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Heroin
What is heroin? |
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Street names/slang terms for heroin
How is it used? Soon after injecting or inhaling heroin, abusers typically report feeling a surge of euphoria ("rush") accompanied by a warm flushing of the skin, a dry mouth, and heavy extremities. Following this initial euphoria, the user goes "on the nod", an alternately wakeful and drowsy state. Mental functioning becomes clouded due to the depression of the central nervous system. Other effects include slowed and slurred speech, slow gait, constricted pupils, droopy eyelids, impaired night vision, vomiting, and constipation. Long term effects appear after repeated use for some period of time. Chronic users may develop collapsed veins, infection of the heart lining and valves, abscesses, cellulites, and liver disease. Pulmonary complications, including various types of pneumonia, may result from poor health conditions of the abuser, as well as from heroin's depressing effects on respiration. |
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In addition to the effects of the drug itself, street heroin may have additives that do not readily dissolve and result in clogging the blood vessels that lead to the lungs, liver, kidneys, or brain. This can cause infection or even death of small patches of cells in vital organs. With regular heroin use, tolerance develops. This means the abuser must uses more heroin to achieve the same intensity or effect. As higher doses are used over time, physical dependence and addiction develops. With physical dependence, the body has adapted to the presence of the drug and withdrawal symptoms may occur if use is reduced or stopped. Withdrawal, which in regular abusers may occur as early as a few hours after the last administration, produces drug cravings, restlessness, muscle and bone pain, insomnia, diarrhea and vomiting, cold flashes with goose bumps ("cold turkey"), kicking movements ("kicking the habit"), and other symptoms. Major withdrawal symptoms peak between 48 to 72 hours after the last dose and subside after about a week. Sudden withdrawal by heavily dependent users who are in poor health, is occasionally fatal. Heroin withdrawal is considered less dangerous than alcohol or barbiturate withdrawal. Source: National Institute on Drug Abuse (NIDA)
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