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NIDA Research Report



Heroin Abuse and Addiction

From the Director

Heroin is a highly addictive drug, and its abuse has repercussions that extend far beyond the individual user. The medical and social consequences of drug abuse - HIV/AIDS, tuberculosis, fetal effects, crime, violence, and disruptions in family, workplace, and educational environments - have a devastating impact on society and cost billions of dollars each year.

Although heroin abuse has trended downward during the past several years, its prevalence is still higher than in the early 1990s. These relatively high rates of abuse, especially among school-age youth, and the glamorization of heroin in music and films make it imperative that the public has the latest scientific information on this topic. Heroin also is increasing in purity and decreasing in price, which makes it an attractive option for young people.

Like many other chronic diseases, addiction can be treated. Fortunately, the availability of treatments to manage opiate addiction and the promise from research of new and effective behavioral and pharmacological therapies provides hope for individuals who suffer from addiction and for those around them. For example, buprenorphine, approved by the Food and Drug Administration (FDA) in 2002, provides a less addictive alternative to methadone maintenance, reduces cravings with only mild withdrawal symptoms, and can be prescribed in the privacy of a doctor's office.

The National Institute on Drug Abuse (NIDA) has developed this publication to provide an overview of the state of heroin abuse and addiction. We hope this compilation of scientific information on heroin will help to inform readers about the harmful effects of heroin abuse and addiction as well as assist in prevention and treatment efforts.

Nora D.Volkow, M.D.
Director
National Institute on Drug Abuse

 

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All materials appearing in the Research Reports Series are in the public domain and may be reproduced without permission from NIDA. Citation of the source is appreciated.

To obtain printed copies of this report, please call or write the National Clearinghouse on Alcohol and Drug Information, P.O. Box 2345, Rockville, MD 20852, 1-800-729-6686. NIDA Research Report - Heroin Abuse and Addiction: NIH Publication No. 05-4165, Printed October 1997, Reprinted September, 2000, Revised May 2005. 2202119times since 10/15/97.


Index

Letter from the Director

What is heroin?

What is the scope of heroin use in the United States?

How is heroin used?

What are the immediate (short-term) effects of heroin use?

What are the long-term effects of heroin use?

What are the medical complications of chronic heroin use?

How does heroin abuse affect pregnant women?

Why are heroin users at special risk for contracting HIV/AIDS and hepatitis B and C?

What are the treatments for heroin addiction?

What are the opioid analogs and their dangers?

Where can I get further scientific information about heroin abuse and addiction?

Glossary and References

 

Heroin Abuse and Addiction Research Report Cover



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