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Heroin is a stand-in, a stop-gap, a mask, for what we believe is missing. Like the objects
seen by Platos man in a cave, dope is the shadow cast by cultural movements we cant see
directly.
- Ann Marlowe
It was not until 1972 that researchers from the John Hopkins University made a landmark
discovery that changed the understanding and perception of drug addiction. They discovered
that the human brain has specific protein receptor sites for opiates, including codeine, opium,
morphine and heroin. They also discovered that the human body produces its own
endogenous opioids, such as dynorphins, enkephalins and endorphins.
When a person uses heroin,
his or her body gets flooded
with the aforementioned
opioids, which significantly
elevate the level of
dopamine. Moreover, it is
now understood how drugs
like heroin binds to opioid
receptors after being
converted into morphine
form, which reduces the
bodys sensation of pain and
induces a state of euphoria
by increasing the level of
dopamine.
According to the 2015 National Survey on Drug Use and Health (NSDUH), more than 5 million
individuals in the age group of 12 and above reported using heroin in their lifetime and
828,000 reported using the drug in the past year. Heroin use in the United States has
increased abruptly in the recent times, which is believed to be the primary reason behind the
crackdown by the law enforcement agencies on the misuse of prescription drugs. As a result,
many people with the problem of addiction have been forced to seek illicit drugs on the street.
Due to its potential to cause dependency and increased tolerance from the first use onwards,
the Drug Enforcement Administration (DEA) has listed heroin as a Schedule I drug. Despite
being dangerous, it is widely abused by people.
Persistent use of heroin affects key regions of the brain
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When heroin enters the brain, it is converted into morphine that binds to the opioid receptor
sites in the brain. Heroin use can increase the bodys dopamine levels up to 10 times the
normal levels. The frequent and persistent use of heroin can particularly affect the prefrontal
cortex and medial temporal lobe of the brain, which are brain regions that control long-term
memory, decision-making, complex thoughts and social behavior.
Some of the adverse consequences of heroin use are as follows:
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