Emergency helpSomeone may be having a bad reaction →

Substance education

Heroin.

Unpredictable strength and overdose risk; effective treatment is available.

Also known as Black tar, H, Smack. A name does not verify contents.

What it is

Heroin is an opioid that can cause nausea, itching, drowsiness and slowed breathing. Strength and added substances are unpredictable.

Sources & review notes
  1. Heroin
    NIH / MedlinePlus · Accessed 2026-09-26 · Effects, dependence, overdose and treatment

Major risks

Overdose can deprive the brain of oxygen. Other depressants increase risk. Illegally made fentanyl can be present.

Sources & review notes
  1. Fentanyl
    CDC · Published/updated 2025-06-09 · Accessed 2026-09-26 · Illicit fentanyl, contamination and testing limits
  2. Heroin
    NIH / MedlinePlus · Accessed 2026-09-26 · Effects, dependence, overdose and treatment

Dependence & health

Repeated use can cause dependence and addiction. Injection adds infection risks. Treatment may combine medication and behavioral support.

Sources & review notes
  1. Heroin
    NIH / MedlinePlus · Accessed 2026-09-26 · Effects, dependence, overdose and treatment

Reduced alertness

Repeatedly drifting out of consciousness needs assessment, not an assumption that someone is tired after an event.

Sources & review notes
  1. Heroin
    NIH / MedlinePlus · Accessed 2026-09-26 · Effects, dependence, overdose and treatment

Warning signs

Unresponsiveness or abnormal breathing is an emergency. Use available naloxone and follow emergency guidance.

Sources & review notes
  1. 5 Things to Know About Naloxone
    CDC · Published/updated 2024-05-02 · Accessed 2026-09-26 · Recognition, response, repeat doses and access
  2. Heroin
    NIH / MedlinePlus · Accessed 2026-09-26 · Effects, dependence, overdose and treatment

Interaction records

No published pair records are available for this substance. Missing information does not mean a combination is safe.

Open the interaction checker →

This resource provides general education, not medical advice or personal clearance to use a substance. No drug or combination is risk-free. For an emergency, call 911.