Observable Indications of Use
- Droopy Eyelids
- Sluggish, Drowsy Mannerisms
- Slowed Speech
- Nodding Off – periodically slipping into momentary lapses of sleep
- Constricted, “Pinpoint” pupils that are not responsive to light
- Eyes Show Little or No Responsiveness to Light
- Possible track marks or infections at injection site
Effects of Use
- Euphoria
- Pain Relief
- Slowed Breathing
- Slowed Pulse Rate
- Nausea
- Lowered Blood Pressure
- Lowered Body Temperature
Duration of Effects
- Heroin: 4-6 hours
- Methadone: up to 24 hours
- Prescription Analgesics: Variable
Signs of Overdose
- Clammy Skin
- Slow, Shallow Breathing
- Seizures
- Coma
Fatal Overdose Possible
- Yes, due to respiratory arrest.
IMPORTANT: If you suspect a person may have overdosed on heroin, opiates, or a narcotic, your best course is to call 911 and seek emergency medical treatment immediately.




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