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Substance guide

Heroin & opioids: the biggest danger is overdose.

A powerful physical and psychological addiction — and structured medical treatment saves lives.

What are opioids?

Opioids include heroin, opium and strong painkillers such as morphine and oxycodone. They cause fast physical dependence and slow breathing — which is what makes overdose fatal.

Signs that may point to use

  • Pinpoint pupils and drowsiness
  • Injection marks or hiding the arms
  • Flu-like symptoms when going without
  • Money problems and theft

Overdose signs — an emergency

  • Slow or stopped breathing
  • Blue lips or nails
  • Unresponsiveness
Call emergency services immediately if you suspect an overdose.

Withdrawal and treatment

Withdrawal is painful (aches, diarrhoea, sweating, insomnia, cravings) but rarely life-threatening by itself. The real danger comes after: lower tolerance makes a return to use more dangerous. Treatment therefore includes medical supervision, may include medication at the physician's discretion, plus therapy and long follow-up.

How Restart helps

General educational content from the Restart team — not a substitute for a medical assessment. In an emergency, call emergency services immediately. · Last reviewed: November 2026

Medically reviewed byDr. Huthayfa BarhamMedical Director · Addiction psychiatrist
FAQ

FAQ

Can people recover from heroin?
Yes — with structured medical and psychological treatment, long follow-up and family support.
Why is relapse after detox dangerous?
Because tolerance drops, a previously usual dose can become fatal. That is why detox alone isn't enough without a recovery program and follow-up.
How long does opioid detox take?
Usually days to around two weeks depending on the substance, as set by the physician — followed by rehabilitation.
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