Heroin
Opioid · popular
A fast-acting opioid producing intense warmth, euphoria and sedation. Tolerance and dependence develop quickly, purity varies wildly, and the combination with benzodiazepines or alcohol is the leading cause of overdose death.
Dose and effect data: PsychonautWiki (CC BY-SA 4.0) and TripSit (PolyForm Noncommercial 1.0.0).
Before you dose
Dose
Published population range
Basis: No weight-based model is meaningful.
Street heroin purity ranges from under 5% to over 90%. A dose that is comfortable for someone else can be your last.
Check an amount you already have
Timeline (insufflated)
Bars show relative time in each phase, scaled to the total duration. Each phase keeps its colour in the list above.
Expected effects
- Intense euphoria
- Warmth and comfort
- Analgesia
- Deep sedation
- Anxiety relief
Possible side effects
- Respiratory depression - the mechanism of overdose death
- Nausea and vomiting
- Itching and flushing
- Constipation
- Rapid tolerance and severe dependence
- Overdose after any break in use
- Painful withdrawal
- Injection-related infection and vein damage
Harm reduction
- Never use alone. Arrange a check-in or use with someone present.
- Carry naloxone. Two doses are better than one; naloxone wears off before the opioid does.
- After any break - release from prison, hospital, detox, a few days off - tolerance has dropped and your old dose can kill you.
- Test every batch for fentanyl and nitazenes.
- Do not mix with benzodiazepines, alcohol or GHB.
- If you are ready to reduce, methadone and buprenorphine programmes are far more effective than willpower alone.
- Never use alone. The single most effective thing you can do is have someone with you or on the phone.
- Carry naloxone and know how to use it. It reverses opioid overdose and cannot harm someone who has not taken opioids.
- Use fentanyl and nitazene test strips on every batch, including pills. They catch a large share of contamination, though not all of it.
- Start with a fraction of your usual amount when you get a new batch or after any break in use - tolerance drops fast, in days.
Identify what you have
Reagent tests show what a substance probably is, not how pure it is or what else is in the mix. Fentanyl and nitazene test strips are the only reliable check for those, and quantitative lab testing is better than both.
Mixing
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
See interaction notes for details.
Tolerance, dependence and detection
Sources
• PsychonautWiki — Heroin (CC BY-SA 4.0)
https://psychonautwiki.org/wiki/Heroin
• TripSit wiki — Heroin (PolyForm Noncommercial)
https://wiki.tripsit.me
• Erowid experience reports (external)
https://www.erowid.org/experiences/subs/exp_Heroin.shtml
Dosina is educational harm-reduction information, not medical advice. Doses are population ranges from published sources and cannot account for your tolerance, health conditions or what is actually in your substance. Possession and use may be illegal where you live.