Quick info
Diacetylmorphine/DAM, diamorphine or Diaphin® is pharmaceutically produced heroin and has been used in Switzerland since 1994 in the heroin-assisted treatment of opioid addicts. It is a semi-synthetic, strongly effective opioid with a high dependence potential.
Diacetylmorphine is chemically identical to heroin and therefore has analgesic, balancing, sedative, anxiety-relieving and euphoric effects.
Due to the lack of impurities and extenders, diacetylmorphine must be dosed significantly lower than heroin. In Switzerland, mainly tablets with 200 mg active ingredient are available. Therefore, a maximum of 1/8 of a tablet should be taken at first consumption.
Appearances
As a liquid or in tablet form.
Onset of effect
Injected: after a few seconds
Smoked: after a few seconds
Swallowed: after a few minutes
Duration of action
approx. 2-5 hours.
Risks
Slowing of breathing, nausea, vomiting, itching, drop in blood pressure, pulse slowing, pupil constriction and urinary retention may occur.
Confusion, disorientation, memory lapses, slurred and slurred speech as well as coordination disorders, constipation, reduction in sexual desire and a potentially life-threatening reduction in breathing rate to 2 to 4 breaths per minute (due to the attenuation of the coughing and breathing centre) are also known side effects.
Overdose
For users who are not used to opiates, the use of diacetylmorphine even in small quantities can be life-threatening (severe respiratory depression, risk of suffocation).
Long-term risks/consequences
The danger of addiction with psychological and physical symptoms is great, the same as with illegally produced heroin. As soon as a tolerance has developed and the body is not supplied with the necessary amount of substance, physical withdrawal symptoms occur 8 to 12 hours after the last intake.
Opioids are highly effective medications that should only be used for a limited time and, at best, with a doctor's supervision.
Start with a low dose and wait for the effect and tolerance before adding more.
After a period of abstinence, use a much lower dose! The usual dose before the abstinence phase can otherwise quickly have life-threatening consequences.
If you inject opioids, dose even more carefully, as the range between desired effect (rush) and dangerous overdose is even more difficult to assess. Avoid injecting opioids; the risk of overdose is particularly high. Always use new (clean and sterile) injection material! Never exchange syringes, filters, water, disinfection swabs to avoid transmission of hepatitis and HIV.
Do not rely on dosage information from colleagues who regularly use opioids. Due to habituation or dependence, their doses are significantly higher and can be fatal for new users.
Take longer breaks (at least several days) between consumption.
Refrain from citrus fruits (especially grapefruit) before or during consumption. The combination can lead to an increase in the effect of the opiate and/or respiratory depression.
If diacetylmorphine is consumed at the same time as morphine, a displacement of effect occurs. This leads to the fact that withdrawal symptoms appear quickly, although the substance is consumed.
The simultaneous consumption of depressant substances such as alcohol, ketamine, GHB/GBL, nitrous oxide, benzodiazepines and/or other opioids is dangerous as there is an increased risk of vomiting and unconsciousness. The risk of suffocation is high!
The combination with methoxetamine (MXE, Metha-Keta) increases the opioid effect.
Mixing opioids with DXM is generally not recommended - there is an increased risk of central nervous system disorders as well as heart and respiratory problems. In addition, DXM lowers the individual opioid tolerance, which is why the risk of overdose increases considerably.
Mixed use of opioids with stimulants (such as cocaine, amphetamine, methamphetamine) puts extreme strain on the body and the cardiovascular system. The effects can mask each other, so that they are subjectively felt to be weaker. If the effect of the stimulants wears off before the opioids, there is a risk of delayed overdose and even respiratory depression.
LSD analogues are substances that are chemically very similar to LSD and can have comparable effects. Some of them have been known for a long time (e.g. ALD52, ETH-LAD, AL-LAD, PRO-LAD etc.) and have been studied pharmacologically as well as psychopharmacologically, at least in part. Others are newer "creations" (e.g. the derivatives 1P-LSD,1B-LSD, 1cP-LSD, 1V-LSDetc.), for which only few or no data are available. Certain LSD analogues can (still) be legally produced, traded and consumed in some countries, which is the main reason for their distribution.
Most LSD analogues are naturally different from LSD in their effect and/or potency (e.g. ETH-LAD, AL-LAD, LSZ etc.). In contrast, the so-called 1-acylated LSD compounds (e.g. 1P-LSD, 1V-LSD, 1B-LSD, ALD-52, etc.) are presumed, on the basis of pharmacological studies, to convert into LSD in the body (they function as so-called prodrugs) and thus have a comparable psychoactive effect to LSD.
In the case of prodrugs of LSD and LSD analogues, it has not been conclusively clarified whether, in addition to their psychoactive effect, they can produce other pharmacological effects. How potent these prodrugs are compared to the resulting substance (e.g., 1P-LSD to LSD), and to what extent a delay in onset of action occurs in each case, may be substance-dependent and cannot be generalized. Therefore, it is important to approach the dose/effect carefully to avoid overdoses.
If you or someone else needs urgent help after taking drugs or alcohol, call an ambulance on 144. Tell the emergency responders everything you know.
It could save lives.