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Cocaine/Crack/Coca
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Heroin


Heroin is a drug in the opium family (an opioid). Some opioids, like methadone and demerol, are completely man-made. Others, such as morphine and heroin, are made from opium in a lab. All opioids have similar effects. Heroin is about three times stronger than morphine. Sometimes what is sold on the streets as heroin is not heroin at all but some other substance that won't get you high (a dummy or beat bag), or a different drug, like fentanyl, which is much stronger than heroin.

Pure heroin is a white powder with a bitter taste and little odor, but street heroin comes in many different forms, depending on how it was made and what's been added to it. Street heroin can be white, tan, brown, gray, or black. It can be a fine, fluffy powder, course like sand, chunky, or a solid mass that is either gummy or rock hard (Black Tar Heroin). It can smell like vinegar, vitamins, or medicine-or have no smell at all. No matter what color or form, all heroin is either heroin salt or heroin base. Heroin salt dissolves easily in water, so it is easy to inject or sniff. Heroin base (like cocaine base) is easy to smoke but needs to be mixed with an acid like vitamin c in order to dissolve. White powder and black tar heroin are usually heroin salt, and brown heroin is usually heroin base.

If you use heroin regularly and then stop or don¡¯t have enough in your body, you go into withdrawal. This happens because your body depends on the heroin to function. While it is different for everyone, heroin withdrawal tends to start about 8 hours after last use, lasts between 3 days and a week and is most severe on the 2nd and 3rd days. Symptoms can include diarrhea, nausea, stomach cramps, body aches, sweating, clammy skin, hot and cold flashes, runny nose, inability to sleep, irritability, depression and a serious lack of energy. Despite feeling like you're going to die, withdrawal almost never kills anyone and is rarely harmful to a healthy person. It can be harmful, however, to people with HIV/AIDS. It can also be harmful to the fetus if a woman is pregnant. Anyone with a serious health problem should talk to a health care specialist before starting a detox.

Special thanks to the Harm Reduction Coalition for granting the Alliance permission to reprint excerpts of their Straight Dope Education Series. To learn more about heroin, including risks and how to prevent them.