which of the following narcotics not used today:
a- morphine
b- heroin
c- nicotine
d- codeine
Heroin or diacetylmorphine is an opiate synthesized from morphine naturally present in opium (poppy juice). Heroin is close to substances naturally produced by the body, endorphins. The brain produces them on several occasions. Heroin, like endorphins, is a depressant of the central nervous system. It acts by "lulling" certain functions of the nervous system. It slows down, for example, breathing. Heroin is especially sought after for the psychic and physical well-being it provides.
WHAT DOES IT LOOK LIKE?
It is currently in the form of powder ranging from light beige to dark brown. She is called heroin, hero, rabla, dré, powder, cam, meumeu, brown sugar ... She is sold in small package, caps or packed in a plastic, dumpling. In France, its concentration varies from 0 to 5%. It depends on the region of origin, the suppliers, the arrivals ...
THE EFFECTS SOUGHT:
The effects of the products depend not only on the dose, the frequency of use and the mode of consumption but also the characteristics of each individual, his psychic state, his personality, his mood, his habituation and his expectations. a screw of the product.
The heroine can soothe the moral pain (sadness, anxiety), calm the physical pain (it is an analgesic), in case of dependence, it removes the discomfort of the lack, it can provide a feeling of physical and mental well-being , to euphorise while remaining lucid, to give a feeling of self-confidence, of calm, of appeasement, to uninhibit, to create a sensation of pleasant warmth.
Heroin, by replacing endorphin, generates a sense of well-being and alleviates pain and anxiety when consumed in moderation. Larger amounts lead to sleep. Very high doses can cause the stopping of vital functions of the body (blood circulation, breathing, ...).
Heroin use can be accompanied by the desired effects of nausea, vomiting, tickling and scratching, it can disrupt sleep cycles, change the feeling of hunger, relax muscularly, modify sexual desire or by decreasing it, either by increasing it, shrinking the pupils (at the head of the hairpin), being antitussive, ie coughing up, slowing down for a few hours the production of secretions (absence of tears, constipation ...), delaying, or even preventing In man, it can delay or prevent ejaculation and in women disrupt or stop menstrual cycles (but not fertility !!!) and cause vaginal dryness.
THE DIFFERENT PHASES:
The effect of the product is fast:
- Injection: +/- 20 seconds;
- in sniff: +/- 5 minutes;
- in fumette: 1 to 2 minutes.
STEPS:
The duration of effects is the same (4 to 6h), regardless of the mode of consumption but the perception differs according to the mode of taking and the individual.
1- the Flash:
During intravenous injection or "dragon hunting" the flash is a sudden and radiating sensation of heat, a very quick and brief change of state (5 to 10 seconds), which occurs at the moment when the heroine irrigates the brain. Flash is a rapid rise of both physical and mental effects.
2- the tray:
Period of intense well-being, feeling of warmth and deep relaxation that can last 3-4 hours. According to the testimony of users, we perceive its problems differently, the anxiety is calmed and we feel a sense of peace.
3- Lowering:
During the descent, the effects of heroin gradually fade and the need for sleep is felt (drowsiness). Returning to the state "without product" can be painful for some users: fatigue and depression, a kind of "hangover". In case of physical dependence, the first signs of lack appear.
NB: heroin can be detected in urine up to 12 days after taking.
a- morphine
b- heroin
c- nicotine
d- codeine
Heroin or diacetylmorphine is an opiate synthesized from morphine naturally present in opium (poppy juice). Heroin is close to substances naturally produced by the body, endorphins. The brain produces them on several occasions. Heroin, like endorphins, is a depressant of the central nervous system. It acts by "lulling" certain functions of the nervous system. It slows down, for example, breathing. Heroin is especially sought after for the psychic and physical well-being it provides.
WHAT DOES IT LOOK LIKE?
It is currently in the form of powder ranging from light beige to dark brown. She is called heroin, hero, rabla, dré, powder, cam, meumeu, brown sugar ... She is sold in small package, caps or packed in a plastic, dumpling. In France, its concentration varies from 0 to 5%. It depends on the region of origin, the suppliers, the arrivals ...
THE EFFECTS SOUGHT:
The effects of the products depend not only on the dose, the frequency of use and the mode of consumption but also the characteristics of each individual, his psychic state, his personality, his mood, his habituation and his expectations. a screw of the product.
The heroine can soothe the moral pain (sadness, anxiety), calm the physical pain (it is an analgesic), in case of dependence, it removes the discomfort of the lack, it can provide a feeling of physical and mental well-being , to euphorise while remaining lucid, to give a feeling of self-confidence, of calm, of appeasement, to uninhibit, to create a sensation of pleasant warmth.
Heroin, by replacing endorphin, generates a sense of well-being and alleviates pain and anxiety when consumed in moderation. Larger amounts lead to sleep. Very high doses can cause the stopping of vital functions of the body (blood circulation, breathing, ...).
Heroin use can be accompanied by the desired effects of nausea, vomiting, tickling and scratching, it can disrupt sleep cycles, change the feeling of hunger, relax muscularly, modify sexual desire or by decreasing it, either by increasing it, shrinking the pupils (at the head of the hairpin), being antitussive, ie coughing up, slowing down for a few hours the production of secretions (absence of tears, constipation ...), delaying, or even preventing In man, it can delay or prevent ejaculation and in women disrupt or stop menstrual cycles (but not fertility !!!) and cause vaginal dryness.
THE DIFFERENT PHASES:
The effect of the product is fast:
- Injection: +/- 20 seconds;
- in sniff: +/- 5 minutes;
- in fumette: 1 to 2 minutes.
STEPS:
The duration of effects is the same (4 to 6h), regardless of the mode of consumption but the perception differs according to the mode of taking and the individual.
1- the Flash:
During intravenous injection or "dragon hunting" the flash is a sudden and radiating sensation of heat, a very quick and brief change of state (5 to 10 seconds), which occurs at the moment when the heroine irrigates the brain. Flash is a rapid rise of both physical and mental effects.
2- the tray:
Period of intense well-being, feeling of warmth and deep relaxation that can last 3-4 hours. According to the testimony of users, we perceive its problems differently, the anxiety is calmed and we feel a sense of peace.
3- Lowering:
During the descent, the effects of heroin gradually fade and the need for sleep is felt (drowsiness). Returning to the state "without product" can be painful for some users: fatigue and depression, a kind of "hangover". In case of physical dependence, the first signs of lack appear.
NB: heroin can be detected in urine up to 12 days after taking.
TOLERANCE, ACCUTUMANCE:
Regarding heroin, tolerance is very fast: after a few days of consumption (several times / day), the user feels the need to increase the doses, first in quantity, then in frequency to find the effects of the product.
ADDICTION:
PSYCHOLOGICAL DEPENDENCE:
Consumption, even occasionally, can lead to a strong psychological dependence. This dependence is manifested by the need to consume the product again to find its pleasant and soothing effects.
PHYSICAL DEPENDENCE:
At the end of daily consumption, the body lacks heroin and natural endorphins. Indeed, the heroin has replaced the natural production of endorphins, the body is lacking them. At this point, the user is confronted with physical manifestations related to lack. This is called physical dependence. Signs of withdrawal include severe pain in the kidneys, intense cold, high pulse, sneezing, runny nose, crying eyes, stomach ache, intestinal disturbances, nausea, vomiting, anxiety, irritability, hypersensitivity to pain…
Since 1996 in France, there are "substitutes", Methadone and Subutex®, which are available either in CSST or in city medicine.
SOCIAL CHALLENGES:
The legal prohibition generates specific risks. Indeed, although heroin is cheap in terms of manufacturing, its price, set by traffickers, is high. Some users manage to manage their consumption; others, to cope with the high cost of this consumption, commit crimes.
On the other hand, by the mere fact that the consumption is illegal, the consumer who would like to have access to health care (other than weaning or substitution) may encounter difficulties.
Finally, the reactions of rejection of the environment (family, spouses, friends, colleagues, employer, ...) can cause social isolation of the consumer.
Moreover this aspect prevents a quality control of the heroin and the products of cuts which can represent real dangers.
DANGER OF THE PRODUCT:
Pure heroin, as we have seen, is similar to endorphins: it therefore does not cause direct physical damage such as organ damage, cirrhosis, cell destruction. However the manner of consumption of heroin, the deterioration of the lifestyle (food, hygiene ..) related to the illegality can lead to particular risks.
The composition of cutting products is uncertain, sometimes dangerous (eg caffeine, barbiturates, talc, even, in very rare cases, strychnine).
OVERDOSE:
Overdose is the excessive and dangerous dose, even fatal. It results in respiratory depression ranging from a slight decrease in breathing to respiratory arrest, leading to cardiac arrest and then death.
The lethal dose varies considerably according to each individual: a person can gradually increase his consumption to doses that would be deadly for a non-consumer. In some circumstances, the risk of overdose increases:
- a first catch;
- recovery after a stop (cure, stay in prison);
- taking a new heroine (more concentrated, for example);
- in the event of a change of dealer;
- taking too much.
The risk of overdose is therefore difficult to measure for everyone. Heroin being cut with products whose composition is not known, the risk of overdose is never absent. Finally, overdose occurs more frequently after an intravenous injection (the effect of the product occurs suddenly in one fell swoop).
Some of the fatalities, however, are not directly due to an overdose, but rather to the simultaneous absorption of another psychotropic drug that increases the effects of heroin.
IN CASE OF OVERDOSE:
The signs of an overdose are:
- a breathing more and more slow and less deep
- the muscles are completely relaxed
- the person sleeps deeply and does not wake up. And if she wakes up, she falls asleep again.
- her skin whitens, fades as her lips and the ends of her body turn blue.
WHAT TO DO IN CASE OF OVERDOSE?
Put the person in the Safety Lateral Position (PLS) so that they do not swallow their tongue and do not choke on their vomit. Call 15 or 18 (free calls even with a phone without credit and without a chip). The state of the person and the precise place are the only information necessary. Once the medical staff on site, tell him the products consumed, he is bound to professional secrecy.
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