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These datasets underpin the analysis presented in the agency's work. Most data may be viewed interactively on screen and downloaded in Excel format. All countries. Topics A-Z. The content in this section is aimed at anyone involved in planning, implementing or making decisions about health and social responses. Best practice. We have developed a systemic approach that brings together the human networks, processes and scientific tools necessary for collecting, analysing and reporting on the many aspects of the European drugs phenomenon. Explore our wide range of publications, videos and infographics on the drugs problem and how Europe is responding to it. All publications. More events. More news. We are your source of drug-related expertise in Europe. We prepare and share independent, scientifically validated knowledge, alerts and recommendations. About the EUDA. Key findings and threat assessment. Global context. Trafficking and supply. Criminal networks. Prices, purities and offences. Retail markets. Actions to address current threats and increase preparedness. Price and purity are key metrics of wholesale heroin markets. In the EU, wholesale purity data are not systematically reported, and this represents a key data gap. Nonetheless, based on the data available, wholesale purity appears to be stable or increasing in some countries. Also of note are detections of heroin hydrochloride, albeit in a limited number of wholesale markets in the EU, which imply heroin processing in or near the EU see Box Chemical profiling provides insights into heroin available on EU drug markets. This is of concern, as price reductions could lead to increased use, in terms of both the number of users and the amounts used by existing users. For a more comprehensive analysis, consistent purity data at wholesale level are needed. The source data for this graphic is available in the source table on this page. Such comparatively low prices on darknet markets suggest that the heroin may have been adulterated or that these are mislabelled or fraudulent listings. In general, the retail price is viewed as a marker of availability relative to demand. However, in an illicit drug market, where there are no quality controls and where many users are dependent on drugs, the picture is more complex and the market may react in other ways to supply problems. For example, to maintain supply the price of heroin may be stable while the purity is reduced, and users may seek substitutes due to price or purity fluctuations, which may also be a driver of diversifying opioids on the market. However, the comparatively large increase in average heroin purity between and should be interpreted with some caution. Therefore, represented an unusually low point for heroin purity. The slight decrease in purity since is probably due to supply disruption arising from the COVID pandemic and related restrictions. However, price and purity varied widely, both within and between countries. There are likely to be several factors, related to both supply and demand, that explain why heroin prices have been declining overall in Europe. The amount of heroin produced and its purity are determined by factors including the alkaloid content of the raw opium, the methods used to extract morphine, the procedures used during acetylation, and the techniques used during the purification processes see Section From poppy cultivation to heroin production. The end product can also contain opiate alkaloid impurities found in opium such as codeine, morphine, thebaine, noscapine and papaverine , or chemicals used in the manufacturing process such as acetic anhydride. There have also been cases of heroin contaminated with pathogens such as Clostridium novyi type A McGuigan et al. In addition, adulterants and diluting agents are often added to increase volume and profits, but also to enhance the effects of the heroin or to relieve its unwanted effects, such as itchiness and pain from the injection. Adulterants and diluting agents can be sugars dextrose, sucrose, lactose , starches corn powder , local anaesthetics procaine, lidocaine , antihistamines, stimulants caffeine or other substances e. In Europe, caffeine and paracetamol are the most commonly used adulterants found in heroin. Pre-mixed bags of these adulterants that are ready to be added to heroin have been seized by EU law enforcement agencies, indicating specialisation of criminal networks in preparing heroin adulteration mixtures for sale to traffickers see Box Dutch criminal networks specialise in heroin cutting mixtures. There is evidence to suggest that adulteration occurs along the heroin supply chain. For example, analysis of heroin samples seized in Luxembourg between and at importation and street level provides evidence of adulteration with both paracetamol and caffeine at the importation level, followed by another step of adulteration, also with caffeine, at the level of retail dealers Bourmaud et al. None of the heroin samples from Luxembourg were reported to have been adulterated with fentanyl derivatives or other synthetic opioids Bourmaud et al. However, recent non-systematic data indicate the potential adulteration of heroin with fentanyl and alpha-methylfentanyl Spasov, and synthetic cannabinoids EMCDDA, c , and this has been linked to outbreaks of drug-related deaths in Varna, Bulgaria, and the northern area of Paris, France, respectively. Drug law offence statistics provide insights mainly on the implementation of drug laws. They are therefore influenced by factors that affect law enforcement activities, including registration and reporting practices. The pattern broadly follows the overall decline in the number of heroin seizures see Section Heroin trafficking within the EU. The proportion of overall heroin offences that were supply-related remained broadly stable, apart from an increase in , from which point onward they remained stable at a new slightly higher level. While the reason for this increase is not entirely clear, it may have been influenced by changes in reporting see Figure Heroin-related offences in the EU, As with drug seizures, the recording and reporting of drug law offences data are influenced by a range of economic, political and institutional factors. Consult the list of references used in this module. Homepage Quick links Quick links. GO Results hosted on duckduckgo. Main navigation Data Open related submenu Data. Latest data Prevalence of drug use Drug-induced deaths Infectious diseases Problem drug use Treatment demand Seizures of drugs Price, purity and potency. Drug use and prison Drug law offences Health and social responses Drug checking Hospital emergencies data Syringe residues data Wastewater analysis Data catalogue. Selected topics Alternatives to coercive sanctions Cannabis Cannabis policy Cocaine Darknet markets Drug checking Drug consumption facilities Drug markets Drug-related deaths Drug-related infectious diseases. Recently published Findings from a scoping literature…. Penalties at a glance. Frequently asked questions FAQ : drug…. FAQ: therapeutic use of psychedelic…. Viral hepatitis elimination barometer…. EU Drug Market: New psychoactive…. EU Drug Market: Drivers and facilitators. Statistical Bulletin home. Quick links Search news Subscribe newsletter for recent news Subscribe to news releases. This make take up to a minute. Once the PDF is ready it will appear in this tab. Sorry, the download of the PDF failed. Table of contents Search within the book. Introduction Introduction Key findings and threat assessment Key findings and threat assessment Global context Global context Production Production Trafficking and supply Trafficking and supply Criminal networks Criminal networks Prices, purities and offences Prices, purities and offences Retail markets Retail markets Actions to address current threats and increase preparedness Actions to address current threats and increase preparedness. Search within the book Operator Any match. Exact term match only. Main subject. Target audience. Publication type. EU Drug Market: Heroin and other opioids — main page. On this page.

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Top of the page. Heroin is an illegal, highly addictive type of opioid. It is a white or brown powder or a black, sticky substance black tar heroin. It can be sniffed, snorted, smoked, or injected into a muscle or vein. Other names for heroin are smack, junk, H, dope, and ska. Heroin is often used along with other drugs, especially cocaine and alcohol. Some people snort alternate lines of heroin and cocaine crisscrossing. Or they may inject it with another drug speedball. Heroin is often mixed cut with other drugs, such as fentanyl. It may also be cut with things like sugar or powdered milk or with poisons, such as strychnine. The pleasurable sensation from heroin is called a rush. How intense the rush is depends on how much was taken and how fast the drug entered the brain. The rush occurs within seconds when heroin is smoked or injected directly into a vein. It takes at least 10 minutes when the drug is sniffed. Along with the rush, heroin usually causes a warm flushing of the skin, very small pinpoint pupils, watery eyes, runny nose, dry mouth, and a heavy feeling in the arms and legs. Heroin may also cause nausea, vomiting, constipation, and severe itching. Soon after the rush, the person feels drowsy and very relaxed. Breathing and heart rate slow. Thinking becomes cloudy. The person may fall into a state like a trance. This can last 4 to 6 hours. With repeated use, heroin causes the person to need higher and higher doses of the drug to get the same effect. This is called tolerance. The body may also get used to the drug. This is called physical dependence. It can occur within a few weeks if the drug is used daily. This leads to uncomfortable withdrawal symptoms within a few hours if the person stops using heroin or uses less. Addiction can develop within a few weeks if the drug is used daily. Heroin addiction means that a person has a strong need to keep using the drug even though it causes harm to themself or others. This is also called opioid use disorder. Heroin use can lead to serious health problems, such as:. Using heroin can be dangerous. An overdose may cause trouble breathing, low blood pressure, a low heart rate, a coma, or death. If you or someone you know uses heroin, talk to your doctor or pharmacist about a naloxone rescue kit. Naloxone is medicine that may reverse the effects of heroin if given soon enough after an overdose. Having a naloxone kit may save a life. Heroin can be found in the urine for up to 24 hours and in blood for as long as 48 to 72 hours after use. Signs that a person may be using heroin include:. This information does not replace the advice of a doctor. Ignite Healthwise, LLC disclaims any warranty or liability for your use of this information. The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider. Error There's a chat in progress. Skip Navigation. Overview Heroin is an illegal, highly addictive type of opioid. Effects of heroin The pleasurable sensation from heroin is called a rush. Problems of heroin use With repeated use, heroin causes the person to need higher and higher doses of the drug to get the same effect. Heroin use can lead to serious health problems, such as: Bacterial infections of the blood vessels and heart valves. Liver or kidney disease. Lung problems, such as pneumonia and tuberculosis, from poor health. Signs of use Signs that a person may be using heroin include: Having supplies for injecting heroin. These are called an outfit or rig. It may include a spoon or bottle cap to cook the drug, a syringe or needle to inject it, a tourniquet or towel to find a vein, cotton, and matches to heat and dissolve the drug in water. Symptoms such as restlessness, sleepiness, diarrhea, vomiting, and leg movements. These can happen if the person is physically dependent on the drug and has not had it recently. Personality changes. Unexplained scars on arms or legs or tattoos hiding scars. Credits Current as of: November 15, Next Section: Related Information ». Previous Section: « Overview. Next Section: Credits ». Previous Section: « Related Information. Current as of: November 15, No volver a mostrar esto. Continuar Cancelar. Want to stay signed on? Sign Off Stay signed on. We are unable to switch you to this area of care.

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