Heroin

Changing Demographics of Heroin Abuse

Heroin use has increased across the U.S. among men and women, most age groups, and all income levels. Heroin users nowadays are predominantly white singles in their late 20’s living outside large urban areas. The average age of first heroin use is 24 years old. As heroin use has increased, so have heroin-related overdose deaths. Because heroin is classified as schedules I and IV illicit drug, many users rack up arrest records.

Heroin & Dual Diagnosis

Heroin use can alter brain chemistry, causing mood changes, suicidal behavior, psychological dependence and addiction. Unless the user is treated for both conditions, it is likely that he or she will relapse.

• A new study from Health Education’s Heroin Prevention Project indicates that almost 75% of those addicted to heroin have a concurrent mental health condition, such as depression or schizophrenia.
• A recent study estimates that 48% of opiate users have experienced depression at some point in their lives.

When depression and substance abuse are treated simultaneously, depressive symptoms often improve. Opiate addicts who go through residential rehab or methadone maintenance treatment have significant improvement in their conditions once they learn how to cope with emotions, direct their thought processes, and live a healthy lifestyle.

Risk Factors

The dangers and risks cannot be understated when it comes to understanding heroin’s effects on the brain and body. There are many reasons for addiction to occur, some of them include the following:

Genetics

Individuals with a first-degree relative with addiction disorder are more prone to become addicted themselves, though genetics alone are not the only factor.

Brain

Repeated drug use changes the way the brain reacts and responds to stimuli. Heroin disrupts communication inside and between the brain’s cells. More drug is needed to compensate for lack of neurotransmitters which leads to dependence and addiction.

Environmental

Socio-economic factors, as well as family beliefs and attitudes and peer influence, affect an individual’s choices about drug use. Homes, where drug use is more acceptable and prevalent, may cause more lenient behavior and attitudes towards them. Environmental factors may include using drugs as a way of dealing with stressors, difficult circumstances or life events.

• Psychological

Untreated or undiagnosed mental illness plays a role in drug use. This may lead to self-medication by use of drugs to tolerate or cope with symptoms of the disorder or illness.

How Heroin is Made

• Initially prescribed as an analgesic and cough suppressant in the late 1800’s, heroin is derived from the opium poppy, often found in Afghanistan and more recently, Mexico. The drug was initially synthesized from morphine, a naturally occurring substance extracted from the seed of a poppy plant.Heroin can be a white/brown powder or a black sticky substance, known as “black tar heroin.”
  

   How Heroin is Used

  When heroin is taken, it is absorbed into the bloodstream. It soon makes its way to the brain where it begins to affect the way the user thinks. It also affects the nervous system. Many people who are high on heroin have strange sensations or feelings. They may hallucinate and even feel like things are crawling on them. Hallucinations can cause picking of the the skin which can lead to sores and infections.

  • The drug can be injected into a vein or muscle, which produces the quickest effects. The euphoric feeling is felt within seconds, but it is the most dangerous method, with added risks from needle sharing like HIV. Track marks on arms, hands or feet are a sign of intravenous heroin injection.
  • The drug can be smoked in a pipe or even mixed with marijuana or cocaine, which can cause coughing and a hoarse or raspy voice.
  • As a powder, heroin can also be snorted, which can cause a runny or stuffy nose.

   Withdrawal

  Heroin withdrawal symptoms can be very dangerous and lead to relapse to avoid coming down off the drug. It is therefore not recommended an individual stop using heroin on their own, rather seek treatment where medication and support can be offered to mitigate some of the symptoms of withdrawal. The process can be unpleasant, but safe detox is necessary to prevent harsh consequences. These side effects may include:

  • flu-like symptoms
  • intense cravings
  • sweating
  • nausea
  • vomiting
  • cramping
  • cold sweats
  • runny nose
  • fever
  • diarrhea
  • insomnia

  Heroin withdrawal should be taken very seriously and done only in the care of a treating facility with knowledge and expertise. The symptoms usually start 12 hours after a recovering addict stops using heroin and can last up to three days.