Heroin Abuse and
Addiction
Heroin is a highly addictive drug this is processed from morphine,
a substance extracted from the seed pod of certain species of poppy plants.
Most heroin is a powdery substance that varies in color from white to a dark
brown. The changes in color are due either to impurities left from the
synthesising process or the presence of other additives. Although heroin
in a more pure form is beginning to be seen more frequently, most street
heroin is mixed with other drugs or substances such as sugar, strychnine,
starch, and quinine or other poisons, which brings an added danger to
the abuse of heroin. On the street heroin is also refered to as smack, H,
skag, junk, and black tar.
Heroin Abuse
Heroin is used as a recreational drug for the intense euphoria it
produces, which slowly disappears as the users tolerance increases. It is
considered that heroin is a more popular recreational drug because of its
distinct effect. Heroin can be taken in a variety of methods such as smoking,
snorting, or injection. It can also be inhaled by producing vapors when it
is heated. Injecting heroin is the most efficient way to administer lower
grade versions of heroin.
The accessibility of higher grade forms of heroin and the fear of
contracting an infection has made snorting and smoking more frequent. The
short term effects of heroin will appear shortly after administration and
will disappear usually after a few hours. Along with the initial euphoria
of heroin use, the effects of heroin include; cotton mouth, heavy extremities,
and a warm flushing of the skin. The users breathing could also be slowed
down to the point where the respiratory system fails.
Negative Effects of Long Term Heroin
Abuse
The long term effects of heroin will become apparent after repeated
use for a certain length of time. The medical ramifications of repeated heroin
use are scarred or collapsed veins, bacterial infections, boils and other
tissue infections, and liver or kidney diseases. Pulmonary issues could result
from bad health conditions of the user along with heroin's depressing effects
on the respiratory system. Users who inject heroin also put themselves at
a high risk of contracting HIV, hepatitis C, and other infectious diseases.
Approximately 7080% of the hepatitis C infections in the United States
every year are from the injection of drug.
Because heroin is a controlled substance and can be mixed with other
ingredients before it reaches the user, those who use it do not know how
potent the heroin they are using is until they actually use it. Since heroin
might contain additives that do not easily dissolve, this may result in clogging
the blood vessels that lead to the brain, lungs, kidneys, or liver.
The most detrimental health effect of heroin abuse is the risk of
death caused by an unintentional overdose. This is a common risk because
heroin abusers do not know the actual strength of the drug or its true contents.
An overdose can be immediately reversed with an injection from an opioid
antagonist. Most deaths accounted as overdoses are likely caused by interactions
with other drugs such as benzodiazepines or alcohol.
Heroin Addiction
One of the most dangerous effects of heroin abuse is the highly addictive
nature of the drug. After repeated use, heroin users will develop a tolerance
requiring them to take larger amounts of the drug to have the same euphoria
they achieved when they first begin to use it. After this happens, the user
will have to take the drug just to feel normal. As larger amounts of heroin
are taken, physical dependence and addiction will develop over time.
With physical addiction, the users body has become accustomed to the
presence of heroin and withdrawal will likely occur if use becomes reduced
or stopped altogether. Attempts to quit the use of heroin can fail because
the symptoms of withdrawal can overwhelm the addict, which will cause them
to take more of the drug in an attempt to overcome it.
The symptoms of withdrawal from heroin usually begin in the period
of 6 to 24 hours of the discontinuation of the use of heroin. The user might
suffer from symptoms such as intense erection in males, extra sensitivity
of the genitals in females, the feeling of heaviness, pains in the limbs,
lacrimation, sweating, malaise, anxiety, depression, insomnia, cold sweats,
chills, nausea, diarrhea, goose bumps, cramps, and fever. Withdrawal from
heroin is seldom fatal, unlike issues related to withdrawal from benzodiazepines,
barbiturates and alcohol.
Heroin Treatment
There are many treatment options available for heroin addiction, such
as medication and behavioral therapy. The most common treatment is the
substitution of methadone or buprenorphine for heroin, which is later tapered
off. Methadone is a synthetic opiate that blocks the effects of heroin and
stops the user from suffering the symptoms of withdrawal. Buprenorphine is
different from methadone in that it offers less risk of addiction and can
be administered in a doctor's office. They have both been proven to be very
successful for the treatment of heroin addiction. Other medications that
are approved for heroin addiction are naloxone, which is used to remedy overdose,
and naltrexone, which blocks the effects of heroin. Of course there are also
many effective behavioral treatments options available for treating heroin
addictions, which when combined with medications have shown a high degree
of success.
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