If you are willing to take some counterparty risk (and who isn't, amiright?) bitfinex has plenty of leverage and options-type trading. Chinese exchanges also offer high leverage to many customers if you really like the idea of gambling.
Years ago I built an options and futures trading platform for Bitcoin but we were strangled by regulatory compliance and I shut it down. There are always a few around but the problem with the market is that no major holder of Bitcoin wants to hedge their position in the slightest. It's such a highly volatile asset in and of itself.