Black tar heroin is a specific type of heroin. For example, heroin can be a white or brown powder or a black sticky substance known as black tar heroin.  Identifying between the powder and black tar forms of heroin is easy, even for the new eye to the drug, since black tar heroin has its name from its resemblance to roofing tar.
Mexican black tar heroin is the prevailing type distributed by African American and Hispanic gangs. The heroin is usually packaged in small balloons and is generally kept in the dealer’s mouth during deals. Mexican black tar is the most widespread type of heroin available in the Central District. Los Angeles serves as a major distribution center and transshipment point for Mexican black tar and brown powdered heroin destined for California and different U.S. cities.
The Los Angeles HIDTA reports that heroin purity levels alternate between 9 and 67 percent and that most street-level samples average 25 percent. A rise in heroin purity over the last few years has led to an increase in heroin overdoses. 
All forms of heroin are obtained from morphine, a powerful opioid painkiller. Heroin users are usually nonviolent, but they often waste savings and assets to purchase heroin to support their habit. When all possible sources of income are drained, users may solicit or become low-level drug distributors to help their addiction. Some even commit burglary and robbery to get the money needed to buy the drug. 
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Effects of Black Tar Heroin
When heroin enters the system, it swiftly gets to the brain, changing back into morphine. It can bring on a sense of euphoria in a user, which is the main reason for the popularity of this particular drug. Other short-term effects include:
- Clouded Thoughts
- Flushed Skin
- Dry Mouth
- Nodding Off
- Intense Itching
- Legs and Arms Feel Heavy
- Nausea and Vomiting
Black Tar Heroin Long-Term Effects
Using black tar heroin only once can be dangerous. However, the long-term effects it produces on the brain and body can also be severe.
The Physical and Mental Long-Term Effects
- Brain Damage
- Hormonal Problems
- Sexual Dysfunction (For Men)
Black tar heroin can make a person’s health drop and immune system weaken. Joined with the respiratory depression that accompanies heroin abuse, these states may lead to tuberculosis and certain types of pneumonia.
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The use of any heroin, including black tar heroin, is hazardous to one’s health. For instance, injecting the drug intravenously can lead to venous sclerosis, which results in the narrowing and hardening of veins.
This can make it very tough for a user to inject the drug into that same vein in the future. Eventually, veins can collapse altogether, leading users to inject the drug elsewhere on the body, even into muscle.
Bacterial infection is another serious health risk connected with the use of black tar heroin. Infections, such as necrotizing fasciitis, can be life-threatening in a short amount of time due to how quickly they can expand. 
Wound botulism, another disease caused by bacteria, can also occur from black tar heroin use; most clients treated for this condition are heroin users.  If untreated, wound botulism can lead to paralysis and even death. There is no cure, but symptoms can be handled if prompt care is sought.
Wound botulism (WB) is a potentially lethal, descending, flaccid paralysis that results when Clostridium botulinum spores germinate in a wound and elaborate neurotoxin. Since 1988, California has experienced a dramatic increase in WB associated with injecting “black tar” heroin. 
Injection of BTH intramuscularly or subcutaneously is the primary risk factor for the development of WB. Therefore, physicians in the western United States, where BTH is widely used, should be aware of the potential for wound botulism to occur among us.
Overdose Signs And Symptoms
While overdoses aren’t always deadly, they have the potential to be. For instance, the first dose of this powerful drug may cause an overdose, or an addicted person may overdose on it after abusing it for many years.
Signs and Symptoms of Overdose
- Faint Heartbeat
- Intestinal or Stomach Spasms
- Low Blood Pressure
- Pinpoint Pupils
- Tongue Discoloration
- Warm, Flushed Skin
Calling emergency medical services as soon as a heroin overdose is suspected could save a life. In addition, if administered soon enough, the opioid overdose reversal drug Narcan (naloxone) could reverse an overdose before it becomes fatal.
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How It’s Used
Basic methods of use for heroin include smoking or injecting the drug. In some instances, heroin is snorted, but it’s not as common as other methods of ingestion. Since the drug can dissolve in the water quite fast, injection drug use is more common. Paraphernalia commonly associated with injecting heroin include:
- A spoon
- Aluminum foil
- Cotton Balls
- A belt to tie off the arm, making veins more prominent
Users who smoke heroin often use a lighter to burn the substance after placing it on a small piece of aluminum foil. Then, they will usually inhale the substance through some small funneling object.
Withdrawal Signs And Symptoms
When a person begins to withdrawal from the drug, they may feel ill and have flu-like symptoms.
Black Tar Heroin Withdrawal Effects
- Cold Flashes with Goosebumps
- Bone and Muscle Pain
- Intense Cravings
- Leg Movements
- A person may also have gastrointestinal problems, such as diarrhea, nausea, and vomiting.
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At We Level Up NJ, our thorough approach to rehabilitation supports several levels of care to ensure the best possible outcome for every patient who enters our doors. From an intensive and more supportive atmosphere for those in the early days of recovery to a comfortable residential-style living dynamic upon completion of black tar heroin detox, we are here to help guide you down the safe and results-based path to your sobriety.
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 Heroin Drug Facts – National Institute on Drug Abuse (2021)
[2-3] Heroin – National Drug Intelligence Center
 Necrotizing Fasciitis: All You Need to Know – Centers for Disease Control and Prevention
 Injection Drug Use and Wound Botulism – Centers for Disease Control and Prevention
 Wound botulism associated with black tar heroin among injecting drug users – National Library of Medicine