Complications

Medical

• Acute heroin reaction: respiratory depression—may include fatal cardiopulmonary collapse. There is an alarming increase in opioid deaths (including methadone).

• Injection site: scarring, pigmentation, thrombosis, abscesses, ulceration (especially with barbiturates).

• Distal septic complications: septicaemia, infective endocarditis, lung abscess, osteomyelitis, ophthalmitis.

• Viral infections: hepatitis B, hepatitis C, HIV infection.

• Neurological complications: transverse myelitis, nerve trauma.

• Physical disability: malnutrition.

Table 18.3 A street drug dictionary

Amphetamines or uppers

• Benzedrine

• Methedrine

Hallucinogens

LSD: acid, blue cheer, strawberry fields, barrels, sunshine, pentagons, purple haze, peace pills, blue light.

Cannabis (Indian hemp)

1. Hashish (the resin): hash, resin roses, beanies, peaches dexies, speed, hearts meth, crystals, white light purple hearts, goof balls

2. Marijuana (from leaves):

Cigarettes: Smoking pot:

pot, tea, grass, hay, weed, locoweed, Mary Jane, rope, bong, jive, Acapulco gold.

reefers, sticks, muggles, joints blow a stick, blast a joint, blow, get high, get stoned

Narcotics

Morphine:

Morph, Miss Emma

Heroin:

H, Big H, Big Harry, GOM (God's own medicine), crap, junk, dynamite (high-grade heroin), lemonade (low-grade heroin) Injection of dissolved powder: mainlining, blast, smack Inhalation of powder: sniffing

Cocaine:

coke, snow, lady of the streets, nose candy, toot, snort, crack

speed balls

Miscellaneous

Barbiturates:

devils, barbies, goof balls

Social

Alienation from family, loss of employment, loss of assets, criminal activity (theft, burglary, prostitution, drug trafficking).

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