Impure heroin is usually dissolved, diluted, and injected into veins, muscles, or under the skin. 3 The dark color associated with black tar heroin results from crude processing methods that leave behind impurities. However, from 2020 to 2021, the heroin overdose death rate decreased by nearly 32 1. Nearly all people who use heroin also use at least one other drug 2. Not only are people using heroin, but they are also using multiple other substances, including cocaine and prescription opioids. "Black tar" heroin is sticky like roofing tar or hard like coal and is predominantly produced in Mexico and sold in U.S. Over 11 of all opioid overdose deaths in 2021 involved heroin 1. 3 Highly pure heroin can be snorted or smoked and may be more appealing to new users because it eliminates the stigma associated with injection drug use. Pure heroin is a white powder with a bitter taste that predominantly originates in South America and, to a lesser extent, from Southeast Asia, and dominates U.S. It is typically sold as a white or brownish powder that is "cut" with sugars, starch, powdered milk, or quinine. Heroin is an illegal, highly addictive drug processed from morphine, a naturally occurring substance extracted from the seed pod of certain varieties of poppy plants.
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