Heroin is categorised as a depressant. Substances which fall under this category have similar effects on the body. Depressants slow down rate in which the brain sends information throughout the rest of the body. This gives intense relax or sedated feeling. Heroin belongs to the group of drugs known as opioids. This gives a feeling of pleasure or pain relief.

Sexual consent is about having the ability and freedom to agree to sexual activity. This is something that must be clearly established between two people before any kind of sexual act or behavior, and you can change your mind at any time.

Unfortunately, your judgment can be dramatically impaired while you’re under influence of drugs. Before letting anyone come to your place (if you’re hosting) or before coming to a session hosted by other people, establish a set of boundaries, particularly about what you and other people are and aren’t prepared to do sexually.

Remember: sex without consent is rape, and rape and sexual assault is a crime.

If you don’t know how to tell the other person, you could show this song as a message of you not willing to have sexual intercourse.

If you’re hosting, it’s your responsibility to ensure that no one in your session is being forced to do something that he does not want to.

Heroin is most commonly injected or otherwise it is smoked.

There is no such thing as a SAFE level of drug use. Substance use carries risk. It’s important to be careful when taking any form of drug, especially those that may be manufactured illegally. If injected, the effects of heroin are felt almost immediately. Smoking may vary the length of time it takes for the effects to be felt. Heroin may affect people differently based on:
– A person’s body weight
– General state of health
– Regular use of substance
– If taken in combination with other drugs including prescription medication
– The amount that is consumed
– Quality of the drug (this varies from batch to batch for most illicit drugs)

The following effects may be experienced when heroin is consumed and generally last for 3 to 5 hours:
– Intense feelings of pleasure
– Relaxed drowsiness
– Slurred or slowed speech
– Slowed breathing and reduced heart rate
– Constricted pupils (pinned)
– Reduced appetite, nausea and vomiting
– Decreased libido

Like any substance, regular use of heroin may result in the following effects to your health:
– Anxiety and paranoia
– Depression
– Loss of libido
– Reduced function in the reproductive system
– for both men and women
– Damage to the heart and lungs
– Reduced kidney and liver function
– An increased risk of stroke
– Drug Dependency

In the days after heroin use, you will feel irritability and depression. In effect, heroin overstimulate the brain’s chemical functions to the point where certain structures in the brain start to weaken from overuse. When this happens, dosage levels must be increased in order for users to experience the same high as they had previously. Rinse and repeat. This is exactly how the drug addiction begins.

Heroin is highly addictive, both physically and psychologically. If you use it regularly for 2 to 3 weeks you will build tolerance so you need to keep taking more to get the same buzz. With heroin, there’s also a risk of death due to inhaling vomit because heroin both sedates you and stops you coughing properly  and the vomit remains in the airways so you can’t breathe. If you are going to use drugs, it’s best to be safe about it. It’s your choice to determine what you put in your body, but whatever you do remember to be safe and responsible with yourself and with others.

We’ve got some helpful tips to consider.
– Set limits for yourself, and stick to them.
– Don’t let other people pressure you into doing drugs.
– Try to avoid mixing drugs with other drugs or be informed about the risks.
– Try to be aware of exactly what you are taking and how much you are taking.
– Eat before you party and stay hydrated with water.
– If you are going out for a big night, leave your bank cards at home and set a cash limit for yourself, leaving enough to get home by taxi.
– Tell some trusted friends what you’re planning to do.
– Don’t drive your car/motorcycle if you’re planning to get drunk/high on a night out
– If you’re already too drunk and you have your car with you, leave the car and get home with taxi/grabcar and get your car back when you’re fully sober the next day(s), or use YouDrinkIDrive app  to get you a designated sober driver for your ride home.
– Put your close friend’s phone number on speed dial so that he/she can pick you up in case you’re too drunk/high and left alone. Apple’s iPhone has a feature where you can quickly and easily call for help and alert your emergency contacts – take an advantage of that feature if you’re an iPhone user.

If you are injecting, it’s important to use clean injecting equipment and to avoid sharing needles or other injecting equipment. Blood borne viruses such as Hepatitis B, C and HIV can be transmitted through sharing equipment. So with that being said it’s important to be aware of where blood can end up. Blood may not only remain on or in needles and syringes but also on other equipment and surfaces such as your skin, on your hands or the top of a table. You can’t always see blood so don’t assume that just because you can’t see it that it isn’t there. 

Make sure you wash your hands and clean the area where you are preparing to inject. Injecting drug use and the sharing of equipment with others put you at increased risk of:
– Vein damage and permanent scarring
– Hepatitis B, Hepatitis C, Tetanus and HIV transmission
– Deep vein thrombosis and clots
– this may result in the loss of limbs, damage to organs, stroke and possibly even death 

If you’re re-using a needle, learn carefully on how you can clean a re-used needle at [insert testBKK blog on “how to clean a used needle”].

Large doses or a strong batch of heroin may result in overdose. Drugs that are manufactured illicitly and sold on the street may vary in strength. They are also likely to be cut or diluted with other substances that are otherwise considered harmful to the body. Call for an ambulance if you or someone you know is feeling any of the following effects:
– Inability to concentrate
– Nodding off or falling asleep
– An irregular and reduced heart rate
– Slowed rate of breathing, blue lips, finger and or toes
 – Unconsciousness 

Call for an ambulance by dialing: 

Bangkok Medical Emergency 1646
Nationwide Medical Emergency 1669 

Ambulance officers are not obliged to involve the police.

The effect of taking Heroin in combination with other drugs including over-the-counter or prescribed medication is unpredictable and dangerous. 

Heroin + Amphetamine or ecstasy will place an enormous strain on the heart and kidneys. This will increase the risk of overdose. 

Heroin + Alcohol, Cannabis or Benzodiazepines will slow breathing and may eventually cause the lungs to stop.

If you are on PrEP and have a protease inhibitor (PI), Efavirenz (EFV) or Etravirine (ETV) as part of your treatment regime, in combination with Heroin, these drugs have potential interation that effects your health. You may need close monitoring, changes of drug dosage or timing of administration from your doctor. If you’re talking with doctor from TestBKK’s clinic partners, we guarantee that you will not be in trouble if you open up about your illicit drugs consumption.

If you are on PEP and have a protease inhibitor (PI) Efavirenz (EFV) or Etravirine (ETV) as part of your treatment regime, in combination with Heroin, these drugs have potential interation that effects your health. You may need close monitoring, changes of drug dosage or timing of administration from your doctor. If you’re talking with doctor from TestBKK’s clinic partners, we guarantee that you will not be in trouble if you open up about your illicit drugs consumption.

If you take protease inhibitors or Efavirenz (EFV) or Etravirine (ETV) as part of your HIV treatment when you throw heroin in to the mix it can potentially elevate the amount of heroin in your system. This will increase significantly the negative side effect of the drug and has the potential of being fatal. If you’re living with HIV and a recreational user, it’s important to check in regularly with your doctor. If you’re talking with doctor from TestBKK’s clinic partners, we guarantee that you will not be in trouble if you open up about your illicit drugs consumption.

Been going a little too hard lately? If your heroin use has begun to have a negative impact on your overall health or your relationships with family and friends, your ability to focus on work or study or perhaps even the bottom line on your bank account – it’s time to get support with somebody who can help. There are a number of treatment options and support services available for you, for your family or friends if they need it. Whatever your recovery goals are, if it is to control, reduce or stop heroin use, reach out for some support.

Giving up after using heroin for a long time is challenging. The body needs to adjust to a life of functioning without it. Symptoms of withdrawal usually start within 6 to 24 hours after the last dose and can last for about a week. Day 2 to 4 will be the worst. 

Symptoms can include:
– Restlessness, irritability and cravings
– Inability to concentrate
– Exceeding sweat
– Drug craving
– Depression
– Diarrhoea and vomiting
– Muscle cramps and stomach pain – Restless, disturbed sleep

testBKK have gathered all the information of help, support, rehabilitation center and consultation for alcohol and drug usage in Bangkok metropolitan. 

Mental health and drug user hotline

If you have mental health or drug abuse, don’t keep it to yourself, talk to someone about it. It could be anything, ranging from mental health issues like suicide thoughts or stress to consultation on your personal health. These hotlines are free and will be confidential.

 To find information on mental health and drug abuse

Harm reduction centers

Harm reduction center, provides harm reduction from drug related health issue services like providing sterile needles. If you have a plan to reduce or stop using drugs and want to build capacity, these centers could help you. You will be safe and receive friendly service and supporting voices from the staff.

 To find more information on harm reduction centers

Rehabilitation center for drug users

If you are looking to rehabilitate, there are many facilities that are ready to support you on reducing and quitting using drugs. There are both OPD and IPD options, and the service ranges from drug withdrawal, rehabilitation and follow-up.

 To find more information on rehabilitation center for drug users

If you want to find more information on alcohol and drugs click here

And if you want to get your blood test, you could reserve your appointment online with our partnered clinic here

The information given on this page is not medical advice and should not be relied upon in that way. Individuals wanting medical advice about Heroin should consult a health professional.