid-related drug overdoses.  11.5 million People misused prescription opioids.  42,249 People died from overdosing on opioids.  2.1 million People misused prescription opioids for the first time.  2.1 million People had an opioid use disorder.  17,087 Deaths attributed to overdosing on commonly prescribed opioids.  948,000 People used heroin. 19,413 Deaths attributed to overdosing on synthetic opioids other than methadone. 170,

For more information:

Prevention

Here is how to find out if your combination of medications is safe:

Use the backside of this card to list all medicines you’re taking,

  • Please list all prescription and non-prescription medications, herbals, nutritional supplements, eye drops, inhalers, etc. that you use.
  • Review this medication list once a year with your doctor or pharmacist.
  • Ask your doctor or pharmacist to explain each medicine.
  • Store prescription medicines in a drawer or cabinet that can be locked or use a lock box.
  • Monitor your medicine inventory. Know how much you’ve used, how much remains, and keep a list of all medicines in the house.
  • Make sure other family members secure their medicines before your kids visit them.
  • Find “Take-Back” locations around the state where medicines can be returned and destroyed.
  • Research the safest home disposal options.

For more information, visit:

Colorado Medication Take-Back Program - Managed by the Colorado Department of Public Health and Environment. Permanent collection sites can be found at participating law enforcement agencies, pharmacies, hospitals, and clinics.

TakeMedsBack.org - Lists permanent collection locations managed by others.

 

 FREE MEDICATION DISPOSAL

Safe Medical Disposal Kiosks, from left to right: Walgreens, St Mary Corwin Emergency Dept., Kaiser Permanente Pharmacy

Walgreens intersection of Bonforte and Hunter

  • 1013 Bonforte Blvd.
  • open 7 days a week, 7:00 AM – 10:00 PM
  • 719-544-9998

Walgreens intersection of Northern and Prairie

  • 2900 W. Northern Ave.
  • open 24 hours daily
  • 719-561-9728

St Mary Corwin Emergency Department 

  • 1008 Minnequa Ave.
  • open 24 hours daily
  • 1-800-228-4039

Kaiser Permanente Pharmacy

  • 3670 Parker Blvd. 2nd floor
  • 719-595-5367
  • Hours:
    • M – F             8:30A – 7:30 P
    • Saturday       9:00 A – 5:00 P, closed 1:30 -2:30
    • Sunday         Closed

 

Information for Professional Health Providers

The Colorado Prescription Drug Monitoring Program (PDMP) is a powerful tool for prescribers and dispensers to help reduce prescription drug misuse, abuse, and diversion: helping them to make more informed decisions when considering prescribing or dispensing a controlled substance to a patient.

Colorado Department of Regulatory Agencies guideline for the safe prescribing and dispensing of opioids.

The 2018 Colorado Health Symposium- David and Nic Sheff