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Heroin can be ingested in many ways, although some methods cause the drug to affect the brain and body more rapidly than others. In its purest form, heroin is a white powder that may look like cocaine or pure amphetamines. Other varieties include a brownish powder and a black tar-like substance; color and texture changes indicate the introduction of impurities or additives.
Once drugs like heroin have impurities or additives in them, they need some special preparation methods to be effective. The more a drug requires preparation – through heat or dissolving in liquid, for example – the more paraphernalia will be associated with using the drug. The most common methods for using heroin include:
- Injecting it into a vein or muscle
- Smoking it
- Snorting it
Different paraphernalia is associated with these different methods of ingestion.
Paraphernalia Used to Prepare and Ingest Heroin
- Injection: People who inject heroin into a vein or a muscle get the most immediate effect of the drug because it directly enters the bloodstream and rapidly travels to the brain. People who inject heroin experience effects from the drug within five minutes. However, injection requires the most paraphernalia since is the most complicated preparation. Items used to prepare and inject heroin include:
- Hypodermic needle: used to inject the liquefied drug into a vein or sometimes a muscle
- Cotton balls: to strain the liquid drug and pull out chunks of impurities that did not melt
- Spoons or bottle caps: vessels to “cook” the drug, or turn tar, solidified, or powdered heroin into a liquid for injection
- Tie-off: often a shoelace, piece of rubber hose, or string that ties off a limb – usually an arm – and change blood flow to make veins pop out
- Lighter or candle: the heat source used to melt heroin into a liquid
- Smoking: Powdered heroin is sometimes smoked. Paraphernalia associated with smoking heroin include:
- Aluminum foil: a surface used to contain the drug while it is smoked
- Lighter or candle: a heat source placed under the aluminum foil, which causes the drug to liquefy and emit steam or smoke
- Straw: used to inhale the smoke and steam as it wafts off the heroin on the aluminum foil
- Cigarette, rolling papers, or pipe: when heroin is rolled into a cigarette or placed in a pipe to be smoked
- Snorting: Powdered heroin can be snorted, especially if it is close to pure, to produce a strong euphoric effect. There is little paraphernalia or ritual around snorting heroin unlike with other drugs like cocaine. However, a person who snorts heroin is still likely to use a straw, rolled bill or paper, or another small tube to guide the powdered heroin into their nostrils. One instance of heroin snorting, which led to overdose, involved tampon inserts.
Heroin Paraphernalia Can Be Dangerous
Heroin abuse is highly correlated with hepatitis C, a type of viral hepatitis. The disease can be transmitted through other paraphernalia besides needles, including pipes and straws, because the disease can be spread through mucous membrane secretions and blood exchange.
When a person enters a rehabilitation program, they undergo therapy to overcome their addiction. Many triggers can lead to a relapse of substance abuse, and a common trigger is drug paraphernalia. If a person owns heroin paraphernalia, such as a specific spoon used to cook the drug, injection needles, or a pipe, it is important to get rid of these items in order to avoid being triggered to use the drug again. Disposing of these items may be dangerous, so consult a social worker or therapist in a rehabilitation program about the safest methods of disposal.