Signs of Heroin Use & Addiction: Physical & Behavioral Signs

3 min read · 8 sections

What Does the Life of A Heroin Addict Look Like?

For a person with a heroin addiction, life revolves around use of the drug. A person like this might become secretive, concerned about money, and willing to skip work and family obligations in order to get drugs. Physical signs include track marks, frequent sedation, clouded thinking, and flu-like symptoms between drug doses.

There is a high addiction potential associated with heroin. For this reason, it can be a very slippery slope between use, abuse, and addiction. At the outset, however, it is important to understand the important distinction between physical dependence and addiction to heroin. After a sufficient period of regular use, a person will become physically dependent on heroin. Physical dependence on heroin develops when, over time, a person requires a greater amount of this opiate to experience the desired pleasurable effects.

Withdrawal is an additional hallmark of physical dependence. When a person ceases to use heroin or significantly reduces the familiar amount, uncomfortable symptoms can set in.

signs of heroin useThe withdrawal symptoms associated with heroin can be so painful that some users will want to quit heroin but then continue to use it just to avoid those symptoms. There is no absolute timeline to follow as the onset of physical dependence depends on numerous factors, including the person’s physiology and the amount of heroin consumed over time. A person who becomes dependent on heroin is 6-20 times more likely to die compared to a person in the general population.

If you or someone you love is struggling with addiction, get in contact with us by filling in our online insurance verification form below. Let us remove the confusion and difficulty of verifying your insurance coverage for treatment. We have years of experience in the addiction space and contracts with many of the big name insurance providers. By providing your name, contact information, and insurance provider, we can communicate directly with your insurance provider to find out if you are in-network with our facilities, the length of stay covered, and more without the hassle of having you contact them directly. All information is confidential and there is no obligation to enter treatment.

Physical and Psychological Signs of Heroin Addiction

The physical and psychological signs of heroin addiction are synonymous with its side effects. There are different types of side effects related to heroin use, including common side effects, severe (atypical) side effects, and overdose symptoms.

Short-Term Side Effects of Heroin

According to the National Institute on Drug Abuse, the following are some of the common short-term side effects that may occur after heroin use:

  • An initial euphoric rush
  • Nausea and vomiting
  • Flushed skin
  • Severe itching
  • Slowed heart rate (after initial rush)
  • Drowsiness for hours
  • Heaviness of limbs
  • Clouded thinking

Atypical Side Effects of Heroin

Some users may experience an atypical reaction to heroin. The possible reactions have mainly been discovered through a review of hospital reports. In some cases, the reaction was persistent, lasting until the next day and sometimes even longer. It is possible that the heroin in these cases had been adulterated; heroin distributers may add in other chemicals that can be poisonous and result in a release of a “bad batch” into a community. It is important to understand the possibility of consuming adulterated heroin, which can lead to a more severe presentation of side effects. According to the Centers for Disease Control and Prevention, the following symptoms represent possible atypical reactions to heroin:

  • Palpitations
  • Anxiety
  • Shortness of breath
  • Tremors
  • Headache
  • Chest pain

Heroin Overdose Signs

A severe reaction to heroin use will require medical attention, as will a heroin overdose. Toxicity levels of heroin may be related to the purity of the heroin or the presence of poisonous additions. Whether due to toxicity or purity, the following are common signs associated with a heroin overdose:

  • Bluish lips and/or nails
  • Disorientation
  • Shallow breathing or difficulty breathing
  • Delirium
  • Pinpoint pupils
  • Muscle spasticity
  • Low blood pressure
  • Drowsiness
  • Weak pulse
  • Coma

Heroin Withdrawal Symptoms

Withdrawal can occur as a sign of physical dependence in regular heroin users or, in some cases, after a binge or a period of heavy use. Although there is no set timeline, heroin withdrawal symptoms will typically begin 6-12 hours after heroin was last used, then peak within 1-2 days, and usually subside over the course of 5-7 days. In some instances, individuals may not realize that someone they care about has been using heroin. However, if they have knowledge that withdrawal symptoms are present, they will often become aware of the extent of the heroin use problem. The following are some of the more common withdrawal symptoms related to heroin:

  • Bad mood or dysphoria
  • Insomnia
  • Depressed feelings
  • Yawning
  • Drug cravings
  • Body aches (particularly in the back and legs)
  • Anxiety
  • Diarrhea
  • Irritability
  • Runny nose
  • Restlessness
  • Nausea and vomiting

It is not accurate or helpful to say that heroin use can be obvious, but this particular drug is associated with numerous side effects that a person in good health will not display. Initially, a concerned person may be able to dismiss the signs as the flu or a bad mood. However, with ongoing heroin use, the side effects will persist.
Even a single dose of heroin can be fatal in some cases, and continuous use is effectively a dangerous game of chance. The physical side effects of heroin use should never be ignored, as the presence of these symptoms provides a solid indication that there is a need for recovery treatment services.

Behavioral Signs of Heroin Addiction

When heroin use becomes a priority, a person’s entire universe shifts to revolve around this drug. For this reason, there are bound to be observable changes in the person’s life. Often, despite the many problems heroin use causes, a person who is in the grip of addiction will continue to prioritize the drug over important obligations and relationships. The following are some typical behavioral signs related to heroin abuse that can alert concerned individuals that there is a need for treatment:

  • Presence of drug paraphernalia
  • Changes in behavior
  • Use of street slang related to heroin
  • Missing valuables or money
  • “Track marks” on the body
  • Legal troubles
  • Lying and secretiveness
  • Chipping (intermittent heroin use)

There are numerous ways that people who abuse heroin will change their behavior. Mood changes include erratic and/or aggressive behavior, depression, and withdrawal from friends and social events. New friends may emerge—ones who may show the physical signs of heroin abuse (including track marks) as well as a tendency to use street slang associated with heroin use.

There are numerous nicknames for heroin, including junk, smack, dope, H, black tar, and white. The use of heroin is sometimes referred to as skin-popping (injecting), chasing the dragon (trying to get a heroin high), and speed-balling (using a combination of heroin and cocaine).
Heroin users tend to interact with other heroin users or illicit drug users.

The cost of heroin abuse tends to rise as the ability to pay for this drug tends to decrease (as, for example, the heroin user is unable to work). As a result, individuals who are addicted to heroin may turn to stealing from others, drug dealing, or other activities that expose them to legal troubles. Individuals who are around those who abuse heroin may notice items of value go missing. The person abusing heroin may apologize or deny the theft or other illegal activities as a way of protecting the heroin use. Although theft is a legal matter, family member and friends who are victims of heroin-involved theft often will not contact authorities. During an intervention, a family member or friend could use the theft as an example of why rehab is necessary.

Heroin and Its Paraphernalia

At the outset, it is important to know what heroin looks like. Heroin, in pure form, is a fine white powder. When heroin gets to the level of street sales, it is usually black, rose gray, or brown (due to chemicals that have been added).There are different ways to use heroin, including by injection, smoking, or sniffing. The type of paraphernalia associated with heroin depends on the way it is used. Paraphernalia can include the containers used to carry the heroin as well as the implements involved in its use. Examples of heroin paraphernalia include baggies, balloons, glass or metal pipes, aluminum foil, and/or syringes.

Heroin Addiction Treatment & Rehab

The physical and behavioral signs of heroin addiction can motivate concerned individuals to stage an intervention or find another effective way to lead the addicted person to a rehab program.

In some cases, legal troubles can lead to rehab as an alternative to a prison sentence or as a condition of probation post-incarceration. Regardless of the path to rehab, there is an exceptional need for recovery services when heroin abuse is concerned.

Take Our Substance Abuse Self-Assessment

Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

Need more info?
Take the first step towards recovery.
Make the process simple. Ensure your benefits cover treatment.
Explore American Addiction Centers locations nationwide.
View Our Treatment Centers