How quickly the heroin enters the brain determines the intensity of the “rush.” When heroin is injected it causes a much quicker reaction than if it is smoked. If it is smoked, the reaction is quicker than if it is snorted. But, no matter how it is administered it enters the brain very rapidly and this is one reason heroin is so addictive.

Other Short-Term Effects

Other than the euphoric rush, users usually experience dry mouth, a warm flushing of the skin, and their extremities begin to feel heavy. Sometimes users can experience nausea, vomiting, and severe itching. After the initial, short-term effects of the drug, users can feel drowsy for several hours, due to heroin’s effect on the central nervous system. During this period cardiac function and breathing can slow down. In the case of a heroin overdose, breathing can slow to the point of being life-threatening.

Street Heroin Is Not Always Pure

Because heroin is often mixed with other substances before it is sold on the street level, the short-term effects that users experience can depend on many factors, including how much the drug was “cut” and what substance was used. Heroin is often mixed with substances like baby powder or baking soda, which results in reducing the potency of the drug. However, sometimes it is mixed with other substances that can increase the effects of the drug.

Side Effects Can Be Deadly

In recent years, healthcare officials have reported an increase in incidents in which heroin was mixed with the powerful painkiller fentanyl, a synthetic opioid that is much more powerful than pure heroin. The results were a significant increase in overdose deaths across the United States. Users who are used to using heroin that has been highly diluted by mixing it with baking soda, who unexpectedly use heroin that has not been cut—or that which has been mixed with other drugs—can accidentally overdose.

Symptoms of a Heroin Overdose

Taking too much heroin, accidentally or intentionally, can cause an overdose that can affect the airways, lungs, eyes, ears, nose, throat, heart, blood, skin, stomach, intestines, and the nervous system. Here are symptoms of a heroin overdose:

No breathing Shallow breathing Slow and difficult breathing Dry mouth Extremely small pupils Discolored tongue Low blood pressure Weak pulse Bluish-colored nails and lips Spasms of the stomach and intestines Coma Delirium Disorientation Drowsiness Uncontrolled muscle movements

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