Heroin: And Other Poems

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Oregon becomes first US state to decriminalize possession of hard drugs". The Guardian. 4 November 2020. The last poem is about courage in the face of the hardest battle of your life. How brave are you? I’m betting that you have the same inner resolve to stop abusing drugs as this determined author. You just have to find it. Let the following poem about unrelenting guts and drive to stop abusing drugs inspire you to make a positive change in your life today. You don’t have to be an addict, but you will have to work hard at it everyday. Poisons Standard October 2015 "Poisons Standard October 2015". Commonwealth of Australia. Archived from the original on 19 January 2016 . Retrieved 6 January 2016. Injection, also known as "slamming", "banging", "shooting up", "digging" or "mainlining", is a popular method which carries relatively greater risks than other methods of administration. Heroin base (commonly found in Europe), when prepared for injection, will only dissolve in water when mixed with an acid (most commonly citric acid powder or lemon juice) and heated. Heroin in the east-coast United States is most commonly found in the hydrochloride salt form, requiring just water (and no heat) to dissolve. [ citation needed] Users tend to initially inject in the easily accessible arm veins, but as these veins collapse over time, users resort to more dangerous areas of the body, such as the femoral vein in the groin. Some medical professionals have expressed concern over this route of administration, as they suspect that it can lead to deep vein thrombosis. [54] Yellow List: List of Narcotic Drugs Under International Control" (PDF). International Narcotics Control Board. December 2004. Archived from the original (PDF) on 10 May 2012 . Retrieved 5 May 2006. Referring URL = "Yellow List". Archived from the original on 21 June 2006 . Retrieved 21 June 2006.

Dettmeyer RB, Preuss J, Wollersen H, Madea B (January 2005). "Heroin-associated nephropathy". Expert Opinion on Drug Safety. 4 (1): 19–28. doi: 10.1517/14740338.4.1.19. PMID 15709895. S2CID 11646280. a b "Clinical Policy for the Use of Intranasal Diamorphine for Analgesia in Children Attending the Paediatric Emergency Department, SASH" (PDF). Archived (PDF) from the original on 11 January 2020 . Retrieved 9 January 2020. a b c d e f g "Heroin". Drugs.com. 18 May 2014. Archived from the original on 19 October 2016 . Retrieved 19 October 2016.

Hampton WH, Hanik I, Olson IR (2019). "[Substance Abuse and White Matter: Findings, Limitations, and Future of Diffusion Tensor Imaging Research]". Drug and Alcohol Dependence. 197 (4): 288–298. doi: 10.1016/j.drugalcdep.2019.02.005. PMC 6440853. PMID 30875650. Schlager N, Lauer J (2001). Science and Its Times: Understanding the Social Significance of Scientific Discovery. Detroit: Gale Group. pp. 360. ISBN 078763932X. OCLC 43836551. Samantha Reynoldspublished in 2000 the poem "Ms. Crystal Meth", but it works well with the heroine epidemic! If you have been taking heroin regularly you may have built up some tolerance. However, if you then stop taking heroin for just for a few days, your tolerance will rapidly drop and you risk an overdose if you simply take the same dose you previously took.

Repeated heroin use changes the physical structure and physiology of the brain, creating long-term imbalances in neuronal and hormonal systems that are not easily reversed. Studies have shown some deterioration of the brain's white matter due to heroin use, [63] which may affect decision-making abilities, the ability to regulate behavior, and responses to stressful situations. Heroin also produces profound degrees of tolerance and physical dependence. Tolerance occurs when more and more of the drug is required to achieve the same effects. With physical dependence, the body adapts to the presence of the drug, and withdrawal symptoms occur if use is reduced abruptly. [61] Injection Lyman MD (2013). Drugs in Society: Causes, Concepts, and Control. Routledge. p.45. ISBN 9780124071674. Archived from the original on 10 September 2017.Edwards J (17 November 2011). "Yes, Bayer Promoted Heroin for Children – Here Are The Ads That Prove It". Business Insider. Archived from the original on 1 May 2015. Common side effects include respiratory depression (decreased breathing), dry mouth, drowsiness, impaired mental function, constipation, and addiction. [12] Use by injection can also result in abscesses, infected heart valves, blood-borne infections, and pneumonia. [12] After a history of long-term use, opioid withdrawal symptoms can begin within hours of the last use. [12] When given by injection into a vein, heroin has two to three times the effect of a similar dose of morphine. [3] It typically appears in the form of a white or brown powder. [12]

University at Buffalo Research Institute on Addictions: "RIA Reaching Out to Others: The Growing Peril of Heroin." Both morphine and 6-MAM are μ-opioid agonists that bind to receptors present throughout the brain, spinal cord, and gut of all mammals. The μ-opioid receptor also binds endogenous opioid peptides such as β-endorphin, leu-enkephalin, and met-enkephalin. Repeated use of heroin results in a number of physiological changes, including an increase in the production of μ-opioid receptors (upregulation). [81] These physiological alterations lead to tolerance and dependence, so that stopping heroin use results in uncomfortable symptoms including pain, anxiety, muscle spasms, and insomnia called the opioid withdrawal syndrome. Depending on usage it has an onset 4–24hours after the last dose of heroin. Morphine also binds to δ- and κ-opioid receptors. When people overdose on heroin, their breathing often slows or stops. This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia. Hypoxia can have short- and long-term mental effects and effects on the nervous system, including coma and permanent brain damage. How can a heroin overdose be treated? It’s very easy to overdose from heroin, which kills far more people in the UK than any other illegal drug. Papich MG (2016). "Codeine". Saunders Handbook of Veterinary Drugs (Fourthed.). W.B. Saunders. pp.183–184. doi: 10.1016/B978-0-323-24485-5.00175-3. ISBN 9780323244855.a b "Office of National Drug Control Policy (ONDCP): Heroin Facts & Figures". Whitehousedrugpolicy.gov. Archived from the original on 6 August 2011 . Retrieved 20 July 2012. Since January 2009, Denmark has prescribed diamorphine to a few addicts who have tried methadone and buprenorphine without success. [42] Beginning in February 2010, addicts in Copenhagen and Odense became eligible to receive free diamorphine. Later in 2010, other cities including Århus and Esbjerg joined the scheme. It was estimated that around 230 addicts would be able to receive free diamorphine. [43] Klous MG, Van den Brink W, Van Ree JM, Beijnen JH (December 2005). "Development of pharmaceutical heroin preparations for medical co-prescription to opioid dependent patients". Drug and Alcohol Dependence. 80 (3): 283–95. doi: 10.1016/j.drugalcdep.2005.04.008. PMID 15916865. Friedrichsdorf SJ, Postier A (2014). "Management of breakthrough pain in children with cancer". Journal of Pain Research. 7: 117–23. doi: 10.2147/JPR.S58862. PMC 3953108. PMID 24639603.

https://harmreduction.org/wp-content/uploads/2020/08/Resource-SaferDruguse-GettingOffRightASafetyManualforInjectionDrugUsers.pdf Your medical team can help you find the treatment plan that works best for you. It will probably include medication and behavioral therapy. Experts say this medication-assisted treatment (MAT) is the “gold standard” of care for people who have heroin addiction.Heroin is used in lots of ways. Injection is one of the most common methods, but you have to dissolve the product before drawing it up into a syringe. Depending on the type of heroin, you may need to heat it to dissolve it. a b c d e f g h i "DrugFacts—Heroin". National Institute on Drug Abuse. October 2014. Archived from the original on 19 October 2016 . Retrieved 19 October 2016. Unlike hydromorphone and oxymorphone, however, administered intravenously, heroin creates a larger histamine release, similar to morphine, resulting in the feeling of a greater subjective "body high" to some, but also instances of pruritus (itching) when they first start using. [78] [79]