Heroin Combined with...
Cheese heroin is a blend of black tar Mexican heroin (called black tar because of its color) and over-the-counter cold medication. The drug costs only a few dollars a hit. Cheese heroin users as young as nine have been rushed to hospital emergency rooms for heroin withdrawal.1
A speedball (or powerball) combines heroin and cocaine or heroin and methamphetamine. As heroin is a depressant and cocaine and meth are stimulants, taking them creates a potentially lethal push-pull effect on the body and brain. The combination of heroin with cocaine and fentanyl is known as a super speedball.432
REFERENCES
- Cheese Heroin Addicts in Dallas Now as Young as 9 Years Old, ChooseHelp.com (drug-treatment referral site, summarizing Dallas-area reporting)
- “Speedballing”: Mixing Stimulants and Opioids (Micromodule), Florida Alcohol and Drug Abuse Association (FADAA), with the Florida Department of Children and Families
- Increasing Heroin-Methamphetamine (Goofball) Use and Related Morbidity Among Seattle Area People Who Inject Drugs, American Journal on Addictions (peer-reviewed; Glick SN, Klein KS, Tinsley J, Golden MR, 2021)
- Editorial: A Changing Epidemic and the Rise of Opioid-Stimulant Co-Use, Frontiers in Psychiatry (peer-reviewed; Ahmed S, Sarfraz Z, Sarfraz A, 2022)
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