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.vn-container{-webkit-box-align:center;-ms-flex-align:center;align-items:center;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;height:3rem;margin:0 auto;max-width:77.5rem;z-index:1}@media(min-width:64.0625rem){.vn-wrapper .vn-container{height:4.6875rem}}.vn-wrapper .vn-container.lite{max-width:100%}@media(min-width:64.0625rem){.vn-wrapper .vn-container.lite{height:3.5rem}}.vn-wrapper .vn-menu-btn{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#fff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;height:100%;line-height:1;padding:0}.vn-wrapper .vn-menu-btn:not(.lite){margin-right:1.166875rem}@media(min-width:64.0625rem){.vn-wrapper .vn-menu-btn:not(.lite){margin-right:0}}.vn-wrapper .vn-menu-btn i{font-size:2.25rem;width:2.25rem;overflow:hidden}.vn-wrapper .vn-menu-btn svg{fill:currentColor;pointer-events:none}.vn-wrapper .vn-menu-btn.vn-search i{font-size:1.875rem;width:1.875rem}.vn-wrapper .vn-menu-btn.vn-search:not(.lite){margin-right:0}@media(min-width:64.0625rem){.vn-wrapper .vn-menu-btn.vn-search:not(.lite) i{font-size:1.625rem;width:1.625rem}}.vn-wrapper .vn-menu-btn.vn-search.lite i{font-size:2rem;width:2rem}.vn-wrapper .vn-logo-container{-webkit-box-align:center;-ms-flex-align:center;align-items:center;display:-webkit-box;display:-ms-flexbox;display:flex}.vn-wrapper .vn-logo-container .vn-logo-div{height:.9375rem;margin:0 .625rem}@media(min-width:64.0625rem){.vn-wrapper .vn-logo-container .vn-logo-div{height:1.5625rem;margin:0 1.25rem}}.vn-wrapper .vn-logo-container .vn-logo,.vn-wrapper .vn-logo-container .vn-prog-logo{line-height:1}.vn-wrapper .vn-logo-container .vn-logo img,.vn-wrapper .vn-logo-container .vn-prog-logo img{display:block;height:1.3125rem}@media(min-width:64.0625rem){.vn-wrapper .vn-logo-container .vn-logo img,.vn-wrapper .vn-logo-container .vn-prog-logo 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i{font-size:.625rem;margin-left:.3125rem;-webkit-transition:transform .3s ease;transition:transform .3s ease}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:hover>a{background:#fff;color:#00157c}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:hover>a i{-webkit-transform:rotate(180deg);transform:rotate(180deg)}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:hover .vn-menu-section{left:0;opacity:1;visibility:visible}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:focus-visible>a,.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:has(:focus-visible)>a{background:#fff;color:#1b1b1b}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:focus-visible>a i,.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:has(:focus-visible)>a i{-webkit-transform:rotateX(180deg);transform:rotateX(180deg)}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:focus-visible .vn-menu-section,.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:has(:focus-visible) .vn-menu-section{left:0;opacity:1;visibility:visible}}@media(min-width:81.25rem){.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:not(:nth-child(7)){margin-right:1rem}}.vn-wrapper .vn-links .vn-menu-section{background:#f9f9fc;height:calc(100vh - 3rem);right:-140vw;overflow:auto;padding:0 1.5rem 6.25rem 1.5rem;position:fixed;top:3rem;-webkit-transition:all .5s ease;transition:all .5s ease;width:100%;z-index:10}.vn-wrapper .vn-links .vn-menu-section.lite{height:calc(100vh - 3.5rem);top:3.5rem}@media(min-width:37.5rem){.vn-wrapper .vn-links .vn-menu-section{max-width:25rem;left:-140vw;right:auto}.vn-wrapper .vn-links .vn-menu-section.open{left:0;right:auto}}.vn-wrapper .vn-links .vn-menu-section.open{right:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header{-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-bottom:1px solid #c6cedb;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;padding:.75rem 0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header .nav-title{color:#1b1b1b;font-size:1.25rem;line-height:1;margin:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a{color:#3557ff;font-weight:400;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a img{margin-right:.5rem;width:.8125rem}.vn-wrapper .vn-links .vn-menu-section ul{margin:.75rem 0;list-style:none;padding:0}.vn-wrapper .vn-links .vn-menu-section ul li{font-size:1.125rem;font-weight:400}.vn-wrapper .vn-links .vn-menu-section ul li a{color:#1b1b1b;display:block;padding:.75rem 0;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section ul li a:hover{color:#3557ff}.vn-wrapper .vn-links .vn-menu-section ul li hr{border:1px solid #c6cedb}@media(min-width:64.0625rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite){background:#fff;border-radius:0 0 5px 5px;border-top:0;left:-20px;margin-left:-3.75rem;max-width:none;height:auto;opacity:0;padding:1.875rem 2.875rem;position:absolute;top:4.6875rem;width:18.75rem;visibility:hidden}.vn-wrapper .vn-links .vn-menu-section:not(.lite) hr{display:none}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul{margin:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li{border-bottom:1px solid #c6cedb}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li:last-of-type{border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a{-webkit-box-align:baseline;-ms-flex-align:baseline;align-items:baseline;color:#3557ff;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:start;-ms-flex-pack:start;justify-content:flex-start}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a img{height:.75rem;margin-right:.5rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{width:60.9375rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul{-webkit-columns:4;-moz-columns:4;columns:4;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(7),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(14),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(21){border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3{width:35rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul{-webkit-columns:2;-moz-columns:2;columns:2;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(8),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(16){border-bottom:0}}@media(min-width:64.0625rem)and (max-width:81.25rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{margin-left:-8.75rem}}.vn-wrapper .vn-links .vn-back{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#3557ff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;padding:1rem 0}.vn-wrapper .vn-links .vn-back i{font-size:.75rem;margin-right:.3125rem}.vn-wrapper .vn-links .vn-actions{margin-top:1rem}@media(min-width:64.0625rem){.vn-wrapper .vn-links .vn-actions:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-left:1px solid #cccce7;display:-webkit-box;display:-ms-flexbox;display:flex;margin:1.1875rem 0;padding-left:1.25rem}}@media(min-width:64.0625rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe{border-left:none}}.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:.9375rem}@media(min-width:64.0625rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:0}}.vn-wrapper .vn-links 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href="https://www.webmd.com/mental-health/addiction/street-drugs-risks" data-metrics-link="6" data-v-48478873>Other Abused Substances</a></li><li class="subnav-chapter" style="display:none;" data-v-48478873><a class="subnav-chapter-title" href="https://www.webmd.com/mental-health/addiction/signs-sex-addict" data-metrics-link="7" data-v-48478873>Non-Substance Addictions</a></li><li class="subnav-chapter toc-link" data-v-48478873><a class="subnav-chapter-title" href="https://www.webmd.com/mental-health/addiction/default.htm" data-v-48478873> View Full Guide </a></li></ul></div></div><span data-v-48478873></span></section></div><div class="webmd-row pane" style="" id="ContentPane30" tabindex="-1"><article class="article medref" data-chronicle="091e9c5e81e52377" data-e2e="dart-medref" data-page="1" data-module-type="dynamic-article" data-artid="091e9c5e80e8890e" style=""><script type="application/ld+json"></script><script type="application/ld+json">{"@context":"https://schema.org/","@type":"MedicalWebPage","mainEntityOfPage":"https://www.webmd.com/mental-health/addiction/heroin-use","lastReviewed":"06/14/2024 10:59:47","reviewedBy":{"@type":"Person","name":"Jabeen Begum, MD"},"about":"Addiction & Substance Abuse (Sensitive Topic)","datePublished":"03/16/2014 20:00:00","headline":"Heroin","dateModified":"06/14/2024 10:59:47","publisher":{"@type":"Organization","name":"WebMD","logo":{"@type":"ImageObject","url":"https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/logos/webmd/web/webmd_logo_53x12.gif"}},"author1":{"@type":"Person","name":"Camille Peri"},"author2":{"@type":"Person","name":"Keri Wiginton"}}</script><div class="inner-article-container"><header><h1>Heroin</h1></header><div class="med-wrap"><div><div class="asset-med-rev"><div class="reviewer-info" data-chronicle="091e9c5e81e52377" data-e2e="asset-medical-review" data-metrics-module="rvdby-lnk"><span class="reviewer-photo-cont"><figure><img src="https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/articles/biographies/begum_jabeen_382x382.jpg?resize=51px:51px&output-quality=75" class="reviewer-photo"></figure></span><span class="reviewer-txt seperatorLine">Medically Reviewed by <a class="person" href="https://www.webmd.com/bio/jabeen-begum" data-metrics-link="0">Jabeen Begum, MD</a><span class="no-link"></span><span class="revDate"> on June 14, 2024</span></span></div><div class="byline"><span><span class="authors" data-metrics-module="wrtnby-lnk">Written by <span class="person">Camille Peri</span>, <a href="https://www.webmd.com/bio/keri-wiginton" class="person" data-metrics-link="1">Keri Wiginton</a></span></span></div></div></div></div><aside class="oncology-article-nav" data-metrics-module="cwnav-art"><ul class="nav-items desktop"><li><a href="#091e9c5e80e8890e-1-1">What Is Heroin?</a></li><li><a href="#091e9c5e80e8890e-2-3">How Heroin Is Used</a></li><li><a href="#091e9c5e80e8890e-2-5">Why Are More People Using Heroin?</a></li><li><a href="#091e9c5e80e8890e-3-6">Heroin Effects</a><div class="item-button"><a href="#"></a></div></li><li><a href="#091e9c5e80e8890e-4-8">Heroin Use Complications</a></li><li><a href="#091e9c5e80e8890e-5-11">Heroin Addiction</a></li><li><a href="#091e9c5e80e8890e-6-13">Heroin Addiction Treatment</a></li><li><a href="#091e9c5e80e8890e-6-14">Heroin Withdrawal</a></li><li><a href="#091e9c5e80e8890e-7-17">Heroin Overdose</a></li><li><a href="#091e9c5e80e8890e-8-19">Heroin Harm Reduction</a></li><li><a href="#091e9c5e80e8890e-8-21">Is Heroin Illegal?</a></li><li><a href="#091e9c5e80e8890e-9-24">What to Do if You Think Someone Is Using Heroin</a></li><li><a href="#091e9c5e80e8890e-10-25">Takeaways</a></li><li><a href="#091e9c5e80e8890e-10-26">Heroin FAQs</a></li><li class="item-button"></li></ul></aside><div class="reading-wrapper"><div class="readtime"><span>15 min read</span></div><div id="audio-placeholder-091e9c5e80e8890e"></div></div><div class="article__body" data-metrics-module="embd-lnk"><div class="article-page active-page" data-page="1"><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-1-1">What Is Heroin?</h2><p dir="ltr"><span>Heroin is a drug that comes from a flower, the opium poppy, which usually grows in Mexico, Asia, and South America. It’s very addictive and has been illegal in the United States since 1924. It can look like a white or brown powder or a sticky black tar. It’s also called horse, smack, junk, and brown sugar, among other names.</span></p><p dir="ltr"><span><strong>How is heroin made?</strong></span></p><p dir="ltr"><span>Heroin is made in illegal drug labs, usually near places where opium poppies grow. It’s considered “semi-synthetic.” It starts out as morphine, one of the natural opiates found in the seed of the opium poppy plant, but has to go through a chemical process to become heroin. </span></p><p dir="ltr"><span>Drugmakers often mix heroin with other substances to make their product bulkier, cheaper, and stronger. This may include fentanyl, a powerful painkiller that’s often made and sold illegally. You can easily overdose and die on fentanyl, especially if you don’t know that it’s in the heroin you’re taking. </span></p></section><section><pagebreak /> <p dir="ltr"><span>Heroin may also be “cut” with: </span></p><ul><li dir="ltr" aria-level="1"><span>Baking soda</span></li><li dir="ltr" aria-level="1"><span>Powdered milk</span></li><li dir="ltr" aria-level="1"><span>Sugar</span></li><li dir="ltr" aria-level="1"><span>Starch</span></li><li dir="ltr" aria-level="1"><span>Over-the-counter painkillers</span></li><li dir="ltr" aria-level="1"><span>Powdered laundry detergent</span></li><li dir="ltr" aria-level="1"><span>Caffeine </span></li><li dir="ltr" aria-level="1"><span>Quinine</span></li><li dir="ltr" aria-level="1"><span>Antihistamines (to help with the side effect of itching)</span></li></ul><p dir="ltr"><span><strong>Who uses heroin?</strong></span></p><p dir="ltr"><span>In the U.S., use of pure heroin is highest on the West Coast and areas east of the Mississippi River. This includes cities such as San Diego and Seattle along with Boston, Baltimore, Washington, DC, Chicago, Minneapolis, and St. Louis. </span></p><p dir="ltr"><span>Other statistics about heroin include: </span></p><ul><li dir="ltr" aria-level="1"><span>About 1.1 million people, or 0.4% of the U.S. population, may use heroin each year.</span></li><li dir="ltr" aria-level="1"><span>A small percentage of kids in grades 8-12 report using heroin. </span></li><li dir="ltr" aria-level="1"><span>Around 1 million people aged 12 or older may have a heroin use disorder. </span></li><li dir="ltr" aria-level="1"><span>Almost 10,000 people die each year from an overdose that involves heroin. </span></li></ul><p dir="ltr"><span><strong>Black tar heroin.</strong> Like the name suggests, black tar heroin is dark and sticky. The color comes from how the drug is made. This less-refined process leaves behind impurities. Black tar heroin is sold most often in areas of the U.S. west of the Mississippi River. </span></p><p dir="ltr"><span><strong>Heroin vs. morphine. </strong>They’re both opioids that can be highly addictive and misused. Though heroin comes from morphine, a legal drug used to treat severe pain and symptoms of other medical conditions, heroin is illegal and has no medical uses. </span></p></section></div><div class="article-page " data-page="2"><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-2-3">How Heroin Is Used</h2><p dir="ltr"><span>Many people smoke or snort heroin. These methods are typically more common among people who use the drug in its pure form. Also called "chasing the dragon," smoking heroin includes heating the drug and breathing in the fumes through a tube.</span></p><p dir="ltr"><span>Most people who use heroin, including diluted forms, inject it into their veins. That’s the most dangerous way to take it because it’s easier to overdose and you can catch a disease from a dirty needle.</span></p><p dir="ltr"><span>Right after you take heroin, you get a rush of good feelings, relaxation, and happiness. Then, for several hours, you may feel as if the world has slowed down. You may think and walk slowly. Some people who use heroin say you feel like you're in a dream.</span></p><p dir="ltr"><span>Heroin blocks your body from getting pain messages and slows your heart rate and breathing. If you overdose, you may stop breathing and die.</span></p><p dir="ltr"><span>Many people start using heroin to deal with anxiety, worries, and other stressors. One study found that 75% of people who use heroin also had mental health conditions such as depression, ADHD, or bipolar disorder.</span></p></section><section><pagebreak /> <p dir="ltr"><span><strong>How is heroin sold? </strong></span></p><p><span>Usually, heroin comes in small “caps” that are just enough for one use or injection. Some dealers may sell it in grams. The drug itself may come in aluminum foil packages (called foils) or in tiny balloons.</span></p><p dir="ltr"> </p></section><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-2-5">Why Are More People Using Heroin?</h2><p>The number of people in the United States who use heroin has risen steadily since 2007.</p><p>A factor that played a role in the rise of heroin is the growing abuse of prescription painkillers such as oxycodone and hydrocodone, which are also made from the poppy plant and are chemically related to heroin. People who become dependent on or misuse these drugs may start looking for a stronger, cheaper high. Heroin is both. But it's also more dangerous. There’s no way to know what you’re taking or how strong it is.</p><p>More than 1 million people have died since 1999 from a drug overdose. The U.S. opioid overdose death rate rose by 14% from 2020 to 2021. Some of these deaths happen because heroin is laced with other drugs, such as the powerful painkiller fentanyl. Fentanyl has become one of the leading contributors to overdose deaths in the U.S.</p><p> </p></section></div><div class="article-page " data-page="3"><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-3-6">Heroin Effects</h2><p dir="ltr"><span><strong>How long does it take heroin to kick in?</strong></span></p><p dir="ltr"><span>You may feel the effects within seconds of injecting or smoking heroin. The rush can take around 10 to 15 minutes if you snort it. But everyone reacts to drugs differently. </span></p><p dir="ltr"><span>The effects of heroin depend on things such as: </span></p><ul><li dir="ltr" aria-level="1"><span>Your weight and overall health</span></li><li dir="ltr" aria-level="1"><span>How often you use heroin</span></li><li dir="ltr" aria-level="1"><span>If you mix it with other drugs </span></li><li dir="ltr" aria-level="1"><span>How much you take</span></li><li dir="ltr" aria-level="1"><span>How strong the drug is</span></li><li dir="ltr" aria-level="1"><span>How you get the drug into your body</span></li></ul><p dir="ltr"><span><strong>Heroin high.</strong> Heroin is a fast-acting drug, and you may have less pain and feel a surge of happiness soon after you take it. Your brain may feel fuzzy. Some people feel detached from their surroundings and often go in and out of wakefulness, what’s often called being “on the nod.” </span></p><p dir="ltr"><span><strong>How long does the high last?</strong></span></p><p dir="ltr"><span>When you inject heroin straight into your vein, you may feel a rush within seconds that lasts a few minutes or less. Heroin that’s injected under the skin or into a muscle may take longer to kick in, and the strongest effects may linger for up to an hour. </span></p></section><section><pagebreak /> <p dir="ltr"><span>But no matter how you get heroin into your body, you may feel some effects for around 3-5 hours.</span></p><p dir="ltr"><span><strong>Short-term effects of heroin</strong></span></p><p><span>The immediate effects of heroin may include:</span></p><ul><li>Euphoria</li><li>A dry mouth</li><li>Warm, flushed skin</li><li>Arms and legs that feel heavy</li><li>Upset stomach and vomiting</li><li>Itching</li><li><span>Lack of hunger</span></li><li><span>Pain relief</span></li><li dir="ltr" aria-level="1"><span>Small pupils</span></li><li dir="ltr" aria-level="1"><span>No interest in sex</span></li></ul><p dir="ltr"><span><strong>Long-term heroin effects </strong></span></p><p><span>Opioids, including heroin, can change how your brain works. You may need to use more of the drug to get the same high. This is called tolerance. If you continue to use heroin often, you may become dependent and need to take the drug to avoid feeling bad when you’re not on it. </span></p><p dir="ltr"><span>Regular and long-term heroin use can also lead to:</span></p><ul><li dir="ltr" aria-level="1"><span>Strong feeling of sadness</span></li><li>Collapsed veins</li><li>Insomnia</li><li><span>Constipation</span></li><li>Infections of your heart lining and valves</li><li>Skin infections like abscesses and cellulitis</li><li>A higher chance of getting <a href="https://www.webmd.com/hiv-aids/default.htm">HIV</a>, hepatitis B, and <a href="https://www.webmd.com/hepatitis/hepc-guide/default.htm">hepatitis C</a></li><li>Liver and kidney disease</li><li><span>Trouble getting an erection</span></li><li>Mental disorders</li><li><a href="https://www.webmd.com/lung/lung-diseases-overview">Lung diseases</a> like <a href="https://www.webmd.com/lung/tc/pneumonia-topic-overview">pneumonia</a> and <a href="https://www.webmd.com/lung/understanding-tuberculosis-basics">tuberculosis</a></li><li>Menstrual problems and miscarriage</li></ul></section></div><div class="article-page " data-page="4"><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-4-8">Heroin Use Complications</h2><p dir="ltr"><span>Short or long-term heroin can cause medical problems that can change your brain and damage your body.</span></p><p dir="ltr"><span>Over time, you may lose the ability to control your actions or make good decisions. You may get paranoid or have strange mood swings. If you snort heroin a lot, you may damage the lining of your nose or airways. You may destroy the tissue that separates your nasal passages (called the septum). </span></p><p dir="ltr"><span>If you use a needle to inject heroin, you may get: </span></p><ul><li><p dir="ltr"><span>Scarred or collapsed veins</span></p></li><li><p dir="ltr"><span>Bacterial infections in your blood vessels and heart valves</span></p></li><li><p dir="ltr"><span>Pockets of pus caused by an infection (abscess or boil)</span></p></li><li dir="ltr" aria-level="1"><span>Other infections in the soft tissue under you skin</span></li></ul><p dir="ltr"><span>Other complications from heroin use include: </span></p><p dir="ltr"><span><strong>Infections.</strong> People who use drugs do things that raise the odds of exposure to viruses that live in blood or body fluids, including sharing needles and having risky sex. And if you get sick, you may pass the infection (hepatitis B and C, HIV) to your sexual partners or kids. </span></p></section><section><pagebreak /> <p dir="ltr"><span><strong>Blood vessel and organ damage. </strong>When people “cut” heroin, these extra substances can get into the bloodstream and block blood vessels. This can harm the cells that keep vital organs like your lungs, liver, kidneys, or brain working properly. Your immune system might also react to these additives, causing arthritis or other joint problems.</span></p><p dir="ltr"><span><strong>Low brain oxygen. </strong>Your brain may not get enough air if you take a drug that can slow your heart and breathing rate way down. This is called hypoxia and can happen if you take large doses of any opioid drug, but the chances are higher with synthetic opioids such as heroin or fentanyl. It can be fatal. </span></p><p dir="ltr"><span><strong>Heroin and pregnancy</strong></span></p><p dir="ltr"><span>You can expose your baby to heroin if you use drugs while you’re pregnant. This raises the odds that your unborn child will become dependent on heroin and have withdrawal symptoms when they’re born. This is called neonatal abstinence syndrome (NAS). </span></p><p dir="ltr"><span>Signs and symptoms of heroin dependence or withdrawal in babies may include: </span></p><ul><li dir="ltr" aria-level="1"><span>Lots of crying</span></li><li dir="ltr" aria-level="1"><span>Fever</span></li><li dir="ltr" aria-level="1"><span>Irritability</span></li><li dir="ltr" aria-level="1"><span>Seizures</span></li><li dir="ltr" aria-level="1"><span>Trouble gaining weight</span></li><li dir="ltr" aria-level="1"><span>Body shakes</span></li><li dir="ltr" aria-level="1"><span>Diarrhea</span></li><li dir="ltr" aria-level="1"><span>Vomiting</span></li><li dir="ltr" aria-level="1"><span>Death</span></li></ul></section></div><div class="article-page " data-page="5"><section> <p dir="ltr"><span>Prenatal care may lessen the chances your baby will have serious health problems from your heroin use. But newborns with NAS typically need medical treatment to lessen symptoms. Your doctor may give your child drugs such as morphine or methadone to ease them off heroin safely. </span></p><p dir="ltr"><span><strong>Heroin interactions</strong></span></p><p dir="ltr"><span>It’s dangerous and unpredictable to mix heroin with other drugs, especially: </span></p><p><span><strong>Stimulants. </strong>Heroin is a depressant. It lowers your heart and breathing rate. Drugs like cocaine or methamphetamines speed up your central nervous system. This combo can make an overdose more likely because one drug might wear off before the other. </span></p><p><span><strong>Alcohol, benzodiazepines, or other opioids.</strong> These drugs can boost the sedative effect of heroin. Your heart and breathing may slow or stop if you take too many depressants. </span></p></section><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-5-11">Heroin Addiction</h2><p dir="ltr"><span>No matter how you take it, heroin gets to your brain quickly. Because the drug triggers the release of the feel-good chemical dopamine, you can get addicted easily. Even after you use it just one or two times, it can be hard to stop yourself from using it again. </span></p></section><section> <p dir="ltr"><span>Heroin is very addictive. You may develop a substance use disorder if you use heroin regularly for 2-3 weeks. This means your drug use causes health problems, disabilities, and trouble at home, work, or school.</span></p><p dir="ltr"><span> Other signs of a heroin addiction include that you:</span></p><ul><li dir="ltr" aria-level="1"><span>Start to use heroin daily or multiple times a day. </span></li><li dir="ltr" aria-level="1"><span>Can’t control how much you use.</span></li><li dir="ltr" aria-level="1"><span>Want to quit but you can’t. </span></li><li dir="ltr" aria-level="1"><span>Spend a lot of time thinking about or trying to get heroin. </span></li><li dir="ltr" aria-level="1"><span>Have a strong urge to use heroin. </span></li><li dir="ltr" aria-level="1"><span>Use heroin even though bad things are happening in your life due to drug use.</span></li><li dir="ltr" aria-level="1"><span>Put yourself in dangerous situations to use heroin. </span></li><li dir="ltr" aria-level="1"><span>Are high a lot.</span></li></ul><p dir="ltr"><span>If a family member has a substance use disorder, you may notice that they:</span></p><ul><li dir="ltr" aria-level="1"><span>Miss school or start to get bad grades.</span></li><li dir="ltr" aria-level="1"><span>Don’t go to work or lose their job. </span></li><li dir="ltr" aria-level="1"><span>Wear dirty clothes or have poor hygiene. </span></li><li dir="ltr" aria-level="1"><span>Ask you for money. </span></li><li dir="ltr" aria-level="1"><span>Become defensive or secretive about their behavior or personal space. </span></li><li dir="ltr" aria-level="1"><span>Have a change in their appearance, like weight loss or gain. </span></li></ul><p dir="ltr"><span>If you become addicted to heroin, you may keep taking the drug even though it doesn’t make you feel good anymore. </span></p></section></div><div class="article-page " data-page="6"><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-6-13">Heroin Addiction Treatment</h2><p>Your medical team can help you find the treatment plan that works best for you. It will probably include medication and behavioral therapy. Experts say this medication-assisted treatment (MAT) is the “gold standard” of care for people who have heroin addiction.</p><p>Medications can make it easier to wean your body off heroin and reduce cravings. Buprenorphine and methadone work in a similar way to heroin, binding to cells in your brain called opioid receptors. These medicines are safer and longer-lasting than heroin. Naltrexone blocks those receptors so opioids like heroin don’t have any effect. This makes using them less enjoyable.</p><p>Cognitive behavioral therapy helps you pay attention to the things you think and do when it comes to drug use. It gives you ways to better cope with stress and other triggers. Another type of therapy called contingency management offers rewards such as vouchers or money if you can stay drug-free.</p></section><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-6-14">Heroin Withdrawal</h2><p dir="ltr"><span>If you use heroin a lot, your body builds up a tolerance to it. But that doesn’t mean it won’t harm you. It means you need to take more and more to get the same high. Your body comes to depend on it. Then, when you suddenly quit using it, you have physical or emotional symptoms that make you want to take more drugs to feel better. </span></p></section><section> <p dir="ltr"><span>Heroin withdrawal symptoms may include:</span></p><ul><li dir="ltr" aria-level="1"><span>Jitters</span></li><li dir="ltr" aria-level="1"><span>Chills followed by goosebumps</span></li><li dir="ltr" aria-level="1"><span>Trouble sleeping</span></li><li dir="ltr" aria-level="1"><span>Restless legs</span></li><li dir="ltr" aria-level="1"><span>Strong drug cravings</span></li><li dir="ltr" aria-level="1"><span>Vomiting and diarrhea</span></li><li dir="ltr" aria-level="1"><span>Bone and muscle pain</span></li><li dir="ltr" aria-level="1"><span>Trouble sleeping</span></li><li dir="ltr" aria-level="1"><span>Cold flashes</span></li><li dir="ltr" aria-level="1"><span>Leg movements that you can’t control</span></li></ul><p dir="ltr"><span>You may also have: </span></p><ul><li dir="ltr" aria-level="1"><span>Anxiety or irritability</span></li><li dir="ltr" aria-level="1"><span>Fast heart rate</span></li><li dir="ltr" aria-level="1"><span>Sweating</span></li><li dir="ltr" aria-level="1"><span>Hot flashes and shivering</span></li><li dir="ltr" aria-level="1"><span>Yawning</span></li><li dir="ltr" aria-level="1"><span>Runny eyes or nose</span></li><li dir="ltr" aria-level="1"><span>Stomach cramps</span></li><li dir="ltr" aria-level="1"><span>Muscle twitches </span></li><li dir="ltr" aria-level="1"><span>Increased pain</span></li></ul><p dir="ltr"><span><strong>How long does it take to go into withdrawal from heroin? </strong></span></p><p dir="ltr"><span>Symptoms may set in within a few hours after your last use and get stronger for 2-3 days. After that, you may start to feel weak, depressed, sick to your stomach, and throw up. </span></p><p dir="ltr"><span>Major withdrawal symptoms from heroin and other opioids usually ease within 1-2 weeks, but how long it takes you to feel better depends on how long you’ve used heroin, how much you take, and how fast you taper off the drug. </span></p><p dir="ltr"><span>If you’ve used heroin for a long time, some symptoms may linger for months or years after you stop. </span></p></section><section> <p dir="ltr"><span><strong>Can treatment help with heroin withdrawal symptoms? </strong></span></p><p dir="ltr"><span>Talk to your doctor or go to a substance use clinic if you can’t stop using heroin on your own or you’re afraid of what might happen to your body and mind once you quit. Medication can help lessen your drug cravings and withdrawal symptoms. </span></p></section></div><div class="article-page " data-page="7"><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-7-17">Heroin Overdose</h2><p>Heroin is a dangerous drug. A large or strong dose can slow your heart rate and breathing so much that you can’t do it on your own. If that happens, you’ll need medical help to stay alive. </p><p>Signs of a heroin overdose may include:</p><ul><li>Serious drowsiness</li><li>Tiny “pinpoint” pupils that don’t respond to light</li><li>Low blood pressure</li><li>Slow or irregular heartbeat</li><li>Cold, clammy skin</li><li>Loss of consciousness</li><li>Low body temperature</li><li>Not breathing</li></ul><p>When you’re around someone who overdoses on heroin, you may notice that they:</p><ul><li>Are awake but don’t respond to you </li><li>Take slow, shallow breaths or stop breathing </li><li>Make choking or gurgling sounds (called a death rattle)</li><li>Throw up</li><li>Lose color in their face</li><li>Have fingernails or lips that turn blue or purple </li><li>Have a very weak pulse or no heartbeat</li></ul></section><section><pagebreak /> <p>People who overdose on heroin may seem like they’re asleep and snoring. If you’re not sure what’s happening to your friend or family member, try to wake them up to check if they’re OK.</p><p>If you think someone is overdosing, take action right away. They need treatment within minutes.</p><p>A medication called naloxone can block the effects of opioids and reverse a heroin overdose if it’s used quickly. Paramedics often give it as a shot. But it also comes in measured doses as an auto-pen (Evzio) and a nasal spray (Narcan). In some states, you don’t need a doctor’s prescription to get Narcan. You can get it through local resources or pharmacy chains.</p><p>Anyone can carry naloxone, and many health experts think it’s something everyone should have at home.</p><p>Someone who’s overdosing may need more than one dose of naloxone or further medical care. After you give them a dose of naloxone, call 911 or get them to the ER right away.</p><p><strong>Always call 911 or seek medical help if you think someone is overdosing. </strong>Emergency responders are there to save lives, not turn you into the police. Most states (except Kansas and Wyoming) have Good Samaritan Laws that legally protect people who get medical help for someone who is overdosing. </p></section></div><div class="article-page " data-page="8"><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-8-19">Heroin Harm Reduction</h2><p dir="ltr"><span>Illegal drug use is always risky. But if you’re going to take heroin, there are steps you can take to lessen the chances of serious health consequences, including overdose or death. </span></p><p dir="ltr"><span>Here are some heroin harm reduction strategies: </span></p><ul><li dir="ltr" aria-level="1"><span>Use one substance at a time. Mixing drugs raises your odds of overdose, especially if you take heroin with other depressants such as fentanyl, other opioids, alcohol, and benzodiazepines. </span></li><li dir="ltr" aria-level="1"><span>Carry naloxone with you. This fast-acting drug can reverse an overdose, but you may not be able to give it to yourself. Make sure your close friends and family know how to use naloxone. Ask them to keep some handy just in case they need to give you a shot. </span></li><li dir="ltr" aria-level="1"><span>Don’t take drugs by yourself. Always use heroin in a safe place. Have a trusted person with you who can call for medical help if you need it. </span></li><li dir="ltr" aria-level="1"><span>Don’t drive. It’s not safe to operate any kind of machine when you’re high. </span></li><li dir="ltr" aria-level="1"><span>Use and dispose of needles safely. See if there’s a syringe services program (SSP) in your area. SSPs or other needle exchanges offer access to sterile syringes and other injection gear. They also help you safely get rid of used needles. </span></li><li dir="ltr" aria-level="1"><span>Take a small amount first. Take a little bit of heroin to see what happens before you take more. </span></li><li dir="ltr" aria-level="1"><span>Find child care. You may not be able to take care of yourself or your kids when you use opioids or other drugs. Make sure your children are somewhere safe before you take heroin. </span></li></ul></section><section><pagebreak /> <p dir="ltr"><span>Visit your local health department to learn more about heroin harm reduction strategies. You may also find support through: </span></p><ul><li dir="ltr" aria-level="1"><span>Community treatment centers or clinics</span></li><li dir="ltr" aria-level="1"><span>Churches</span></li><li dir="ltr" aria-level="1"><span>Public transportation hubs</span></li><li dir="ltr" aria-level="1"><span>Unhoused shelters</span></li><li dir="ltr" aria-level="1"><span>College and university health services</span></li><li dir="ltr" aria-level="1"><span>Social services offices</span></li><li dir="ltr" aria-level="1"><span>Mental health clinics</span></li><li dir="ltr" aria-level="1"><span>Urgent care centers</span></li></ul><p dir="ltr"><span>The website of the National Harm Reduction Coalition may be another good resource. </span></p></section><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-8-21">Is Heroin Illegal?</h2><p dir="ltr"><span>Yes. Heroin is grouped with other Schedule I drugs under the Controlled Substances Act. That’s a classification the U.S. government uses for drugs that are easy to abuse, have no medical purpose, and aren’t considered safe even if a doctor were to give it to you. </span></p></section></div><div class="article-page " data-page="9"><section> <p dir="ltr"><span><strong>Does heroin show up on a drug test?</strong></span></p><p dir="ltr"><span>Common drug tests screen for opioid drugs. While a urine test may not detect heroin specifically, morphine will show up in your pee for at least 2-4 days after your last heroin use. (Morphine is what the liver turns heroin into as your body breaks it down.) </span></p></section><section><pagebreak /> <p dir="ltr"><span>Some drug screenings are more sensitive than others and may check for the presence of 6-MAM. This is a metabolite, or a byproduct of the drug breakdown process, that only shows up after you take heroin. A urine test can detect it for about 8 hours after your last heroin use. </span></p><p dir="ltr"><span><strong>How long does heroin stay in your system?</strong></span></p><p dir="ltr"><span>The liver starts to break down (or metabolize) heroin within minutes. If someone took your blood, they could only detect the pure form of the drug for about 5 minutes. But heroin metabolites may stick around in your urine or hair for 2-4 days or longer. </span></p><p dir="ltr"><span>Your body breaks down heroin quickly. But many things affect exactly how long the drug will stay in your system, including: </span></p><ul><li dir="ltr" aria-level="1"><span>How often you use heroin</span></li><li dir="ltr" aria-level="1"><span>How much heroin you take</span></li><li dir="ltr" aria-level="1"><span>Your weight and body size</span></li><li dir="ltr" aria-level="1"><span>Your age</span></li><li dir="ltr" aria-level="1"><span>How much body fat you have</span></li><li dir="ltr" aria-level="1"><span>Your metabolism rate</span></li><li dir="ltr" aria-level="1"><span>How well your liver and kidneys work</span></li><li dir="ltr" aria-level="1"><span>How much water you have in your body</span></li></ul><p dir="ltr"><span>Heroin may stay in your system longer if you use it every day for a long time compared to someone who only uses it once or every now and then. </span></p></section><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-9-24">What to Do if You Think Someone Is Using Heroin</h2><p>A person on heroin may not look like they’re "on drugs." They may just seem sleepy. People who are addicted almost always deny that they’re using.</p><p>If you think a friend or family member is using heroin, don't wait and hope things will get better. Act right away. The sooner a person gets help, the better.</p><p>You can treat heroin addiction. Contact the National Council on Alcoholism and Drug Dependence to find services near you. Or call the Substance Abuse and Mental Health Services Administration hotline at 800-662-HELP (4357).</p></section></div><div class="article-page " data-page="10"><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-10-25">Takeaways</h2><p dir="ltr"><span>Heroin is a highly addictive and illegal opioid drug. It may give you a rush of good feelings when you use it, but you can overdose if you take too much of it. If your heart rate and breathing slow too much, you may die. </span></p><p dir="ltr"><span>Naloxone (Narcan) is a fast-acting medication that can block the effects of heroin and reverse an overdose. Carry it with you if you use heroin or misuse other opioid drugs. </span></p><p dir="ltr"><span>Talk to your doctor or visit FindTreatment.gov if you can’t quit using heroin on your own. Medication and other substance use treatments can help ease drug cravings and withdrawal symptoms that come with ongoing heroin use. </span></p></section><section><h2 class="jumplink-headers" id="091e9c5e80e8890e-10-26">Heroin FAQs</h2><p dir="ltr"><span><strong>What is the meaning of the word heroin? </strong></span></p><p dir="ltr"><span>The name probably comes from the German word “heroisch.” In English, that means heroic. Historians think the doctor who first trademarked and sold heroin as a medicine in the early 1900s may have wanted people to link it with “feelings of grandeur” because he marketed the drug as a stimulant. </span></p><p dir="ltr"><span><strong>What are the risk factors of drug abuse?</strong></span></p><p dir="ltr"><span>Though anyone can develop a substance use disorder, genes and environment play a big role in who’ll get one. Other strong risk factors for drug misuse include mistreatment as a child, family history of substance misuse, and a personal history of mental illness or drug use. </span></p><p dir="ltr"><span>The type of drug you take also raises the odds you’ll misuse it. Certain drugs are easier to get addicted to, including heroin and other opioids. </span></p></section></div></div><div class="related-articles" data-metrics-module="cwnav-art" data-metrics-sel="li"></div><footer><div class="pub-info-and-share-bar"><div class="article__publication-sources"><section class="asset-footer"><div class="asset-footer-top"><div class="asset-footer-buttons"><button class="sources-btn">Sources</button><button class="update-history-btn">Update History</button></div><div class="asset-footer-top-share"><div class="module module-social-share-footer" data-e2e="social-sharebar"><div class="socialshare-container" data-metrics-module="fm-shr"><div class="share-footer-container"><div class="share-text">Share</div><div class="icon-sb-footer-svg icon-sb-footer-share"><svg class="icon-sb-footer-svg" width="18" height="20" viewbox="0 0 18 20" fill="none" xmlns="https://www.w3.org/2000/svg"><path class="icon-sb-footer-svg" d="M15 20C14.1667 20 13.4583 19.7083 12.875 19.125C12.2917 18.5417 12 17.8333 12 17C12 16.8833 12.0083 16.7623 12.025 16.637C12.0417 16.5123 12.0667 16.4 12.1 16.3L5.05 12.2C4.76667 12.45 4.45 12.6457 4.1 12.787C3.75 12.929 3.38333 13 3 13C2.16667 13 1.45833 12.7083 0.875 12.125C0.291667 11.5417 0 10.8333 0 10C0 9.16667 0.291667 8.45833 0.875 7.875C1.45833 7.29167 2.16667 7 3 7C3.38333 7 3.75 7.07067 4.1 7.212C4.45 7.354 4.76667 7.55 5.05 7.8L12.1 3.7C12.0667 3.6 12.0417 3.48767 12.025 3.363C12.0083 3.23767 12 3.11667 12 3C12 2.16667 12.2917 1.45833 12.875 0.875C13.4583 0.291667 14.1667 0 15 0C15.8333 0 16.5417 0.291667 17.125 0.875C17.7083 1.45833 18 2.16667 18 3C18 3.83333 17.7083 4.54167 17.125 5.125C16.5417 5.70833 15.8333 6 15 6C14.6167 6 14.25 5.929 13.9 5.787C13.55 5.64567 13.2333 5.45 12.95 5.2L5.9 9.3C5.93333 9.4 5.95833 9.51233 5.975 9.637C5.99167 9.76233 6 9.88333 6 10C6 10.1167 5.99167 10.2373 5.975 10.362C5.95833 10.4873 5.93333 10.6 5.9 10.7L12.95 14.8C13.2333 14.55 13.55 14.354 13.9 14.212C14.25 14.0707 14.6167 14 15 14C15.8333 14 16.5417 14.2917 17.125 14.875C17.7083 15.4583 18 16.1667 18 17C18 17.8333 17.7083 18.5417 17.125 19.125C16.5417 19.7083 15.8333 20 15 20ZM15 4C15.2833 4 15.5207 3.90433 15.712 3.713C15.904 3.521 16 3.28333 16 3C16 2.71667 15.904 2.479 15.712 2.287C15.5207 2.09567 15.2833 2 15 2C14.7167 2 14.4793 2.09567 14.288 2.287C14.096 2.479 14 2.71667 14 3C14 3.28333 14.096 3.521 14.288 3.713C14.4793 3.90433 14.7167 4 15 4ZM3 11C3.28333 11 3.521 10.904 3.713 10.712C3.90433 10.5207 4 10.2833 4 10C4 9.71667 3.90433 9.479 3.713 9.287C3.521 9.09567 3.28333 9 3 9C2.71667 9 2.479 9.09567 2.287 9.287C2.09567 9.479 2 9.71667 2 10C2 10.2833 2.09567 10.5207 2.287 10.712C2.479 10.904 2.71667 11 3 11ZM15 18C15.2833 18 15.5207 17.904 15.712 17.712C15.904 17.5207 16 17.2833 16 17C16 16.7167 15.904 16.4793 15.712 16.288C15.5207 16.096 15.2833 16 15 16C14.7167 16 14.4793 16.096 14.288 16.288C14.096 16.4793 14 16.7167 14 17C14 17.2833 14.096 17.5207 14.288 17.712C14.4793 17.904 14.7167 18 15 18Z"></path></svg></div></div></div></div><div data-v-00aa1eb2><div class="print-footer-container" data-v-00aa1eb2><div class="print-text" data-v-00aa1eb2>Print</div><div class="icon-sb-footer-print" data-v-00aa1eb2><svg width="20" height="18" viewbox="0 0 20 18" fill="none" xmlns="https://www.w3.org/2000/svg" data-v-00aa1eb2><path d="M14 5V2H6V5H4V0H16V5H14ZM16 9.5C16.2833 9.5 16.5208 9.40417 16.7125 9.2125C16.9042 9.02083 17 8.78333 17 8.5C17 8.21667 16.9042 7.97917 16.7125 7.7875C16.5208 7.59583 16.2833 7.5 16 7.5C15.7167 7.5 15.4792 7.59583 15.2875 7.7875C15.0958 7.97917 15 8.21667 15 8.5C15 8.78333 15.0958 9.02083 15.2875 9.2125C15.4792 9.40417 15.7167 9.5 16 9.5ZM14 16V12H6V16H14ZM16 18H4V14H0V8C0 7.15 0.291667 6.4375 0.875 5.8625C1.45833 5.2875 2.16667 5 3 5H17C17.85 5 18.5625 5.2875 19.1375 5.8625C19.7125 6.4375 20 7.15 20 8V14H16V18ZM18 12V8C18 7.71667 17.9042 7.47917 17.7125 7.2875C17.5208 7.09583 17.2833 7 17 7H3C2.71667 7 2.47917 7.09583 2.2875 7.2875C2.09583 7.47917 2 7.71667 2 8V12H4V10H16V12H18Z" fill="#3557FF" data-v-00aa1eb2></path></svg></div></div></div><div class="save-container"><div class="auth-overlay-popup-holder" data-v-28242611><div class="bookmark-holder drug-generic-name" data-metrics-module="bkmk" data-v-28242611></div></div></div></div></div><div class="asset-footer-content"><div class="sources-section" style="display:none;"><div class="sources-wrapper" data-metrics-module="src"><p>SOURCES:</p><p>National Council on Alcoholism and Drug Dependence: "Helping a Family Member or Friend."</p><p>Nemours Foundation (KidsHealth): "What Is Heroin? (for Parents).</p><p>Medline Plus: "Heroin."</p><p>National Institute on Drug Abuse: “Heroin Research Report,” "Heroin Addiction," "Signs of Heroin Abuse and Addiction."</p><p>Partnership for a Drug-Free America: "Heroin," "Heroin Overdose Antidote Naloxone Becoming More Widely Available."</p><p>Robert Crown Center for Health Education: "Understanding Suburban Heroin Use."</p><p>University at Buffalo Research Institute on Addictions: "RIA Reaching Out to Others: The Growing Peril of Heroin."</p><p>U.S. Substance Abuse and Mental Health Services Administration: "Results from the 2012 National Survey on Drug Use and Health: Summary of National Findings."</p><p><i>U.S. News & World Report: </i>"The Heroin Epidemic, in 9 Graphs."</p><p>National Institute on Drug Abuse: “Heroin Research Report,” “Drug Facts: Heroin,” “Opioid Overdose Reversal with Naloxone (Narcan, Evzio),” “Epidemiologic Trends in Drug Abuse: Advance Report: June 2013,” “Syringe Services Programs,” “Drug Testing.” </p><p>CDC: “Heroin,” “Fentanyl Facts,” “5 Things to Know About Naloxone.” </p><p>National Institute on Drug Abuse for Teens: “Heroin.”</p><p><i>Journal of Psychoactive Drugs</i>: “Sold As Heroin: Perceptions and Use of an Evolving Drug in Baltimore, MD.”</p><p><i>Neuropharmacology: </i>“Respiratory depression and brain hypoxia induced by opioid drugs: morphine, oxycodone, and fentanyl.”</p><p>American Addiction Centers: “What is Heroin Cut With?” “How Long does Heroin Stay in Your System?”</p><p>U.S. Drug Enforcement Administration: “Drug Fact Sheet: Heroin,” “Drug Fact Sheet: Morphine.”</p><p>The Centre for Addiction and Mental Health (Canada): “Heroin.”</p><p>Alcohol and Drug Foundation: “Heroin.” </p><p>Mayo Clinic: “Drug addiction (Substance use disorder).”</p><p>Johns Hopkins Medicine: “Opioids.”</p><p>DEA Museum (Drug Enforcement Administration): “Opium Poppy.”</p><p><i>Mayo Clinic Proceedings:</i> “Tapering Long-term Opioid Therapy in Chronic noncancer Pain: Evidence and Recommendations for Everyday Practice,” “Urine Drug Screening: Practical Guide for Clinicians.” </p><p><i>Acta Pharmaceutica Hungarica</i>: “Heroin addiction.”</p><p>National Harm Reduction Coalition: “Opioid Overdose Basics.”</p><p>Wisconsin Department of Health Services: “Carrying NARCAN – a Lifesaving Dose of Reality.”</p><p>Prescription Drug Abuse Policy System (PDAPS): “Good Samaritan Overdose Prevention Laws.”</p><p>Mental Health Commission (Australia): “Harm Reduction Tip Sheet for Workers – Opioids.”</p><p>Johns Hopkins Bloomberg School of Public Health: “What Is Harm Reduction?”</p><p>University of Wisconsin-Madison University Health Services: “Opioids.”</p><p>CMS.gov: “Drug Diversion Toolkit: Buprenorphine – A Primer for Prescribers and Pharmacists.”</p><p><i>Cureus:</i> “Family, Individual, and Other Risk Factors Contributing to Risk of Substance Abuse in Young Adults: A Narrative Review.”</p></div></div></div><div class="asset-footer-bottom"><a 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It’s very addictive and has been illegal in the United States since 1924. It can look like a white or brown powder or a sticky black tar. It’s also called horse, smack, junk, and brown sugar, among other names.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHow is heroin made?\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EHeroin is made in illegal drug labs, usually near places where opium poppies grow. It’s considered “semi-synthetic.” It starts out as morphine, one of the natural opiates found in the seed of the opium poppy plant, but has to go through a chemical process to become heroin. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EDrugmakers often mix heroin with other substances to make their product bulkier, cheaper, and stronger. This may include fentanyl, a powerful painkiller that’s often made and sold illegally. You can easily overdose and die on fentanyl, especially if you don’t know that it’s in the heroin you’re taking. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"2\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EWhat Is Heroin? continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EHeroin may also be “cut” with: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EBaking soda\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EPowdered milk\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ESugar\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EStarch\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EOver-the-counter painkillers\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EPowdered laundry detergent\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ECaffeine \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EQuinine\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAntihistamines (to help with the side effect of itching)\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EWho uses heroin?\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EIn the U.S., use of pure heroin is highest on the West Coast and areas east of the Mississippi River. This includes cities such as San Diego and Seattle along with Boston, Baltimore, Washington, DC, Chicago, Minneapolis, and St. Louis. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EOther statistics about heroin include: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAbout 1.1 million people, or 0.4% of the U.S. population, may use heroin each year.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EA small percentage of kids in grades 8-12 report using heroin. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAround 1 million people aged 12 or older may have a heroin use disorder. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAlmost 10,000 people die each year from an overdose that involves heroin. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EBlack tar heroin.\u003C\u002Fstrong\u003E Like the name suggests, black tar heroin is dark and sticky. The color comes from how the drug is made. This less-refined process leaves behind impurities. Black tar heroin is sold most often in areas of the U.S. west of the Mississippi River. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHeroin vs. morphine. \u003C\u002Fstrong\u003EThey’re both opioids that can be highly addictive and misused. Though heroin comes from morphine, a legal drug used to treat severe pain and symptoms of other medical conditions, heroin is illegal and has no medical uses. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"3\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"2\" \u002F\u003E\u003Csection_header\u003EHow Heroin Is Used\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EMany people smoke or snort heroin. These methods are typically more common among people who use the drug in its pure form. Also called \"chasing the dragon,\" smoking heroin includes heating the drug and breathing in the fumes through a tube.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EMost people who use heroin, including diluted forms, inject it into their veins. That’s the most dangerous way to take it because it’s easier to overdose and you can catch a disease from a dirty needle.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ERight after you take heroin, you get a rush of good feelings, relaxation, and happiness. Then, for several hours, you may feel as if the world has slowed down. You may think and walk slowly. Some people who use heroin say you feel like you're in a dream.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EHeroin blocks your body from getting pain messages and slows your heart rate and breathing. If you overdose, you may stop breathing and die.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EMany people start using heroin to deal with anxiety, worries, and other stressors. One study found that 75% of people who use heroin also had mental health conditions such as depression, ADHD, or bipolar disorder.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"4\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHow Heroin Is Used continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHow is heroin sold? \u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan\u003EUsually, heroin comes in small “caps” that are just enough for one use or injection. Some dealers may sell it in grams. The drug itself may come in aluminum foil packages (called foils) or in tiny balloons.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EWhy Are More People Using Heroin?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EThe number of people in the United States who use heroin has risen steadily since 2007.\u003C\u002Fp\u003E\u003Cp\u003EA factor that played a role in the rise of heroin is the growing abuse of prescription painkillers such as oxycodone and hydrocodone, which are also made from the poppy plant and are chemically related to heroin. People who become dependent on or misuse these drugs may start looking for a stronger, cheaper high. Heroin is both. But it's also more dangerous. There’s no way to know what you’re taking or how strong it is.\u003C\u002Fp\u003E\u003Cp\u003EMore than 1 million people have died since 1999 from a drug overdose. The U.S. opioid overdose death rate rose by 14% from 2020 to 2021. Some of these deaths happen because heroin is laced with other drugs, such as the powerful painkiller fentanyl. Fentanyl has become one of the leading contributors to overdose deaths in the U.S.\u003C\u002Fp\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"5\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"3\" \u002F\u003E\u003Csection_header\u003EHeroin Effects\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHow long does it take heroin to kick in?\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EYou may feel the effects within seconds of injecting or smoking heroin. The rush can take around 10 to 15 minutes if you snort it. But everyone reacts to drugs differently. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EThe effects of heroin depend on things such as: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EYour weight and overall health\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHow often you use heroin\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EIf you mix it with other drugs \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHow much you take\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHow strong the drug is\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHow you get the drug into your body\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHeroin high.\u003C\u002Fstrong\u003E Heroin is a fast-acting drug, and you may have less pain and feel a surge of happiness soon after you take it. Your brain may feel fuzzy. Some people feel detached from their surroundings and often go in and out of wakefulness, what’s often called being “on the nod.” \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHow long does the high last?\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EWhen you inject heroin straight into your vein, you may feel a rush within seconds that lasts a few minutes or less. Heroin that’s injected under the skin or into a muscle may take longer to kick in, and the strongest effects may linger for up to an hour. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"6\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHeroin Effects continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EBut no matter how you get heroin into your body, you may feel some effects for around 3-5 hours.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EShort-term effects of heroin\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan\u003EThe immediate effects of heroin may include:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EEuphoria\u003C\u002Fli\u003E\u003Cli\u003EA dry mouth\u003C\u002Fli\u003E\u003Cli\u003EWarm, flushed skin\u003C\u002Fli\u003E\u003Cli\u003EArms and legs that feel heavy\u003C\u002Fli\u003E\u003Cli\u003EUpset stomach and vomiting\u003C\u002Fli\u003E\u003Cli\u003EItching\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan\u003ELack of hunger\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan\u003EPain relief\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ESmall pupils\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ENo interest in sex\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003ELong-term heroin effects \u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan\u003EOpioids, including heroin, can change how your brain works. You may need to use more of the drug to get the same high. This is called tolerance. If you continue to use heroin often, you may become dependent and need to take the drug to avoid feeling bad when you’re not on it. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ERegular and long-term heroin use can also lead to:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EStrong feeling of sadness\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003ECollapsed veins\u003C\u002Fli\u003E\u003Cli\u003EInsomnia\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan\u003EConstipation\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003EInfections of your heart lining and valves\u003C\u002Fli\u003E\u003Cli\u003ESkin infections like abscesses and cellulitis\u003C\u002Fli\u003E\u003Cli\u003EA higher chance of getting \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fhiv-aids\u002Fdefault.htm\"\u003EHIV\u003C\u002Fa\u003E, hepatitis B, and \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fhepatitis\u002Fhepc-guide\u002Fdefault.htm\"\u003Ehepatitis C\u003C\u002Fa\u003E\u003C\u002Fli\u003E\u003Cli\u003ELiver and kidney disease\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan\u003ETrouble getting an erection\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003EMental disorders\u003C\u002Fli\u003E\u003Cli\u003E\u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Flung\u002Flung-diseases-overview\"\u003ELung diseases\u003C\u002Fa\u003E like \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Flung\u002Ftc\u002Fpneumonia-topic-overview\"\u003Epneumonia\u003C\u002Fa\u003E and \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Flung\u002Funderstanding-tuberculosis-basics\"\u003Etuberculosis\u003C\u002Fa\u003E\u003C\u002Fli\u003E\u003Cli\u003EMenstrual problems and miscarriage\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"7\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"4\" \u002F\u003E\u003Csection_header\u003EHeroin Use Complications\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EShort or long-term heroin can cause medical problems that can change your brain and damage your body.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EOver time, you may lose the ability to control your actions or make good decisions. You may get paranoid or have strange mood swings. If you snort heroin a lot, you may damage the lining of your nose or airways. You may destroy the tissue that separates your nasal passages (called the septum). \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EIf you use a needle to inject heroin, you may get: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EScarred or collapsed veins\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EBacterial infections in your blood vessels and heart valves\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EPockets of pus caused by an infection (abscess or boil)\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EOther infections in the soft tissue under you skin\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EOther complications from heroin use include: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EInfections.\u003C\u002Fstrong\u003E People who use drugs do things that raise the odds of exposure to viruses that live in blood or body fluids, including sharing needles and having risky sex. And if you get sick, you may pass the infection (hepatitis B and C, HIV) to your sexual partners or kids. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"8\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHeroin Use Complications continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EBlood vessel and organ damage. \u003C\u002Fstrong\u003EWhen people “cut” heroin, these extra substances can get into the bloodstream and block blood vessels. This can harm the cells that keep vital organs like your lungs, liver, kidneys, or brain working properly. Your immune system might also react to these additives, causing arthritis or other joint problems.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003ELow brain oxygen. \u003C\u002Fstrong\u003EYour brain may not get enough air if you take a drug that can slow your heart and breathing rate way down. This is called hypoxia and can happen if you take large doses of any opioid drug, but the chances are higher with synthetic opioids such as heroin or fentanyl. It can be fatal. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHeroin and pregnancy\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EYou can expose your baby to heroin if you use drugs while you’re pregnant. This raises the odds that your unborn child will become dependent on heroin and have withdrawal symptoms when they’re born. This is called neonatal abstinence syndrome (NAS). \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ESigns and symptoms of heroin dependence or withdrawal in babies may include: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ELots of crying\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EFever\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EIrritability\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ESeizures\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ETrouble gaining weight\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EBody shakes\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EDiarrhea\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EVomiting\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EDeath\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"9\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"5\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHeroin Use Complications continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EPrenatal care may lessen the chances your baby will have serious health problems from your heroin use. But newborns with NAS typically need medical treatment to lessen symptoms. Your doctor may give your child drugs such as morphine or methadone to ease them off heroin safely. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHeroin interactions\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EIt’s dangerous and unpredictable to mix heroin with other drugs, especially: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan\u003E\u003Cstrong\u003EStimulants. \u003C\u002Fstrong\u003EHeroin is a depressant. It lowers your heart and breathing rate. Drugs like cocaine or methamphetamines speed up your central nervous system. This combo can make an overdose more likely because one drug might wear off before the other. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan\u003E\u003Cstrong\u003EAlcohol, benzodiazepines, or other opioids.\u003C\u002Fstrong\u003E These drugs can boost the sedative effect of heroin. Your heart and breathing may slow or stop if you take too many depressants. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EHeroin Addiction\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ENo matter how you take it, heroin gets to your brain quickly. Because the drug triggers the release of the feel-good chemical dopamine, you can get addicted easily. Even after you use it just one or two times, it can be hard to stop yourself from using it again. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"10\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHeroin Addiction continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EHeroin is very addictive. You may develop a substance use disorder if you use heroin regularly for 2-3 weeks. This means your drug use causes health problems, disabilities, and trouble at home, work, or school.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E Other signs of a heroin addiction include that you:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EStart to use heroin daily or multiple times a day. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ECan’t control how much you use.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EWant to quit but you can’t. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ESpend a lot of time thinking about or trying to get heroin. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHave a strong urge to use heroin. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EUse heroin even though bad things are happening in your life due to drug use.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EPut yourself in dangerous situations to use heroin. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAre high a lot.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EIf a family member has a substance use disorder, you may notice that they:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EMiss school or start to get bad grades.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EDon’t go to work or lose their job. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EWear dirty clothes or have poor hygiene. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAsk you for money. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EBecome defensive or secretive about their behavior or personal space. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHave a change in their appearance, like weight loss or gain. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EIf you become addicted to heroin, you may keep taking the drug even though it doesn’t make you feel good anymore. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"11\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"6\" \u002F\u003E\u003Csection_header\u003EHeroin Addiction Treatment\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EYour medical team can help you find the treatment plan that works best for you. It will probably include medication and behavioral therapy. Experts say this medication-assisted treatment (MAT) is the “gold standard” of care for people who have heroin addiction.\u003C\u002Fp\u003E\u003Cp\u003EMedications can make it easier to wean your body off heroin and reduce cravings. Buprenorphine and methadone work in a similar way to heroin, binding to cells in your brain called opioid receptors. These medicines are safer and longer-lasting than heroin. Naltrexone blocks those receptors so opioids like heroin don’t have any effect. This makes using them less enjoyable.\u003C\u002Fp\u003E\u003Cp\u003ECognitive behavioral therapy helps you pay attention to the things you think and do when it comes to drug use. It gives you ways to better cope with stress and other triggers. Another type of therapy called contingency management offers rewards such as vouchers or money if you can stay drug-free.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EHeroin Withdrawal\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EIf you use heroin a lot, your body builds up a tolerance to it. But that doesn’t mean it won’t harm you. It means you need to take more and more to get the same high. Your body comes to depend on it. Then, when you suddenly quit using it, you have physical or emotional symptoms that make you want to take more drugs to feel better. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"12\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHeroin Withdrawal continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EHeroin withdrawal symptoms may include:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EJitters\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EChills followed by goosebumps\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ETrouble sleeping\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ERestless legs\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EStrong drug cravings\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EVomiting and diarrhea\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EBone and muscle pain\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ETrouble sleeping\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ECold flashes\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ELeg movements that you can’t control\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EYou may also have: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAnxiety or irritability\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EFast heart rate\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ESweating\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHot flashes and shivering\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EYawning\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ERunny eyes or nose\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EStomach cramps\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EMuscle twitches \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EIncreased pain\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHow long does it take to go into withdrawal from heroin? \u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ESymptoms may set in within a few hours after your last use and get stronger for 2-3 days. After that, you may start to feel weak, depressed, sick to your stomach, and throw up. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EMajor withdrawal symptoms from heroin and other opioids usually ease within 1-2 weeks, but how long it takes you to feel better depends on how long you’ve used heroin, how much you take, and how fast you taper off the drug. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EIf you’ve used heroin for a long time, some symptoms may linger for months or years after you stop. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"13\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHeroin Withdrawal continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003ECan treatment help with heroin withdrawal symptoms? \u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ETalk to your doctor or go to a substance use clinic if you can’t stop using heroin on your own or you’re afraid of what might happen to your body and mind once you quit. Medication can help lessen your drug cravings and withdrawal symptoms. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"7\" \u002F\u003E\u003Csection_header\u003EHeroin Overdose\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EHeroin is a dangerous drug. A large or strong dose can slow your heart rate and breathing so much that you can’t do it on your own. If that happens, you’ll need medical help to stay alive. \u003C\u002Fp\u003E\u003Cp\u003ESigns of a heroin overdose may include:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003ESerious drowsiness\u003C\u002Fli\u003E\u003Cli\u003ETiny “pinpoint” pupils that don’t respond to light\u003C\u002Fli\u003E\u003Cli\u003ELow blood pressure\u003C\u002Fli\u003E\u003Cli\u003ESlow or irregular heartbeat\u003C\u002Fli\u003E\u003Cli\u003ECold, clammy skin\u003C\u002Fli\u003E\u003Cli\u003ELoss of consciousness\u003C\u002Fli\u003E\u003Cli\u003ELow body temperature\u003C\u002Fli\u003E\u003Cli\u003ENot breathing\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003EWhen you’re around someone who overdoses on heroin, you may notice that they:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EAre awake but don’t respond to you \u003C\u002Fli\u003E\u003Cli\u003ETake slow, shallow breaths or stop breathing \u003C\u002Fli\u003E\u003Cli\u003EMake choking or gurgling sounds (called a death rattle)\u003C\u002Fli\u003E\u003Cli\u003EThrow up\u003C\u002Fli\u003E\u003Cli\u003ELose color in their face\u003C\u002Fli\u003E\u003Cli\u003EHave fingernails or lips that turn blue or purple \u003C\u002Fli\u003E\u003Cli\u003EHave a very weak pulse or no heartbeat\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"14\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHeroin Overdose continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EPeople who overdose on heroin may seem like they’re asleep and snoring. If you’re not sure what’s happening to your friend or family member, try to wake them up to check if they’re OK.\u003C\u002Fp\u003E\u003Cp\u003EIf you think someone is overdosing, take action right away. They need treatment within minutes.\u003C\u002Fp\u003E\u003Cp\u003EA medication called naloxone can block the effects of opioids and reverse a heroin overdose if it’s used quickly. Paramedics often give it as a shot. But it also comes in measured doses as an auto-pen (Evzio) and a nasal spray (Narcan). In some states, you don’t need a doctor’s prescription to get Narcan. You can get it through local resources or pharmacy chains.\u003C\u002Fp\u003E\u003Cp\u003EAnyone can carry naloxone, and many health experts think it’s something everyone should have at home.\u003C\u002Fp\u003E\u003Cp\u003ESomeone who’s overdosing may need more than one dose of naloxone or further medical care. After you give them a dose of naloxone, call 911 or get them to the ER right away.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003EAlways call 911 or seek medical help if you think someone is overdosing. \u003C\u002Fstrong\u003EEmergency responders are there to save lives, not turn you into the police. Most states (except Kansas and Wyoming) have Good Samaritan Laws that legally protect people who get medical help for someone who is overdosing. \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"15\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"8\" \u002F\u003E\u003Csection_header\u003EHeroin Harm Reduction\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EIllegal drug use is always risky. But if you’re going to take heroin, there are steps you can take to lessen the chances of serious health consequences, including overdose or death. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EHere are some heroin harm reduction strategies: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EUse one substance at a time. Mixing drugs raises your odds of overdose, especially if you take heroin with other depressants such as fentanyl, other opioids, alcohol, and benzodiazepines. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ECarry naloxone with you. This fast-acting drug can reverse an overdose, but you may not be able to give it to yourself. Make sure your close friends and family know how to use naloxone. Ask them to keep some handy just in case they need to give you a shot. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EDon’t take drugs by yourself. Always use heroin in a safe place. Have a trusted person with you who can call for medical help if you need it. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EDon’t drive. It’s not safe to operate any kind of machine when you’re high. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EUse and dispose of needles safely. See if there’s a syringe services program (SSP) in your area. SSPs or other needle exchanges offer access to sterile syringes and other injection gear. They also help you safely get rid of used needles. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ETake a small amount first. Take a little bit of heroin to see what happens before you take more. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EFind child care. You may not be able to take care of yourself or your kids when you use opioids or other drugs. Make sure your children are somewhere safe before you take heroin. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"16\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHeroin Harm Reduction continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EVisit your local health department to learn more about heroin harm reduction strategies. You may also find support through: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ECommunity treatment centers or clinics\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EChurches\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EPublic transportation hubs\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EUnhoused shelters\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ECollege and university health services\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ESocial services offices\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EMental health clinics\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EUrgent care centers\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EThe website of the National Harm Reduction Coalition may be another good resource. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EIs Heroin Illegal?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EYes. Heroin is grouped with other Schedule I drugs under the Controlled Substances Act. That’s a classification the U.S. government uses for drugs that are easy to abuse, have no medical purpose, and aren’t considered safe even if a doctor were to give it to you. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"9\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EIs Heroin Illegal? continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EDoes heroin show up on a drug test?\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ECommon drug tests screen for opioid drugs. While a urine test may not detect heroin specifically, morphine will show up in your pee for at least 2-4 days after your last heroin use. (Morphine is what the liver turns heroin into as your body breaks it down.) \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"17\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EIs Heroin Illegal? continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ESome drug screenings are more sensitive than others and may check for the presence of 6-MAM. This is a metabolite, or a byproduct of the drug breakdown process, that only shows up after you take heroin. A urine test can detect it for about 8 hours after your last heroin use. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHow long does heroin stay in your system?\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EThe liver starts to break down (or metabolize) heroin within minutes. If someone took your blood, they could only detect the pure form of the drug for about 5 minutes. But heroin metabolites may stick around in your urine or hair for 2-4 days or longer. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EYour body breaks down heroin quickly. But many things affect exactly how long the drug will stay in your system, including: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHow often you use heroin\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHow much heroin you take\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EYour weight and body size\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EYour age\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHow much body fat you have\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EYour metabolism rate\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHow well your liver and kidneys work\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHow much water you have in your body\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EHeroin may stay in your system longer if you use it every day for a long time compared to someone who only uses it once or every now and then. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"18\" \u002F\u003E\u003Csection_header\u003EWhat to Do if You Think Someone Is Using Heroin\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EA person on heroin may not look like they’re \"on drugs.\" They may just seem sleepy. People who are addicted almost always deny that they’re using.\u003C\u002Fp\u003E\u003Cp\u003EIf you think a friend or family member is using heroin, don't wait and hope things will get better. Act right away. The sooner a person gets help, the better.\u003C\u002Fp\u003E\u003Cp\u003EYou can treat heroin addiction. Contact the National Council on Alcoholism and Drug Dependence to find services near you. Or call the Substance Abuse and Mental Health Services Administration hotline at 800-662-HELP (4357).\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"10\" \u002F\u003E\u003Csection_header\u003ETakeaways\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EHeroin is a highly addictive and illegal opioid drug. It may give you a rush of good feelings when you use it, but you can overdose if you take too much of it. If your heart rate and breathing slow too much, you may die. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ENaloxone (Narcan) is a fast-acting medication that can block the effects of heroin and reverse an overdose. Carry it with you if you use heroin or misuse other opioid drugs. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ETalk to your doctor or visit FindTreatment.gov if you can’t quit using heroin on your own. Medication and other substance use treatments can help ease drug cravings and withdrawal symptoms that come with ongoing heroin use. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"19\" \u002F\u003E\u003Csection_header\u003EHeroin FAQs\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EWhat is the meaning of the word heroin? \u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EThe name probably comes from the German word “heroisch.” In English, that means heroic. Historians think the doctor who first trademarked and sold heroin as a medicine in the early 1900s may have wanted people to link it with “feelings of grandeur” because he marketed the drug as a stimulant. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EWhat are the risk factors of drug abuse?\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EThough anyone can develop a substance use disorder, genes and environment play a big role in who’ll get one. Other strong risk factors for drug misuse include mistreatment as a child, family history of substance misuse, and a personal history of mental illness or drug use. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EThe type of drug you take also raises the odds you’ll misuse it. Certain drugs are easier to get addicted to, including heroin and other opioids. \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E"},"citations":{"#cdata-section":"\u003Cp\u003ESOURCES:\u003C\u002Fp\u003E\u003Cp\u003ENational Council on Alcoholism and Drug Dependence: \"Helping a Family Member or Friend.\"\u003C\u002Fp\u003E\u003Cp\u003ENemours Foundation (KidsHealth): \"What Is Heroin? (for Parents).\u003C\u002Fp\u003E\u003Cp\u003EMedline Plus: \"Heroin.\"\u003C\u002Fp\u003E\u003Cp\u003ENational Institute on Drug Abuse: “Heroin Research Report,” \"Heroin Addiction,\" \"Signs of Heroin Abuse and Addiction.\"\u003C\u002Fp\u003E\u003Cp\u003EPartnership for a Drug-Free America: \"Heroin,\" \"Heroin Overdose Antidote Naloxone Becoming More Widely Available.\"\u003C\u002Fp\u003E\u003Cp\u003ERobert Crown Center for Health Education: \"Understanding Suburban Heroin Use.\"\u003C\u002Fp\u003E\u003Cp\u003EUniversity at Buffalo Research Institute on Addictions: \"RIA Reaching Out to Others: The Growing Peril of Heroin.\"\u003C\u002Fp\u003E\u003Cp\u003EU.S. Substance Abuse and Mental Health Services Administration: \"Results from the 2012 National Survey on Drug Use and Health: Summary of National Findings.\"\u003C\u002Fp\u003E\u003Cp\u003E\u003Ci\u003EU.S. News & World Report: \u003C\u002Fi\u003E\"The Heroin Epidemic, in 9 Graphs.\"\u003C\u002Fp\u003E\u003Cp\u003ENational Institute on Drug Abuse: “Heroin Research Report,” “Drug Facts: Heroin,” “Opioid Overdose Reversal with Naloxone (Narcan, Evzio),” “Epidemiologic Trends in Drug Abuse: Advance Report: June 2013,” “Syringe Services Programs,” “Drug Testing.” \u003C\u002Fp\u003E\u003Cp\u003ECDC: “Heroin,” “Fentanyl Facts,” “5 Things to Know About Naloxone.” \u003C\u002Fp\u003E\u003Cp\u003ENational Institute on Drug Abuse for Teens: “Heroin.”\u003C\u002Fp\u003E\u003Cp\u003E\u003Ci\u003EJournal of Psychoactive Drugs\u003C\u002Fi\u003E: “Sold As Heroin: Perceptions and Use of an Evolving Drug in Baltimore, MD.”\u003C\u002Fp\u003E\u003Cp\u003E\u003Ci\u003ENeuropharmacology: \u003C\u002Fi\u003E“Respiratory depression and brain hypoxia induced by opioid drugs: morphine, oxycodone, and fentanyl.”\u003C\u002Fp\u003E\u003Cp\u003EAmerican Addiction Centers: “What is Heroin Cut With?” “How Long does Heroin Stay in Your System?”\u003C\u002Fp\u003E\u003Cp\u003EU.S. Drug Enforcement Administration: “Drug Fact Sheet: Heroin,” “Drug Fact Sheet: Morphine.”\u003C\u002Fp\u003E\u003Cp\u003EThe Centre for Addiction and Mental Health (Canada): “Heroin.”\u003C\u002Fp\u003E\u003Cp\u003EAlcohol and Drug Foundation: “Heroin.” \u003C\u002Fp\u003E\u003Cp\u003EMayo Clinic: “Drug addiction (Substance use disorder).”\u003C\u002Fp\u003E\u003Cp\u003EJohns Hopkins Medicine: “Opioids.”\u003C\u002Fp\u003E\u003Cp\u003EDEA Museum (Drug Enforcement Administration): “Opium Poppy.”\u003C\u002Fp\u003E\u003Cp\u003E\u003Ci\u003EMayo Clinic Proceedings:\u003C\u002Fi\u003E “Tapering Long-term Opioid Therapy in Chronic noncancer Pain: Evidence and Recommendations for Everyday Practice,” “Urine Drug Screening: Practical Guide for Clinicians.” \u003C\u002Fp\u003E\u003Cp\u003E\u003Ci\u003EActa Pharmaceutica Hungarica\u003C\u002Fi\u003E: “Heroin addiction.”\u003C\u002Fp\u003E\u003Cp\u003ENational Harm Reduction Coalition: “Opioid Overdose Basics.”\u003C\u002Fp\u003E\u003Cp\u003EWisconsin Department of Health Services: “Carrying NARCAN – a Lifesaving Dose of Reality.”\u003C\u002Fp\u003E\u003Cp\u003EPrescription Drug Abuse Policy System (PDAPS): “Good Samaritan Overdose Prevention Laws.”\u003C\u002Fp\u003E\u003Cp\u003EMental Health Commission (Australia): “Harm Reduction Tip Sheet for Workers – Opioids.”\u003C\u002Fp\u003E\u003Cp\u003EJohns Hopkins Bloomberg School of Public Health: “What Is Harm Reduction?”\u003C\u002Fp\u003E\u003Cp\u003EUniversity of Wisconsin-Madison University Health Services: “Opioids.”\u003C\u002Fp\u003E\u003Cp\u003ECMS.gov: “Drug Diversion Toolkit: Buprenorphine – A Primer for Prescribers and Pharmacists.”\u003C\u002Fp\u003E\u003Cp\u003E\u003Ci\u003ECureus:\u003C\u002Fi\u003E “Family, Individual, and Other Risk Factors Contributing to Risk of Substance Abuse in Young Adults: A Narrative Review.”\u003C\u002Fp\u003E"},"related_links_header":"","related_links_text":{"#cdata-section":""}}}}}},"staticPublicPath":"\u002Fstatic_vue\u002F091e9c5e81e52376\u002Fclient\u002F","isInteractivePage":false},"flow":{"flowInfo":{"guideArticle":{"assetId":"091e9c5e821b08cf","channelId":"1003","ctgryTitle":"Opioid Use Disorder","ctgryUrl":"https:\u002F\u002Fwww.webmd.com\u002Fmental-health\u002Faddiction\u002Fstages-of-opioid-addiction","category":"gd","contentType":"Article"}}},"quiz":{"rmq":{}}}</script> <script>window.__INITIAL_STATE__.route.hash = window.location.hash; 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