Does CATC treat addictions to substances other than opioids?

CATC is currently focused on treating Opioid Use Disorder. That said, our patients often present addiction to opioids and other substances, i.e., alcohol, cocaine, and methamphetamine. Our expert addiction treatment specialists support them in meeting their personal recovery goals.

How do I get started on a Methadone or Buprenorphine program?

CATC offers same-day intake appointments in all our centres. We recognize that when you are ready to start your recovery journey, we need to be ready to support you. From our location page, select the location that is nearest to you and then either walk-in or call 1-877-937-2282 to start your intake virtually.

What should I expect during an intake appointment?

Our Intake appointments usually range from 60-90 minutes. Our CARE team will capture your medical history, discuss medication options, share information on how the treatment program works, and prepare for your initial assessment with an expert addiction medicine physician. You do not need a referral to start on our programs, walk-ins are welcomed. You will be asked to present your provincial health card to see a physician.

What are the costs of the program?

Our programs are usually delivered at no cost to the patient. In some cases, patients may have to pay for their medications or counseling services that are not covered by their provincial health plans. Our CARE teams will work with you to help determine the best plan to get the costs of your care covered.

How can I ensure that my personal information is kept confidential?

All client information is considered confidential. We will not release your personal health information to anyone without signed consent from you unless it is required by law.

I recently found out I was pregnant and need help; can I use Methadone to help with my withdrawal?

Methadone is a safe and effective way to manage opiate dependency during pregnancy. Treatment with Methadone prevents opioid withdraw, which can be dangerous for your baby. View our resource on Opioid Use Disorder During Pregnancy.

When can I expect to be free of my opioid addiction with treatment?

Addiction is a chronic and relapsing condition. Every patient, depending on their history and recovery goals, will take a unique recovery journey. The ultimate goal of the program is to improve our patient’s quality of life across many dimensions – including ensuring the presence of a home, a job, and a friend for those who have lost so much because of their addiction. Methadone and Buprenorphine/Naloxone (Suboxone®), when taken as prescribed, are safe and effective medications. This decision to taper off these medications should be made with your physician to ensure the best chance of success for you and prevent sudden onset withdrawal. People who are most successful at tapering off treatment, have generally been abstinent from illicit drugs for more than a year and are demonstrating a high level of functional stability, i.e., gainfully employed, presence of positive/supportive social relationships.

How often do I have to come to the treatment centre?

Your visit frequency will change as your stability increases. In early recovery, you will see your doctor 1-2 times a week to get your dose adjusted and you will see your pharmacist daily for the first 2-3 months. As your drug use declines, you will see your physician less – usually 1 time per month and visit your pharmacist 2-4 times per month. CATC offers integrated medical and pharmacy services, so there is no need to visit multiple locations.

When can I get my medications to take at home?

Once you have been on the program for 4-8 weeks you may be eligible for take-home doses. You will start with one dose, and as you gain stability these will increase. There are clinical guidelines that our physicians follow to determine take-home eligibility; physicians also utilize their clinical judgment based on your specific situation.

How often do I have to complete a urine drug screen during treatment?

Frequency of Urine Drug Screens also changes as you become more and more stable. In the first few months of treatment, you will be required to produce a urine sample 1-2 times per week to help the physician understand your use patterns. We also use urine drug screens to ensure that you are taking the medication that is being prescribed, as diversion of prescription medications is common. In some cases, your physician will ask for a random urine drug screen; this practice helps us identify and prevent any unsuspected medication diversion that may be occurring.

If I use drugs while on the program, am I kicked off?

Absolutely not. We recognize drug use and relapses are part of the recovery journey. It is important to remember that using other drugs while on Methadone or Buprenorphine/Naloxone (Suboxone®) can be dangerous. There have been reported deaths because of the combination of Methadone with alcohol, opioids, cocaine, barbiturates, benzodiazepines, and/or tranquilizers. If you have been prescribed or are using other medications, please disclose this to your CATC physician so they can make an informed decision on your treatment.

Do you recommend Methadone or Buprenorphine/Naloxone (Suboxone®)?

The best medication for you is based on many factors and the decision should be made with advice from your physician. Both medications have their pros and cons and there is emerging evidence that medication choice should be influenced by the amount and type of opiates that are being used. In a recent survey of our patients, 67% of those who had tried both medications said Methadone worked best for them. This is consistent with data reported from other countries. Because CATC offers several medication types, you can always transition between medication types to see what works for you. Have a specific question? Please call us at 1-877-937-2282 or email info@canatc.ca.

What Is Krokodil? Facts, Risks & Medical Truth

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What Is Krokodil? Understanding the Zombie Drug and Its Dangers

What Is Krokodil? Understanding the Zombie Drug and Its Dangers

Krokodil is a dangerous synthetic opioid used in place of heroin, and understanding what it is starts with knowing why it exists. If you or someone you love is struggling with opioid use, addiction treatment options are available across Canada.

It originated in Russia, where heroin became scarce due to the war in Afghanistan and the decreased production of poppies. The drug is a combination of codeine and either paint thinner, gasoline, or lighter fluid. The drug is usually injected and it causes an immediate high. Because of the codeine, krokodil includes Desomorphine, which is highly addictive and faster acting than morphine. The drug earned its name because of the toxic ingredients that actually cause the user’s flesh to rot.

The Zombie Drug

Krokodil is the Russian word for crocodile. The drug was given this name because it actually eats away at human flesh and makes the skin look scaly. Before users realize it, their skin develops green scales at the injection site. The wounds are horrible to look at and the affliction is difficult to treat. The flesh actually dissolves on the inside, starting at the bones. Eventually, the bones are exposed. By this time, users die, unless they can be saved by surgery and they stop using the drug. Some users have limbs amputated, but most who continue to use krokodil do not live beyond two years from the time they start using.

Destroying the Body from the Inside Out

Krokodil not only destroys the skin, but it also wreaks havoc on blood vessels, too. Many users suffer from blood diseases, especially as the drug moves through the body. Krokodil then damages other sites in the body. There is nothing good about this drug.

The drug has been described as a “zombie drug” because it kills people from the inside out. The substance does not dissolve in the blood, so it clumps in the veins. This is what causes the issues with the skin. Thrombosis (blood clotting) is what creates the scaly skin and the horrible damage that occurs.

Unpurified and Deadly

People take this drug by injecting it. Because it is already a liquid or syrup, it is ready to be injected. Unfortunately, people inject it without purifying it at all. This is the danger of the substance. People can make it at home and immediately use it.

Cheap and Easy to Make

Krokodil is commonly used because it is so inexpensive and easy to obtain. Desomorphine synthesizes quickly in the body, so it is difficult to trace the drug during testing. Some people use krokodil because it is harder to detect in drug testing than other opioids. However, the physical damage it causes becomes visible over time and the health consequences are severe.

Little Use in North America

Krokodil use remains relatively limited in North America compared to Russia and parts of Eastern Europe, where it emerged as a low-cost heroin substitute. In Canada, confirmed cases have been documented in the Niagara Region. The broader drug supply context has changed significantly since krokodil first appeared, with fentanyl now the dominant opioid threat in Canada. Anyone using opioids today faces additional risks from an unpredictable and contaminated drug supply regardless of the specific substance involved.

When to Seek Help for Opioid Use

Anyone using opioids, whether krokodil, heroin, fentanyl, or prescription painkillers, faces real and serious health risks. If use has become difficult to control, if withdrawal symptoms appear when not using, or if you’re worried about someone you love, these are signs that professional support could help. You don’t have to wait until things are severe to reach out.

Get Help From Canadian Addiction Treatment Centres

If you or someone you love is struggling with opioid use, confidential support is available. CATC offers inpatient treatment, outpatient programs, and a virtual treatment program across Canada. Call 1-877-937-2282 or speak with our intake team online. No pressure, no judgment.

This article is for informational purposes only and does not constitute medical advice. Please speak with a qualified healthcare professional for personalized guidance about your situation.