What is HEROIN?
A substance use disorder (SUD) is when
 Heroin is an opioid drug made from morphine, a
natural substance taken from the seed pod of
the various opium poppy plants grown in
Southeast and Southwest Asia, Mexico, and
Colombia.
 Heroin can be a white or brown powder, or a
black sticky substance known as black tar heroin.
This drug is highly addictive and has been illegal
in the United States since 1924.
Street names of HEROIN:
• "Brown Sugar"
• "Billie Jean“
• "Black Tar“
• "Boy"
• "Bomb“
• "Bones“
• "Crap“
• "Skunk“
• "Skag"
• "Chiva“
• "China“
• "White“
• "Gunpowder"
• "H. horse“
• "Mud“
• "Noise“
• "Smack"
How do people use HEROIN?
• People inject, sniff, snort, or smoke heroin. Some
people mix heroin with crack cocaine, a practice
called speed balling.
• No matter how you get it into your system,
heroin gets to the brain quickly. It’s easy to
become addicted. Even after using it just one or
two times, it can be hard to stop yourself from
using again.
• You can smoke or snort it, but most users inject
it into their veins to get the quickest high. That’s
the most dangerous way to take it. You can
overdose more easily, and you can be infected
by dirty needles.
How does make it you feel?
• Right after taking heroin, you get a rush of good
feelings and happiness. Then, for several hours,
you feel as if the world has slowed down. You
think slowly and may walk slowly. Some users
say you feel like you're in a dream. In an Illinois
study of suburban heroin users, some described
the feeling as “covered in a warm blanket,
where worries are gone.”
Is HEROIN addictive?
• Heroin is highly addictive. People who regularly
use heroin often develop a tolerance, which
means that they need higher and/or more
frequent doses of the drug to get the desired
effects.
continued use of the drug causes issues, such as
health problems and failure to meet
responsibilities at work, school, or home. An SUD
can range from mild to severe, the most severe
form being addiction.
How is HEROIN addiction treated?
• A range of treatments including medicines and
behavioral therapies are effective in helping
people stop heroin use. It’s important to match
the best treatment approach to meet the
particular needs of each individual patient.
Signs of Use:
• Suppression of pain- stoppage or reduction of a
discharge or secretion of pain.
• Euphoria- a feeling or state of intense
excitement and happiness.
• Clouded mental functioning- To confuse the
mind or to affect the functions of the mind.
• Fatal overdose- taking too much heroin can lead
to being overdose that can cause death.
• Liver or kidney diseases- heroin can cause
illnesses to the liver and kidney.
• Abscesses (kabahong, hubag)- a swollen area
within body tissue, containing an accumulation
of pus.
• Lung complication- giving problems to the lungs
or making it complicated.
• Depressed respiratory rate- means that a
person’s rate and depth of breathing are lower
than normal. This results in low oxygen levels
and high carbon dioxide levels in the blood.
Symptoms include slow, shallow breathing, and
in severe cases, respiratory failure or death.
• Pinpoint pupils- a very small pupils.
Other Effects (Withdrawal Effects):
• Restlessness- not relaxed or calm; having little
or no rest or sleep.
• Insomnia- the condition of not being able to
sleep.
• Diarrhea- an illness that causes you to pass
waste from your body very frequently and in
liquid rather than solid form.
• Vomiting- the food, liquid, etc., that comes out
of your body through your mouth.
• Cold flashes- the cold appears suddenly or
quickly.
• Leg movements- involuntary movements of the
legs.
• Muscle and bone pains- pains in the muscle and
bones.
What is INHALANTS? • Injuries
• Delirium
• INHALANTS are a broad range of household and • Seizures
industrial chemicals whose volatile vapors or
• Pneumonia from inhaling vomit
pressurized gases can be concentrated and • Dependence
breathed in via the nose or mouth to produce • Brain damage
intoxication, in a manner not intended by the • Coma
manufacturer. • Abnormal heart rhythm
Some common INHALANTS include: • Sudden death
• Asphyxiation (if using a plastic
• Aerosol spray bag)
• Chrome-based paint
• Paint and paint thinner • Sniffing is always risky, but some
• Felt-tipped pens situations make it even more dangerous:
• Correction fluid (e.g. ‘liquid paper’) • Sniffing in an enclosed space or
• Gas from lighters or barbecues indoors
• Cleaning fluid • Running or doing other physical
• Glue activity after sniffing (could
• Petrol cause death due to cardiac
• Nitrous oxide sensitisation)
• Mixing sniffing with medicines
Street names of INHALANTS: or illegal drugs
• “Glue” • Sniffing when the person has
• “Kick” health problems.
• “Bang” Long-term effects of INHALANTS:
• “Sniff”
• “Huff” • Irritability and depression
• “Poppers” • Memory loss
• “Whippete” • Reduced attention span and ability to think
• “Texas Shoeshine” clearly
• Pimples around the mouth and lips
How they are used? • Pale appearance
• INHALANTS are breathed in through the nose or • Tremors
mouth. They may be sprayed into a plastic bag, • Weight loss
poured into a bottle or soaked onto a cloth or • Reduced growth potential (height)
sleeve before being inhaled. • Tiredness
• Excessive thirst
• Sometimes they are inhaled directly from the • Loss of sense of smell and hearing
container or are sprayed directly into the mouth • Problems with blood production, which may
or nose. This method is very dangerous because result in anemia, irregular heartbeat, heart
it can cause suffocation. muscle damage
• Chest pain and angina
Effects of INHALANTS:
• Indigestion and stomach ulcers
• “There is no safe level of drug use.” Use of any • Liver and kidney damage
drug always carries some risk. It’s important to • Needing to use more to get the same effect
be careful when taking any type of drug. • Dependence on inhalants
• Financial, work and social problems
• INHALANTS affect everyone differently, based
on: Signs of Use:

• Size, weight and health • Relaxation

• Whether the person is used to taking it • Slurred speech
• Whether other drugs are taken around • Euphoria
the same time • Hallucination
• The amount taken •
• The strength of the drug • Drowsiness
• Amount of fresh air breathed while • Dizziness
sniffing • Nausea
• Amount of physical activity before and • Vomiting
after sniffing • DEATH from heart failure or suffocating on
plastic bags
• Sniffing can cause
• Intoxication
• Nausea
• Headaches
What is MORPHINE? • Tetanus
• Infection
• A powerful narcotic agent that has strong • Vein damage
analgesic (pain relief) action and other
significant effects on the central nervous If sharing needles there is an increased risk of:
system. It is dangerously addicting.
• Morphine is a naturally occurring member of • Hepatitis B
a large chemical class of compounds called • Hepatitis C
alkaloids. • HIV and AIDS

Signs of Use: Effects of OPIUM:

• Nausea- is queasiness of the stomach, with a • “There is no safe level of drugs.” Use of any drug
sensation of the urge to vomit. always carries some risk. It’s important to be
careful when taking any type of drug.
• Drowsiness- refers to feeling abnormally sleepy
during the day. People who are drowsy may fall • The main effects of OPIUM are exerted by its
asleep in inappropriate situations or at collection of alkaloids collectively known as
inappropriate times. “opiates”. Opiates predominately affect the
functioning of the brain and spinal cord. The
• Involuntary leg movement levels and potency of alkaloids in opium can be
difficult to measure, as they vary between
• Euphoria- is defined as a feeling of well-being batches, area of growth and growing techniques.
and great happiness.
• The effects of OPIUM last for two-three hours,
What is OPIUM? though this is dependent on individual
• Depressant drug which means it slows down the characteristics of the batch. Tolerance to the
messages travelling between your brain and effects of opium increases quickly.
body. • Opium affects everyone differently, based on:
• Derived from the poppy (Papaver Somniferum), • The person’s size, weight and health
it was traditionally cultivated in the • Regularity of use
Mediterranean and Asia. • Whether other drugs are taken around
• The Opium Poppy is one of the oldest plants in the same time
recorded history with information dating back • The amount taken
5000 BCE. • The strength of the drug (which varies
between batches)
Slang names of OPIUM:
• Other effects:
• “Aunti”
• “Aunti Emma” • Euphoria
• “Big O” • Coma
• “O” • Unconsciousness
• “Black pill” Long-term effects of OPIUM:
• “Chandu”
• “Chinese Molasses” • Intense sadness
• “Dopium” • Irregular periods and difficulty having children
• “Dream Gun • Loss of sex drive
• “Fi-Do-Ne” • Constipation
• “Gee” • Damaged heart, lungs, liver and brain
• “Guma” • Damage veins, skin, heart and lung infections
• “Midnight oil” from injecting
• “Zero” • Needing to use more to get the same effect
• Dependence on other opioids
How is OPIUM used? • Financial, work or social problems
• Opium is commonly smoked, but can also be Signs of Use:
injected, swallowed or drunk.
• Constricted pupils
• Raw opium has a bitter taste due to the alkaloid • Droopy eyelids
levels. • Clammy or itchy skin
• Ingesting and injecting opium may increase the • Loss of appetite
chance of overdose. • Sniffles (hingos-hingos)
• Cough
• Some of the most common ways to take opium • Nausea
it in the form of a pill. • Lethargy (katulgon, hinayon)
If injecting drugs, there is an increased risk of: • Drowsiness (dukaon)