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Research Report Series - Heroin Abuse and Addiction



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


To learn more about heroin and other drugs of abuse, contact the National Clearinghouse for Alcohol and Drug Information (NCADI) at 1-800-729-6686. Information specialists are available to help you locate information and resources. Fact sheets, including InfoFacts, on the health effects of heroin, other drugs of abuse, and other drug abuse topics are available on the NIDA Web site (www.drugabuse.gov), and can be ordered free of charge in English and Spanish from NCADI at ncadi.samhsa.gov.


Glossary


Addiction: A chronic, relapsing disease, characterized by compulsive drug seeking and use and by neurochemical and molecular changes in the brain.

Agonist: A chemical compound that mimics the action of a natural neurotransmitter to produce a biological response.

Analog: A chemical compound that is similar to another drug in its effects but differs slightly in its chemical structure.

Antagonist: A drug that counteracts or blocks the effects of another drug.

Buprenorphine: A mixed opiate agonist/antagonist medication for the treatment of heroin addiction.

Craving: A powerful, often uncontrollable desire for drugs.

Detoxification: A process of allowing the body to rid itself of a drug while managing the symptoms of withdrawal; often the first step in a drug treatment program.

Fentanyl: A medically useful opioid analog that is 50 times more potent than heroin.

Meperidine: A medically approved opioid available under various brand names (e.g., Demerol).

Methadone: A long-acting synthetic medication shown to be effective in treating heroin addiction.

Physical dependence: An adaptive physiological state that occurs with regular drug use and results in a withdrawal syndrome when drug use is stopped; usually occurs with tolerance.

Rush: A surge of euphoric pleasure that rapidly follows administration of a drug.

Tolerance: A condition in which higher doses of a drug are required to produce the same effect as during initial use; often leads to physical dependence.

Withdrawal: A variety of symptoms that occur after use of an addictive drug is reduced or stopped.


References


Community Epidemiology Work Group. Epidemiologic Trends in Drug Abuse, Vol. II, Proceedings of the Community Epidemiology Work Group, December 2003. NIH Pub. No. 04-5365. Bethesda, MD: NIDA, NIH, DHHS, 2004.

Dashe, J.S.; Jackson, G.L.; Olscher, D.A.; Zane, E.H.; and Wendel, G.D., Jr. Opioid detoxification in pregnancy. Obstet Gynecol 92(5):854-858, 1998.

Dole, V.P.; Nyswander, M.E.; and Kreek, M.J. Narcotic blockade. Arch Intern Med 118(4):304-309, 1966.

Goldstein, A. Heroin addiction: Neurology, pharmacology, and policy. J Psychoactive Drugs 23(2):123-133, 1991.

Hughes, P.H.; and Rieche, O. Heroin epidemics revisited. Epidemiol Rev 17(1):66-73, 1995.

Hulse, G.K.; Milne, E.; English, D.R.; and Holman, C.D.J. The relationship between maternal use of heroin and methadone and infant birth weight. Addiction 92(11):1571-1579, 1997.

Jansson, L.M.; Svikis, D.; Lee, J.; Paluzzi, P.; Rutigliano, P.; and Hackerman, F. Pregnancy and addiction; a comprehensive care model. Journal of Substance Abuse Treatment 13(4):321-329, 1996.

Jarvis, M.A.; and Schnoll, S.H. Methadone use during pregnancy. NIDA Research Monograph 149, 58-77, 1995.

Johnson, R.E.; Jones, H.E.; and Fischer, G. Use of buprenorphine in pregnancy: patient management and effects on neonate. Drug and Alcohol Dependence 70(2):S87-S101, 2003.

Jones, H.E. Practical Considerations for the Clinical Use of Buprenorphine. Science & Practice Perspectives 2(2):4-20, 2004.

Kornetsky, C. Action of opioid on the brain-reward system. In: Rapaka, R.S.; and Sorer, H.; eds. Discovery of Novel Opioid Medications. National Institute on Drug Abuse Research Monograph 147. NIH Pub. No. 95-3887. Washington, DC: Supt. of Docs., U.S. Govt. Print Off., 1991, pp. 32-52.

Kreek, M.J. Using methadone effectively: Achieving goals by application of laboratory, clinical, and evaluation research and by development of innovative programs. In: Pickens, R.; Leukefeld, C.; and Schuster, C.R.; eds. Improving Drug Abuse Treatment. National Institute on Drug Abuse Research Monograph 106. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 1991, pp. 245-266.

Lewis, J.W.; and Walter, D. Buprenorphine: Background to its development as a treatment for opiate dependence. In: Blaine, J.D., ed. Buprenorphine: An Alternative for Opiate Dependence. National Institute on Drug Abuse Research Monograph 121. DHHS Pub. No. (ADM) 92-1912. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 1992, pp. 5-11.

Luty, J.; Nikolaou, V.; and Bearn, J. Is opiate detoxification unsafe in pregnancy? J Subst Abuse Treat 24(4):363-367, 2003.

Maas, U.; Kattner, E.; Weingart-Jesse, B.; Schafer, A.; and Obladen, M. Infrequent neonatal opiate withdrawal following maternal methadone detoxification during pregnancy. J Perinat Med 18(2):111-118, 1990.

Mathias, R. NIDA survey provides first national data on drug abuse during pregnancy. NIDA NOTES 10:6-7, 1995.

Messinger, D.S.; Bauer, C.R.; Das, A.; Seifer, R.; Lester, B.M.; Lagasse, L.L.; Wright, L.L.; Shankaran, S.; Bada, H.S.; Smeriglio, V.L.; Langer, J.C.; Beeghly, M.; and Poole, W.K. The maternal lifestyle study: cognitive, motor, and behavioral outcomes of cocaine-exposed and opiate-exposed infants through three years of age. Pediatrics 113(6):1677-1685, 2004.

National Institute on Drug Abuse. "Heroin." NIDA Capsule. NIDA, 1986.

National Institute on Drug Abuse. IDUs and infectious diseases. NIDA NOTES 9:15, 1994.

National Institute on Drug Abuse. Monitoring the Future, National Results on Adolescent Drug Use, Overview of Key Findings 2004. NIH Pub. No. 05-5726. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 2005.

Novick, D.M.; Richman, B.L.; Friedman, J.M.; Friedman, J.E.; Fried, C.; Wilson, J.P.; Townley, A.; and Kreek, M.J. The medical status of methadone maintained patients in treatment for 11-18 years. Drug and Alcohol Depend 33(3):235-245, 1993.

Office of Applied Studies. Results from the 2003 National Survey on Drug Use and Health: National Findings. DHHS Pub. No. (SMA) 04-3964. SAMHSA, 2004.

Office of National Drug Control Policy. Heroin Facts and Figures. Rockville, MD, 2004. Available at www.whitehousedrugpolicy.gov/drugfact/heroin/index.html.

Sobel, K. NIDA's AIDS projects succeed in reaching drug addicts, changing high-risk behaviors. NIDA NOTES 6:25-27, 1991.

Substance Abuse and Mental Health Services Administration Office of Applied Studies. Emergency Department Trends From the Drug Abuse Warning Network, Final Estimates 1995-2002. DHHS Pub. No. (SMA) 63-3780. Rockville, MD: SAMHSA, 2003.

Swan, N. Research demonstrates long-term benefits of methadone treatment. NIDA NOTES 9:1, 4-5, 1994.

Woods, J.H.; France, C.P.; and Winger, G.D. Behavioral pharmacology of buprenorphine: Issues relevant to its potential in treating drug abuse. In: Blain, J.D., ed. Buprenorphine: An Alternative for Opiate Dependence. National Institute on Drug Abuse Research Monograph 121. DHHS Pub. No. (ADM) 92-1912. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 1992, pp. 12-27.


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?

 

Heroin Abuse and Addiction Research Report Cover



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