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(+372) 56 011 990


Punane 18, Tallinn

Substitution treatment

Substitution treatment for opioid addiction

We offer opioid substitution therapy in collaboration with the National Institute for Health Development at the ReCuro clinic in Lasnamäe, Tallinn – Punane 18.

The goal of opioid substitution therapy is to stop or reduce the use of illegal and unverified narcotics through controlled treatment methods.

Reducing opioid use helps clients achieve a safer living environment, significantly decreasing the spread of infectious diseases and possible infections. Effective substitution therapy is complex and involves more than just the administration of medication. A crucial part of the process is collaboration with the treatment team and psychological and social counselling. The effectiveness of the treatment is ensured by combining support services that help achieve the desired treatment goals.

Our specialists help to plan the optimal treatment schedule based on the individual needs of each client.

Examples of opioids include:

  • Fentanyl
  • Morphine
  • Heroin
  • Opium
  • Codeine
  • Isotonitazene
  • Tramadol
  • Oxycodone
  • Meperidine

Substitution therapy is not used for stimulant addiction, but we recommend visiting a nurse.

No prior referral from a family or other doctor is needed to access treatment, and Methadone as a substitution drug is free for all clients, including those without health insurance.

Buprenorphine is also used as a substitution drug.

To start substitution therapy, clients must be sober (at least 24 hours), bring an ID document (ID card, driver’s license, passport), and allow up to an hour for the initial meeting. During the meeting, an initial assessment is conducted, necessary tests are taken, and treatment is prescribed.

To avoid long waiting times, we recommend notifying us in advance by calling +372 56 011 998 or writing to

Family members of the user can also contact us for advice and support in encouraging the person in need to seek treatment.

Useful information on opioid substitution treatment: tugiliini logo
TAI logo