Quick info

Heroin (chemical name: diacetylmorphine, DAM) is a semisynthetic substance, belongs to the group of opioids (painkillers) and is produced from raw opium, a substance extracted from opium poppy.

Opioid agonists (formerly: substitutes; drugs used to treat heroin addiction)

Methadone, sustained-release morphine (e.g., Sevre Long®, MST®, Kapanol®), buprenorphine (e.g., Subutex®), levomethadone (L Polamidon®), and diacetylmorphine (Diaphin). These medications are opioids used for stabilization in heroin addiction. For users who are not used to opiates, their use even in small amounts can be life-threatening (severe respiratory depression, risk of suffocation) and the same side effects apply as described below.

Effect

Dosage

Risks

Safer Use

Mixed use

Sex

Extender

LSD analogues

Synthesis impurities

Contents

Effect

Pain-relieving, balancing, calming, anxiety-relieving and euphoric. The euphoric "flash" at the beginning is followed by a state of well-being and a feeling of indifference, serenity, light-heartedness and self-satisfaction.

Duration

Onset of action

Injected or smoked after a few seconds, snorted after a few minutes
Snorted: after a few minutes

Duration of action
2 - 5 hours, depending on the dose and the quality of the substance.

Dosage

The dose depends strongly on the preparation or the degree of purity and on the individual tolerance. The lethal dose for individuals without tolerance is about 60 mg of pure heroin.

Forms of appearance‍

Sold as heroin ("street heroin"): white to cream, gray or brownish powder. Sold as tablets or diaphine (diacetylmorphine): Caution, due to pharmacological purity, dosage is approximately 5 times higher than street heroin.

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 use of opioids with stimulants (such as cocaine, amphetamine, methamphetamine) puts extreme strain on the body and the cardiovascular system. The effects can overlap 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 up to respiratory depression.

Safer Use

  • Start with a low dose and wait for the effect and tolerance before adding more.
  • The risk of overdose with life-threatening consequences is particularly high after longer breaks in consumption (no consumption for more than 2 days) and with unexpectedly "pure" substances. Dose significantly lower after a period of abstinence!
  • 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 opioid and/or respiratory depression.

Mixed use

  • 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 use of opioids with stimulants (such as cocaine, amphetamine, methamphetamine) puts extreme strain on the body and the cardiovascular system. The effects can overlap 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 up to respiratory depression.
Cocaine
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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

Advisory service