Medically Reviewed

Signs of Heroin Use in Teens

Last Updated: July 9, 2021

Gerardo Sison is a Florida-licensed pharmacist who has worked in clinical and research settings providing drug education to both healthcare professionals and patients.

Signs of Heroin Use in Teens Though the ingredients within heroin have been around for thousands of years, the specific chemistry of this drug was synthesized back in 1874.¹ And while it was originally believed to be a good alternative to morphine, medical professionals quickly found it to be even more addictive and is now illegal in the United States.

Since that time, heroin has become a recreational opioid often associated with drug abuse due to the high level of addiction and overdose issues reported every year.

Individuals between the age of 18-25 are reported as the most common users of heroin. And although the use of heroin by teens between the ages of 12 to 17 is at its lowest point since the year 1991, it is still a consistent problem.²

If you suspect your child may be using this harmful and dangerous drug, it’s important that you understand how to identify signs of heroin use in teens.

Physical Signs to Look For with Heroin Use

As with most other drugs, there are a few clear, defining physical reactions when taking heroin. They tend to stand out from a child’s usual appearance and overall image.

Though there are ways to take heroin orally, one of the most common ways to take the drug is intravenously with a syringe. Adolescents will often try to hide the entry points or track marks typically found in their forearms by wearing long-sleeve shirts or sweatbands at all times of the year.

Other visible signs of heroin use in teens include:

Constricted or small pupils regardless of lighting
Dry mouth
Quick, shallow breaths
Periods of hyper alertness followed by exhaustion

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Health & Behavioral Symptoms of Using Heroin

Teens with an addiction to heroin will begin to see a decline in their overall health, as well as changes in the way they act on a day-to-day basis. The most recognizable health effects are unexplained weight loss, a runny nose without a cold, infections at the needle entry points, and cuts or bruises from picking at their own skin.

You may also see an increase in deceptive and negative behavior from your teenager if they’re taking heroin. Noticeable issues may include:

Avoiding eye contact
Slurred speech
Poor performance in school
Borrowing or stealing money
Lack of motivation
Hostile reactions

Heroin Drug Paraphernalia to Watch For

If you suspect your teen may be using heroin The most obvious signs of heroin drug abuse come from the equipment needed to take the opioid. If you’re concerned your teen is doing this drug, keep an eye out for:

Needles or syringes
Spoons, aluminum foil, straws, or gum wrappers that have burn marks on them
Missing shoelaces, hoodie ties, or strings that may have been used to tie off their arm
Small plastic bags with a powder residue
Pipes

Next Steps if Your Teen is Using Heroin

If you find these signs of heroin use in your teen, it is recommended to get treatment help from addiction recovery services. Withdrawals from this drug can be painful and difficult, so having medical professionals nearby will be essential for monitoring and assisting with the process.

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1. The University of Arizona. Heroin Overview: Origin and History | Methoide.
2. National Institute on Drug Abuse. (2018). What is the scope of heroin use in the United States?

Last Updated on July 9, 2021

Gerardo Sison, PharmD