Print this page    •   Back to Web version of article

Heroin: Abuse and Addiction
A Research Report

National Institute on Drug Abuse

October 18, 1997

Where Can I Get Further Scientific Information About Heroin Abuse and Addiction?

To learn more about heroin and other drugs of abuse, contact the National Clearinghouse for Alcohol and Drug Information (NCADI) at 1-800-729-6686. Information specialists are available to assist you in locating needed information and resources. Information can be accessed also through the NIDA World Wide Web site (http://www.nida.nih.gov) or the NCADI Web site (http://www.health.org).


Glossary

Addiction: A chronic, relapsing disease, characterized by compulsive drug seeking and use and by neurochemical and molecular changes in the brain.

Agonist: A chemical compound that mimics the action of a natural neurotransmitter.

Analog: A chemical compound that is similar to another drug in its effects but differs slightly in its chemical structure.

Antagonist: A drug that counteracts or blocks the effects of another drug.

Buprenorphine: A mixed agonist/antagonist medication being studied for the treatment of heroin addiction.

Craving: A powerful, often uncontrollable desire for drugs.

Designer drug: An analog of a restricted drug that has psychoactive properties.

Detoxification: A process of allowing the body to rid itself of a drug while managing the symptoms of withdrawal; often the first step in a drug treatment program.

Fentanyl: A medically useful opioid analog that is 50 times more potent than heroin.

Levo-alpha-acetyl-methadol (LAAM): An FDA-approved medication for heroin addiction that patients need to take only three to four times a week.

Meperidine: A medically approved opioid available under various brand names (e.g., Demerol).

Methadone: A long-acting synthetic medication shown to be effective in treating heroin addiction.

Physical dependence: An adaptive physiological state that occurs with regular drug use and results in a withdrawal syndrome when drug use is stopped; usually occurs with tolerance.

Rush: A surge of euphoric pleasure that rapidly follows administration of a drug.

Tolerance: A condition in which higher doses of a drug are required to produce the same effect as during initial use; often leads to physical dependence.

Withdrawal: A variety of symptoms that occur after use of an addictive drug is reduced or stopped.


References

Bowersox, J.A. Buprenorphine may soon be heroin treatment option. NIDA Notes 10:8-9, 1995.

Bowersox, J.A. Heroin update: smoking, injecting cause similar effects; usage patterns may be shifting. NIDA Notes 10:8-9, 1995.

Cooper, J.R.; Altman, F.; Brown, B.S.; and Czechowicz, D.,eds. Research in the Treatment of Narcotic Addiction:State of the Art. National Institute on Drug Abuse Monograph, DHHS Pub. # (ADM) 83-1281, 1983.

Dole, V.P.; Nyswander, M.E.; and Kreek, M.J. Narcotic blockade. Arch Intern Med 118:304-309, 1966.

Goldstein, A. Heroin addiction: Neurology, pharmacology, and policy. J Psychoactive Drugs 23(2):123-133, 1991.

Hughes, P.H., and Rieche, O. Heroin epidemics revisited. Epidemiol Rev 17(1):63-73, 1995.

Kornetsky, C. Action of opioid on the brain-reward system. In: Rapaka, R.S., and Sorer, H., eds. Discovery of Novel Opioid Medications. National Institute on Drug Abuse Research Monograph 147. NIH Pub. No. 95-3887. Washington, DC: Supt. of Docs., U.S. Govt. Print Off., 1991, pp. 32-52.

Kreek, M.J. Rationale for maintenance pharmacotherapy of opiate dependence. In: O'Brien, C.P., and Jaffe, J.H.,eds. Addictive States. New York: Raven Press, 1992, pp. 205-230.

Kreek, M.J. Using methadone effectively: achieving goals by application of laboratory, clinical, and evaluation research and by development of innovative programs. In: Pickens, R.; Leukefeld, C.; and Schuster, C.R., eds. Improving Drug Abuse Treatment. National Institute on Drug Abuse Research Monograph 106. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 245-266, 1991.

Lewis, J.W., and Walter, D. Buprenorphine: background to its development as a treatment for opiate dependence. In Blaine, J.D., ed. Buprenorphine: An Alternative for Opiate Dependence. National Institute on Drug Abuse Research Monograph 121. DHSS Pub. No. (ADM) 92-1912. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 1992, pp. 5-11.

Mathias, R. NIDA survey provides first national data on drug abuse during pregnancy. NIDA Notes 10:6-7,1995.

National Institute on Drug Abuse. Epidemiologic Trends in Drug Abuse: Vol. 1. Highlights and Executive Summary of the Community Epidemiology Work Group. NIH Pub. No. 97-4204. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 1997.

National Institute on Drug Abuse. "Heroin." NIDA Capsule. NIDA, 1986.

National Institute on Drug Abuse. IDUs and infectious diseases. NIDA Notes 9:15, 1994.

National Institute on Drug Abuse. National Survey Results on Drug Use From the Monitoring the Future Study, 1975-1994, Vol. I: Secondary School Students. NIH Pub. No. 93-3498. Washington, DC: Supt. of Docs., U.S. Govt. Print Off., 1995.

National Institute on Drug Abuse. National Survey Results on Drug Use From the Monitoring the Future Study, 1975-1994, Vol. II: College Students and Young Adults. NIH Pub. No. 96-4027. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 1995.

Novick, D.M.; Richman, B.L.; Friedman, J.M.; Friedman, J.E.; Fried, C.; Wilson, J.P.; Townley, A.; and Kreek, M.J. The medical status of methadone maintained patients in treatment for 11-18 years. Drug and Alcohol Depend 33:235-245, 1993.

Office of National Drug Control Policy. Drugs and Crime Data: Heroin Facts and Figures. Rockville, MD: U.S. Department of Justice, 1996.

Sobel, K. NIDA's AIDS projects succeed in reaching drug addicts, changing high-risk behaviors. NIDA Notes 6:25-27, 1991.

Substance Abuse and Mental Health Services Administration. Preliminary Estimates of Drug Related Emergency Department Episodes: Advance Report Number 17. Rockville, MD: SAMHSA, 1996.

Substance Abuse and Mental Health Services Administration. "Preliminary Results from the 1996 National Household Survey on Drug Abuse." SAMHSA, 1997.

Swan, N. Research demonstrates long-term benefits of methadone treatment. NIDA Notes 9:1, 4-5, 1994.

Swan, N. Treatment practitioners learn about LAAM. NIDA Notes 9:5, 1994.

Woods, J.H.; France, C.P.; and Winger, G.D. Behavioral pharmacology of buprenorphine: issues relevant to its potential in treating drug abuse. In: Blain, J.D., ed. Buprenorphine: An Alternative for Opiate Dependence. National Institute on Drug Abuse Research Monograph 121. DHHS Pub. No. (ADM) 92-1912. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 1992, pp. 12-27.


Back | Table of Contents




This article was provided by U.S. National Institutes of Health. You can find this article online by typing this address into your Web browser:
http://www.thebody.com/content/art6387.html

General Disclaimer: The Body is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through The Body should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.