Addiction Drug Use Heroin Photographs of Different Heroin Types Highly addictive heroin has made a comeback in the United States By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial process Buddy T Medically reviewed by Medically reviewed by John C. Umhau, MD, MPH, CPE on April 08, 2020 John C. Umhau, MD, MPH, CPE is board-certified in addiction medicine and preventative medicine. He is the medical director at Alcohol Recovery Medicine. For over 20 years Dr. Umhau was a senior clinical investigator at the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health (NIH). Learn about our Review Board John C. Umhau, MD, MPH, CPE Updated on April 08, 2020 Print If you or a loved one are struggling with substance use or addiction, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. Heroin is an illegal and highly addictive opioid drug that's derived from morphine, a substance that's naturally found in certain varieties of the poppy plant. Poppies grow best in warm, dry climates like South America, Mexico, and southern Asia. Typically, heroin is sold as a white or brown powder or as a sticky black tar and it's often mixed, or "cut," with other substances such as flour, sugar, powdered milk, painkillers, starch, or quinine to give dealers more product to sell and thus more profit. Fentanyl has been increasingly added to heroin, increasing the potency and therefore the risk of overdose. Statistics After years of declining use in the United States, heroin started making a comeback in 2007. The high demand is fueled by the increased availability of the drug and because people who have developed a dependence on prescription opioids often turn to heroin. This has also resulted in more deaths from heroin overdose; in 2014, the number of overdose deaths more than tripled compared to the number in 2010, and the number of heroin overdose deaths from 2002 to 2016 has increased by 533%. According to research from the Substance Abuse and Mental Health Services Administration (SAMHSA), since 2002, the number of heroin users has jumped from 404,000 to 948,000 in 2016, an increase of 135%. However, the number of heroin users only increased a relatively small amount from 2015 to 2016, showing stabilization in terms of new users. U.S. Drug Enforcement Administration (DEA) officials believe the increase in heroin overdose deaths arises from these factors: Today's heroin is cheaper and often purer, leading to an accidental overdose. An increased number of young, inexperienced people are trying heroin. Toxic substances, such as fentanyl, a narcotic pain medication that's even stronger than heroin, are being used to cut heroin in certain markets. Former heroin users who use again don't have the tolerance they once did. People with prescription opioid dependence and abuse are switching to heroin. According to government reports, almost 80% of people using heroin in the United States said they misused prescription painkillers first. Black Tar Heroin U.S. Drug Enforcement Administration Black tar heroin is dark brown or black and has a tar-like, sticky feel due to the crude way it's processed, which is different than the powder form of the drug. The color can vary depending upon what agents were added to it during processing to cut the purity of the finished product. It can be melted down and injected into the veins or smoked. Black tar heroin is usually produced in Mexico and generally contains a very low percentage of pure heroin. It is, however, faster and easier to produce and therefore cheaper than other forms of heroin. White Heroin DEA White heroin (diamorphine hydrochloride) is the purest form of the drug, but it's usually cut with other substances, significantly reducing its purity. It can be difficult to identify because it doesn't always appear to be white, but can actually appear pink, brown, beige, or off-white because of the different chemicals that may have been used to process it. It's usually injected or snorted because it requires a much higher temperature to burn and smoke. Brown Heroin U.S. Drug Enforcement Administration Brown heroin isn't as pure or potent as white heroin because it's not as refined. It's produced in the first stage of purification of the drug. It is, therefore, easier to produce and cheaper than white heroin. Brown heroin is usually smoked because it doesn't dissolve well. Asian Heroin Drug Enforcement Administration Southeast Asian heroin is usually white, powdered, and highly water-soluble. Heroin from southwest Asia is typically a brown coarse powder with poor water solubility. Again, the color of the heroin changes depending on what materials it's cut with before it's sold on the streets. A Word From Verywell Using heroin is illegal, extremely addictive, and far more deadly than other drugs. There is no typical profile of a person who uses heroin. Individuals of all ages and lifestyles have used heroin, though adults between the ages of 18 and 25 have had the highest increase in use. If you happen to encounter this highly addictive drug, call your physician or a law-enforcement official to handle the drug and to find support. Was this page helpful? Thanks for your feedback! Learn the best ways to manage stress and negativity in your life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Institute on Drug Abuse. Drug Facts: Heroin. National Institutes of Health (NIH). Updated June 2018. Ciccarone D. Fentanyl in the US heroin supply: A rapidly changing risk environment. Int J Drug Policy. 2017;46:107-111. doi:10.1016/j.drugpo.2017.06.010 Substance Abuse and Mental Health Services Administration (SAMHSA). 2016 NSDUH Report: American's Behavioral Health: Changes and Challenges. Published September 7, 2017. U.S. Drug Enforcement Administration (DEA). National Heroin Threat Assessment Summary—Updated. DEA Strategic Intelligence Section. DEA Intelligence Report. Published June 2016. Indiana Prevention Resource Center. Types of Heroin and Production and Manufacturing. Indiana University School of Public Health. Additional Reading National Institute on Drug Abuse. What is the Scope of Heroin Use in the United States? National Institutes of Health (NIH). Updated June 2018. Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.