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What It Is:
Heroin belongs to a group of pain-relieving drugs called narcotics. The drug comes from the opium poppy, a flower that grows in Asia, Mexico, and South America. Pure heroin has the consistency of white powder. Some heroin is also dark brown, while black tar heroin is either sticky or hard and looks like roofing tar.
Although some narcotics like codeine and morphine are legal if prescribed for pain relief, heroin is an illegal narcotic because it has dangerous side effects and is very addictive.
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How It’s Used:
Heroin is usually injected or smoked. Purer forms of heroin are inhaled.
What It Does:
Heroin provides a burst or rush of good feelings, and users feel “high” and relaxed. This may be followed by drowsiness and nausea.
Many people who are addicted to heroin inject the drug into a vein with needles, and may inject the drug several times a day. Over time, the needle marks, or tracks, can become permanent scars.
Often, heroin addicts will share needles, which can lead to infection with dangerous germs like hepatitis B, hepatitis C, or HIV, the virus that causes AIDS.
Heroin is a very addictive drug and many people find it extremely difficult to stop using it — even after using it for just the first or second time. Heroin users constantly crave their next dose.
If heroin addicts suddenly try to stop using the drug or are unable to get another dose, they often develop withdrawal symptoms, like feelings of panic, sleeplessness, bad chills and sweats, muscle pain, stomach cramps, nausea, vomiting, and diarrhea.
Taking an overdose of heroin can cause a person to stop breathing and die. This is especially true if the heroin is mixed with a synthetic opioid like fentanyl. Many dealers now lace heroin with fentanyl, a painkiller that is much stronger than heroin and can cause an overdose more quickly.
Points to Remember
- Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of various opium poppy plants.
- Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin.
- People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, called speedballing.
- Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing.
- People who use heroin report feeling a “rush” (or euphoria). Other common effects include dry mouth, heavy feelings in the arms and legs, and clouded mental functioning.
- Long-term effects may include collapsed veins, infection of the heart lining and valves, abscesses, and lung complications.
- Research suggests that misuse of prescription opioid pain medicine is a risk factor for starting heroin use.
- A person can overdose on heroin. Naloxone is a medicine that can treat a heroin overdose when given right away, though more than one dose may be needed.
- Heroin can lead to addiction, a form of substance use disorder. Withdrawal symptoms include severe muscle and bone pain, sleep problems, diarrhea and vomiting, and severe heroin cravings.
- A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. However, treatment plans should be individualized to meet the needs of the patient.
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