Medical emergency: call 911 Crisis: call or text 988 PA Get Help Now: 1-800-662-HELP (4357)

What People Call 'Heroin' in Philadelphia Today

The substance sold as heroin on Kensington Avenue and across Philadelphia's open-air drug markets is, for most practical purposes, fentanyl adulterated with xylazine and increasingly medetomidine. Pure heroin is rare. Detox programs in the Philadelphia area treat these callers as fentanyl cases — the pharmacology, withdrawal management, and risk profile are fentanyl's, regardless of what the drug was sold as.

Heroin Withdrawal Management

Opioid withdrawal symptoms — nausea, vomiting, diarrhea, muscle aches, anxiety, insomnia — peak at 72 hours and resolve within 5-10 days. Buprenorphine (Suboxone, Subutex) or methadone manages symptoms. Clonidine reduces autonomic symptoms. The programs we refer to start medication-assisted treatment during detox and continue it into residential rehab and aftercare.

Xylazine Complications

Many Philadelphia callers with heroin-use histories now present with xylazine-related skin wounds, sometimes requiring surgical debridement or even amputation in severe cases. Philadelphia hospitals have seen more than 200 addiction-related ICU admissions in 2024 related to wound complications alone. Licensed inpatient programs we refer to that handle Philadelphia-area callers specifically include wound care protocols for xylazine and medetomidine-related skin damage.

Talk to a placement advisor now.

Call (215) 302-0133 for free insurance verification. No obligation. Advisors answer around the clock.

Insurance and Cost

Under PA Act 106, fully-insured group plans cover a minimum of seven days of detox and 30 days of residential rehab per year. Most Aetna, Cigna, IBX, Highmark, and UnitedHealthcare plans issued in Pennsylvania provide this coverage. Placement advisors verify your benefits before admission at no cost.

Frequently Asked Questions

Is heroin still sold in Philadelphia?
What is sold as 'heroin' in Philadelphia is almost always fentanyl adulterated with xylazine and increasingly medetomidine. Pure heroin is rare in the current supply.
Are heroin and fentanyl detox the same?
Clinically, yes — both are treated as opioid withdrawal with the same medication protocols. The complicating factor in Philadelphia is xylazine/medetomidine adulteration, which adds non-opioid sedative withdrawal on top.
Can I get treatment if I have xylazine wounds?
Yes. Several programs in our referral network specifically manage xylazine-related wound care alongside detox and rehab. Tell the placement advisor about any active wounds when you call.

Talk to a placement advisor now.

Call (215) 302-0133 for free insurance verification. No obligation. Advisors answer around the clock.