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Reviewed by Yehuda Roberts

March 26, 2024

What Type Of Drug Is Heroin?

Unmasking heroin: explore what type of drug is heroin, its effects, and the rising public health crisis.

What Type Of Drug Is Heroin?

Understanding The Drug: Heroin

In order to answer the question, "what type of drug is heroin?", it's important to delve into its origin, composition, and various forms.

Origin and Composition

Heroin is an opioid drug synthesized from morphine, a naturally occurring substance extracted from the seed pod of certain varieties of poppy plants. The Asian opium poppy plant, primarily found in Southeast and Southwest Asia, Mexico, and Colombia, is the primary source of morphine for heroin production [1].

The process of creating heroin involves chemically processing the extracted morphine alkaloid from opium, resulting in a substance that is highly addictive due to its rapid onset and intense effects on the brain's reward system [2].

Different Forms and Uses

Heroin is often seen in a few different forms. The most common forms are a white or brownish powder, or as a black sticky substance, colloquially referred to as "black tar heroin" [2].

The methods of use can vary depending on the form of the drug. It can be injected, sniffed, snorted, or smoked. Injection provides the quickest and most intense onset of effects, contributing to the high risk of addiction and other health issues. Regardless of the method of use, it's important to understand that all forms of heroin pose serious health risks.

In the next sections, the article will further explore the effects of heroin on health, the dangers associated with its use, and the ongoing public health concerns related to this potent and dangerous substance.

Effects of Heroin on Health

Understanding the impact of heroin on health is critical when discussing what type of drug it is. Heroin, an opioid derived from morphine, is known for its rapid onset and intense effects, which makes it highly addictive. It influences the brain's reward system, causing both immediate and long-term consequences.

Immediate Effects

Immediately after consumption, heroin induces feelings of euphoria and relaxation due to its ability to bind and activate the brain's opioid receptors. This leads to a surge of dopamine, a neurotransmitter responsible for sensations of pleasure and reward.

Other immediate effects of heroin include pain relief, feelings of sedation, and decreased anxiety. However, it can also cause drowsiness, respiratory depression, constricted pupils, and nausea. In some instances, it can lead to semi-consciousness, coma, and even death due to slowed heart rate and respiratory depression [2].

Long-term Consequences

The long-term consequences of heroin use are severe and can lead to both physical and psychological dependence. Chronic use of heroin can result in numerous negative health effects, including respiratory depression, collapsed veins, abscesses, and infectious diseases such as HIV and hepatitis [4].

Heroin use often results in heroin use disorder, a chronic relapsing disease characterized by uncontrollable drug-seeking, regardless of the consequences. The risk of developing heroin use disorder increases with methods of administration that allow the drug to reach the brain quickly, such as smoking or injecting.

Furthermore, long-term heroin use leads to physical changes in the brain's structure and physiology, causing lasting imbalances in neuronal and hormonal systems that are difficult to reverse. This can lead to deterioration of the brain's white matter, impacting decision-making abilities, behavior regulation, and responses to stress.

Tolerance and physical dependence are common with heroin use. Tolerance implies that increasing amounts of the drug are needed to achieve the same effects, while physical dependence leads to withdrawal symptoms if the drug use is suddenly reduced. Withdrawal symptoms can include restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, "cold turkey" symptoms, and leg movements [5].

The Dangers of Heroin

Heroin, an opioid substance, harbors a multitude of risks and dangers for its users. The detrimental effects extend beyond immediate health hazards to long-term physiological changes that are difficult to reverse.

Heroin Overdose

One of the most significant risks linked to heroin use is the potential for overdose. An overdose occurs when a person consumes an amount of the drug that their body cannot safely handle. With heroin, an overdose can slow or stop breathing, leading to coma or death.

The risk of overdose is heightened by the unpredictable purity of the drug and the possibility of it being mixed with other harmful substances. Overdoses and deaths have been on the rise in recent years, leading to increased public health concerns and efforts to combat the opioid crisis.

Issues with Chronic Use

Chronic use of heroin can lead to a range of severe health issues. Heroin use often results in heroin use disorder, a chronic relapsing disease characterized by uncontrollable drug-seeking, regardless of consequences [5].

The physical dependence, tolerance, and addiction that develop with long-term use can result in a range of negative health effects. These include respiratory depression, collapsed veins, abscesses, and infectious diseases like HIV and hepatitis, as reported by AdCare.

Moreover, chronic heroin use results in physical changes in the brain's structure and physiology, causing long-term imbalances in neuronal and hormonal systems that are difficult to reverse. This can lead to deterioration of the brain's white matter, impacting decision-making abilities, behavior regulation, and responses to stress.

Unquestionably, the dangers of heroin use, both in terms of overdose and chronic use, are severe. The societal and individual impacts are extensive, highlighting the necessity for comprehensive education, prevention, and treatment efforts.

Heroin and Addiction

One of the most distressing aspects when discussing what type of drug is heroin, is its high potential for addiction. With repeated use, individuals can rapidly develop both physical and psychological dependence on heroin, a potent substance that can have severe implications.

Understanding Heroin Dependence

Heroin, classified as an opioid, is a highly addictive substance. Chronic use can lead to physical dependence, tolerance, and addiction. Over time, individuals develop a tolerance to heroin, meaning that increasingly larger amounts of the drug are needed to achieve the same effects. This can lead to a dangerous cycle of escalating use.

Furthermore, physical dependence on heroin can manifest, where the body adapts to the presence of the drug. If a dependent individual abruptly stops taking heroin, they will experience severe withdrawal symptoms. This dependence can contribute to the development of a heroin use disorder, a chronic relapsing disease characterized by uncontrollable drug-seeking, regardless of consequences [4].

Once an individual develops a heroin use disorder, the pursuit and use of the drug becomes the primary focus of their life, underpinning the extremely addictive nature of heroin.

Withdrawal Symptoms

The withdrawal symptoms from heroin can be severe and are a significant factor in individuals continuing to use the drug. These symptoms can manifest if the use of the drug is suddenly reduced or stopped. The severity and duration of the withdrawal symptoms can vary depending on the level of heroin dependence, the length of time the individual has been using heroin, and the amount of heroin the individual uses.

Withdrawal symptoms can include restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, "cold turkey" symptoms, and leg movements. These symptoms can be extremely uncomfortable and are a major reason why many individuals find it difficult to quit heroin.

The cycle of addiction, tolerance, and withdrawal associated with heroin use underscores the need for effective treatment and recovery strategies. Understanding the complexities of heroin addiction is key in addressing this public health crisis. The high risk of addiction and the severe consequences of use, including potentially fatal overdose, make it crucial to prevent initial use and provide appropriate treatment for those struggling with heroin addiction.

Legal Status and Public Health Concerns

Understanding the legal classification of heroin and its rising crisis is essential for comprehensive knowledge about the drug.

Legal Classification of Heroin

Heroin is an illegal, highly addictive drug processed from morphine, a naturally occurring substance extracted from the seed pod of certain varieties of poppy plants. It is classified as a Schedule I drug under the Controlled Substances Act in the United States. Schedule I drugs are defined as substances with no currently accepted medical use and a high potential for abuse.

The Rising Heroin Crisis

The heroin crisis is a growing concern in the United States and throughout the world. Multiple organizations, including the DEA, have reported a rise in the availability of heroin in various parts of the United States, making it an ongoing concern in terms of public health and safety.

In recent years, heroin overdoses and deaths have been on the rise, leading to increased public health concerns and efforts to combat the opioid crisis.

Moreover, heroin use often leads to heroin use disorder, a chronic relapsing disease characterized by uncontrollable drug-seeking, regardless of consequences. Heroin is highly addictive regardless of administration method, but injecting or smoking the drug, which allow it to reach the brain quickly, increase the risk of heroin use disorder.

Key Statistics
Estimated people in the US reported using heroin in the past year (2018) 808,000

Figures courtesy of American Addiction Centers

The rise in heroin use and its resulting health implications underline the urgent need for effective prevention and treatment strategies. Public health efforts continue to focus on addressing the root causes of heroin use and supporting those affected by heroin use disorder.

The Street Presence of Heroin

Understanding the street presence of heroin can provide insights into its pervasive use and the dangers associated with it. This includes the various street names for heroin and the often questionable purity of the drug sold illicitly.

Common Street Names

Heroin is known by various street names, reflecting its widespread use and cultural references. These names include, but are not limited to, "smack", "H", "junk", "skag", and "dope" [3]. These names are often used to talk about the drug without arousing suspicion and vary by region and community.

Common Street Names
Smack
H
Junk
Skag
Dope

The Purity of Street Heroin

The purity of heroin sold on the streets varies greatly. It is frequently mixed with other substances such as sugar, starch, powdered milk, or quinine. These additives can not only reduce the purity of the drug but also pose additional health risks when ingested.

Heroin is typically sold in one of three forms: a white or brownish powder or a sticky black substance known as "black tar heroin". The color and consistency of the drug can give some indication of its purity, although precise determination is difficult without laboratory analysis.

Form Description
White Powder Often mixed with other white powders like sugar or starch
Brownish Powder Slightly less pure than white powder heroin
Black Tar Sticky and black, this form is less pure and often contains many impurities

Understanding the street presence of heroin is crucial in addressing the broader societal issue of drug abuse. By being aware of the various street names and potential impurities found in street heroin, individuals and communities are better equipped to tackle this pervasive problem.

References

[1]: https://www.emcdda.europa.eu/publications/drug-profiles/heroin_en

[2]: https://americanaddictioncenters.org/heroin-treatment/risks-and-effects

[3]: https://zinniahealth.com/substance-use/heroin/slang-names/

[4]: https://adcare.com/opioids/heroin/health-effects/

[5]: https://nida.nih.gov/publications/research-reports/heroin/what-are-long-term-effects-heroin-use

[6]: https://pubchem.ncbi.nlm.nih.gov/compound/Heroin

[7]: https://www.dea.gov/sites/default/files/2020-06/Heroin-2020.pdf

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