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Heroin, Fentanyl, & Prescription Opiate/Opioid Addiction Treatment

Opiate & Opioid detox is known to be one of the most dangerous drugs and one of the worst detox processes. It can be very painful. Our opioid detoxification lasts 3-9 days. The length of the detoxification will vary depending on the length of the addiction, and what type of narcotics are involved.

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Information About Heroin, Fentanyl, Prescription Opiates/Opioids & Addiction

Heroin

What Is It?

Heroin is a white or brown powder or a black, sticky goo. It can be mixed with water and injected with a needle. Heroin can also be smoked or snorted up the nose.Heroin causes a rush of good feelings just after it’s taken. But some people throw up or itch after taking it. For the next several hours you want to sleep, and your heart rate and breathing slow down. Then the drug wears off and you may feel a strong urge to take more.

Addiction Info

Signs of Heroin Use and Dependence

Heroin gives you a feeling of well-being and happiness. It also makes you feel like the world has slowed down, and all of life’s problems are suddenly okay. People on heroin might move and think slowly, fall asleep uncontrollably or even standing up, slur their words, and have dilated pupils (the black circle in the center of each eye gets very small).Heroin is extremely addictive. It is usually injected intravenously (shot up), snorted (taken nasally), or smoked using tin foil. These methods send the chemicals to the brain very quickly, and the user feels an instant rush of dopamine. Users of this drug will build up a tolerance over time, and will have to use an increased amount to feel the same effects.

Injection users of heroin will have what are called “track marks” or even bruises at the injection site where the needle entered, most commonly found on the arm in the crook of the elbow as its the easiest vein to access for most users, but you might see them anywhere on the body.

When the user stops taking heroin or runs out, within 6-24 hours they will start feeling withdrawal symptoms that make the user extremely sick. 

Frequently Asked Questions

Slang or Street Names for Heroin
  • Smack
  • H
  • Dog Food
  • Horse 
  • Dope
  • Black Tar or just “Tar”
  • China
  • White
  • Brown
  • Chasing the Dragon
  • Roofing Tar
  • Gear
How long does heroin detox last?

Heroin detox can last anywhere from 5-14 days. Length varies based on frequency of use and how long the use has lasted.

What is precipitated withdrawal? Is it a risk?

Precipitated withdrawal (percips) is what happens when an neurological opiate binder, such as buprenorphine/naloxone (Suboxone), is used too soon after the use of an opiate/opioid or alcohol. Depending on whether or not the substance used is natural or synthetic will change the amount of time required to wait before beginning MAT.

Percips often occur when an individual is dishonest about the last time they took an opiate/opioid or alcohol. When this happens, the MAT medication aggressively yanks the chemical binders of the substance off of the opiate receptors in the brain. This causes extreme detox symptoms and discomfort. Precipitated withdrawal is likened to a concentrated detox session that lasts roughly a quarter of the length that a normal detox would last. It is exceedingly uncomfortable and nearly impossible to withstand and often results in the individual leaving treatment against medical advice (AMA) so they can immediately relapse in order to stop the pain and symptoms.

People who are trying to quit taking heroin may experience:
  • Pain in muscles and bones
  • Restless legs and urge to stretch
  • Nausea and vomitting
  • Chills and cold sweats or hot flashes
  • Anxiety or panic attacks
  • Depression and possible suicidal thoughts
  • Diarrhea or constipation
  • Abdominal cramps
  • Frequent yawning and watering eyes
  • Sneeze attacks and runny nose
  • Irregular low or high blood pressure
  • Possible heart pulpations
  • Insomnia or prolonged sleeping spells
  • Night terrors or strange dreams
  • Obsessive thoughts and cravings
  • Increased sexual appetite
  • Cravings for sugar and/or caffeine
Prescription Opiates & Opioids

What Is It?

Pain medicines relieve pain from surgery or injuries. You need a doctor’s note (called a prescription) to buy some strong kinds of these medicines. Prescription pain medicines are legal and helpful to use when a doctor orders them to treat your medical problem.

But people sometimes take these without a doctor’s prescription to get high or to try to treat themselves or their friends. Drug dealers sell these pills just like they sell heroin or cocaine. Some people borrow or steal these pills from other people.Some people think that prescription pain medicines are safer to use than “street” drugs because they are medicines. Prescription pain medicine abuse can be as dangerous as heroin or cocaine use.

Oxycodone is one pain medicine that people often abuse. Sometimes it goes by the brand names OxyContin or Percocet. Another one that is often abused is hydrocodone. One of its brand names is Vicodin.

Pain medicines are usually white, round, or oval pills. They can be taken whole, smoked, or crushed into a powder that is snorted or injected.

Addiction Info

Signs of Prescription Opiates & Opioids Use and Dependence

Like heroin, pain pills can cause a rush of good feeling when they’re first taken, but they can also make you want to throw up. They can make you very sleepy. And you can get addicted to them quickly.

Pain medicine abuse can make you throw up. Pain medicine abuse makes the pupils (the black circle in the center of each eye) get very small. Pain medicine abuse can cause constipation (trouble having a bowel movement).

When people smoke, snort, or inject pain medicines, they get a stronger reaction than they would if they swallowed the pills. The high might be stronger but it's even more dangerous and can cause problems breathing. People who get addicted to pain medicine need to take more and more of the drug to get the same high.

People who are addicted to pain-medicine might steal pills from a loved one, get them from a friend, or buy them from a dealer. Some people might even visit different doctors for prescriptions and fill them at different pharmacies.

When the user stops taking heroin or runs out, within 6-24 hours they will start feeling withdrawal symptoms that make the user extremely sick. An inevitable urge will absorb their mind and force them to believe they need the drug. This happens even if they are begging themselves to not take it again. 

People who are trying to quit taking Prescription Opiates & Opioids may experience:
  • Pain in muscles and bones
  • Restless legs and urge to stretch
  • Nausea and vomitting
  • Chills and cold sweats or hot flashes
  • Anxiety or panic attacks
  • Depression and possible suicidal thoughts
  • Diarrhea or constipation
  • Abdominal cramps
  • Frequent yawning and watering eyes
  • Sneeze attacks and runny nose
  • Irregular low or high blood pressure
  • Possible heart pulpations
  • Insomnia or prolonged sleeping spells
  • Night terrors or strange dreams
  • Obsessive thoughts and cravings
  • Increased sexual appetite
  • Cravings for sugar and/or caffeine
Effects of Heroin, Fentanyl, & Prescription Opiate & Opioid Abuse on Brains and Bodies


Overdose
Signs of a pain medicine overdose are cold and sweaty skin, confusion, shaking, extreme sleepiness, trouble breathing, and coma.

Death

Many people die from pain medicine overdoses. In fact, more people overdose from pain medicines every year than from heroin and cocaine combined.

Coma

Pain medicine abuse can put you in a coma. That’s when nothing can wake you up.

Addiction

Prescription pain medicines can be as addictive as heroin—especially if they are smoked or injected. Then, even if you get treatment, it’s hard to stay away from the drug. Fortunately, there are medicines that can help someone recover from prescription pain medicine addiction.

How long after last opiate/opioid use can Medication Assissted Therapy (Suboxone) be started? 

Medication Assisted Therapy (Suboxone) can be started 24-48 hours after last use and greatly reduces withdrawal symptoms. Other support medications can be used to reduce symptoms in the first 24-48 hours until you can begin Medication Assisted Therapy (MAT).
*** If MAT is administered before 24 hours from last use of an opiate, there is a high risk of precipitated withdrawal. It is imperative for the individual to be HONEST when discussing time of last use of an opiate with a professional. ***

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