Sudden Death
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Sudden Death 3: Types of Sudden Death II
Alcohol
The single most common cause of heroin sudden death is bad interaction
(and sometimes synergy) of heroin with
CNS
depressant--especially alcohol and
barbiturates.
The government has made it very hard to get barbiturates during
the past couple of decades, so the biggest problem is alcohol.
I have been present during several sudden deaths that happened when
a drunk person ingested a relatively small amount of heroin. This
appears to have been the cause of Janis Joplin's death, in addition to
the deaths of many others who are commonly said to have died
of "heroin overdose". I am aware of one middle-aged man
who died in this way when he was smoking heroin.
There are some interesting aspects of this kind of sudden death.
These are based upon my observations and should not be considered
authoritative. This information may be shown to be incorrect in
time, so be careful using any of it.
- It seems to happen when the user has ingested a lot of
alcohol, not the other way around. The critical issue is
not how much heroin the person will use. A very small
amount of heroin can cause this to happen.
- The order in which the drugs are taken seems to be
important. This effect takes place when the user drinks and
then takes heroin. I have not seen this happen when a
person uses heroin and then drinks, but I would not test it.
The bottom line is that heroin should never be used with
alcohol. This cannot be over-stated.
Do not drink when using heroin!
People often drink to potentiate the effect heroin when they do
not have much heroin. Never do this. I knew one man who died doing
exactly this.
Quinine
Quinine is commonly used to
cut
white powder heroin. One of the common causes of heroin sudden death
is pulmonary edema. This is the lungs filling with fluid, resulting in the
user drowning. Heroin does not have this effect, but this is precisely
the effect of a quinine overdose. This kind of sudden death is ironic
because what is commonly called "heroin overdose" is killing
the user precisely because what he is ingesting has little heroin
in it, and rather has a high concentration of quinine.
by Dr. H © 2001
Last Modified: January 2004
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