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"Underage drinking presents an enormous public health issue. Alcohol is the drug of choice among children and adolescents. Annually, about 5,000 youth under age 21 die from motor vehicle crashes, other unintentional injuries, and homicides and suicides that involve underage drinking."

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TEEN HEROIN ABUSE OVERVIEW

OTHER NAMES FOR HEROIN:

Some common names for Heroin are: Al Capone, Antifreeze, Aries, Aunt Hazel, Bart Simpson, Big doodig, Big H,Big Harry, Blue star, Bombs away, Brain damage, Brown crystal, Brown rhine, Brown sugar, Brown tape, Bull dog, Capital H, Choco-fan, Dead on arrival, Dead president, Deck, Diesel, Dog food, Dogie,Doogie/doojee/dugie, Dooley, Doosey, Dr. Feelgood, Dreck, Duji, Dujra, Dujre, Dyno, Dyno-pure, Ferry dust, Galloping horse, Gallup, Golden girl, Golpe, Good and plenty, Good H, Good Horse, H Caps, Hairy, Hard candy, Hard stuff , Heaven, Heaven dust, Hell dust, Hero, Horse, Horsebite, Hospital heroin,Hot dope, Hot heroin, Jerry Springer, Jive doo jee, Jolly pop, Joy, Joy flakes, Joy powder, Junk, Lady, LBJ, Lemonade, Little bomb, Little boy, Load, Love boat, Mac, Mayo, Money talks, Monkey, Mortal combat, Mud, New Jack Swing, Nice and easy, Nickel bag, Nickel deck, Noise, Nose drops, Old garbage, Old navy, Old Steve, Orange line, Perfect High, Poppy, Predator, Pure
Rambo, Raw hide, Rush hour, Second to none, Shoot, Silk, Spider, Sweet Jesus,The beast,The witch,Thunder,Tootsie roll, Train,Twin towers, White junk,White nurse, Wicked, Witch hazel

Heroin is an opiate drug that is synthesized from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. Heroin is an addictive drug that can be injected, snorted, or smoked. Heroin usually appears as a white or brown powder or as a black sticky substance, known as “black tar heroin.”

Short-term effects of heroin include a surge of euphoria and clouded thinking followed by alternately wakeful and drowsy states. Heroin depresses breathing, thus, overdose can be fatal. Users who inject the drug risk infectious diseases such as HIV/AIDS and hepatitis.

How Does Heroin Affect the Brain?
Heroin enters the brain, where it is converted to morphine and binds to receptors known as opioid receptors. These receptors are located in many areas of the brain (and in the body), especially those involved in the perception of pain and in reward. Opioid receptors are also located in the brain stem—important for automatic processes critical for life, such as breathing (respiration), blood pressure, and arousal. Heroin overdoses frequently involve a suppression of respiration.

After an intravenous injection of heroin, users report feeling a surge of euphoria (“rush”) accompanied by dry mouth, a warm flushing of the skin, heaviness of the extremities, and clouded mental functioning. Following this initial euphoria, the user goes “on the nod,” an alternately wakeful and drowsy state. Users who do not inject the drug may not experience the initial rush, but other effects are the same.

With regular heroin use, tolerance develops, in which the user’s physiological (and psychological) response to the drug decreases, and more heroin is needed to achieve the same intensity of effect. Heroin users are at high risk for addiction—it is estimated that about 23 percent of individuals who use heroin become dependent on it.

What Other Adverse Effects Does Heroin Have on Health?
Heroin abuse is associated with serious health conditions, including fatal overdose, spontaneous abortion, and—particularly in users who inject the drug—infectious diseases, including HIV/AIDS and hepatitis. Chronic users may develop collapsed veins, infection of the heart lining and valves, abscesses, and liver or kidney disease. Pulmonary complications, including various types of pneumonia, may result from the poor health of the abuser as well as from heroin’s depressing effects on respiration. In addition to the effects of the drug itself, street heroin often contains toxic contaminants or additives that can clog the blood vessels leading to the lungs, liver, kidneys, or brain, causing permanent damage to vital organs.

Chronic use of heroin leads to physical dependence, a state in which the body has adapted to the presence of the drug. If a dependent user reduces or stops use of the drug abruptly, he or she may experience severe symptoms of withdrawal. These symptoms—which can begin as early as a few hours after the last drug administration—can include restlessness, muscle and bone pain, insomnia, diarrhea and vomiting, cold flashes with goose bumps (“cold turkey”), and kicking movements (“kicking the habit”). Users also experience severe craving for the drug during withdrawal, which can precipitate continued abuse and/or relapse. Major withdrawal symptoms peak between 48 and 72 hours after the last dose of the drug and typically subside after about 1 week. Some individuals, however, may show persistent withdrawal symptoms for months. Although heroin withdrawal is considered less dangerous than alcohol or barbiturate withdrawal, sudden withdrawal by heavily dependent users who are in poor health is occasionally fatal. In addition, heroin craving can persist years after drug cessation, particularly upon exposure to triggers such as stress or people, places, and things associated with drug use.

Heroin abuse during pregnancy, together with related factors like poor nutrition and inadequate prenatal care, has been associated with adverse consequences including low birthweight, an important risk factor for later developmental delay. If the mother is regularly abusing the drug, the infant may be born physically dependent on heroin and could suffer from serious medical complications requiring hospitalization.

What Treatment Options Exist?
A range of treatments exist for heroin addiction, including medications and behavioral therapies. Science has taught us that when medication treatment is combined with other supportive services, patients are often able to stop using heroin (or other opiates) and return to stable and productive lives.

Treatment usually begins with medically assisted detoxification to help patients withdraw from the drug safely. Medications such as clonidine and, now, buprenorphine can be used to help minimize symptoms of withdrawal. However, detoxification alone is not treatment and has not been shown to be effective in preventing relapse—it is merely the first step.

Information contained above is courtesy of The National Institute of Drug Abuse (NIDA) for more information please visit: http://www.nida.nih.gov

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