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.

Effect

Dosage

Risks

Safer Use

Mixed use

Sex

Extender

LSD analogues

Synthesis impurities

Contents

Effect

Diacetylmorphine is chemically identical to heroin and therefore has analgesic, balancing, sedative, anxiety-relieving and euphoric effects.


Duration

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.

Dosage

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.

Risks

  • The effects triggered by a combination of two or more substances are difficult to assess. As a rule, they do not correspond to the sum of the individual effects: Mixing involves additional, sometimes high health risks.
  • 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.
  • The mixed consumption of opioids with stimulants (such as cocaine, amphetamine, methamphetamine) places a heavy burden on the body and the cardiovascular system. The effects can mask each other so that they are subjectively perceived as weaker. If the effect of the stimulants wears off before the opioids, there is a risk of delayed overdose and even respiratory depression.

Safer Use

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.

Mixed use

  • The effects triggered by a combination of two or more substances are difficult to assess. As a rule, they do not correspond to the sum of the individual effects: Mixing involves additional, sometimes high health risks.
  • 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.
  • The mixed consumption of opioids with stimulants (such as cocaine, amphetamine, methamphetamine) places a heavy burden on the body and the cardiovascular system. The effects can mask each other so that they are subjectively perceived as weaker. If the effect of the stimulants wears off before the opioids, there is a risk of delayed overdose and even respiratory depression.
Cocaine
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Extender

In the case of diacetylmorphine (Daphin®) obtained from a legal source (doctor or pharmacy), we are not aware of any extenders. If medication is obtained on the black market or online and not from a pharmacy/medical facility, the contents are unclear. Have the medication tested for the exact ingredients in a drug check!

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Emergency

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.

Things to know

Current warnings

There are no current warnings for this substance

Advisory service