Black Tar Heroin: Everything You Need to Know

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Black tar heroin is a notorious type of illegal opioid often found in the western United States. Even though black tar heroin isn’t as pure as other forms, it can still be dangerous, especially when cut with fentanyl.

Read on to learn more about this type of heroin and discover how to connect with effective heroin addiction treatment if you’re ready to move beyond the abuse of opioids like black tar heroin.

What Is Black Tar Heroin?

Black tar heroin is a highly addictive drug. It is a Schedule I controlled substance, meaning it’s illegal and has a high chance of causing addiction.

Black tar heroin is different from other types because it comes in a solid form. It looks like a black, sticky, or hard substance, just like its name suggests. This type of heroin is mostly made in Mexico and is common in the western United States.

There are two main ways people take black tar heroin:

  • Injection: Injecting heroin is the most common way people think of using this deadly drug. People dissolve the drug in water and use a needle to inject it into their veins. This method is popular because the effects happen almost immediately. However, injecting has extra risks like getting HIV or hepatitis from unsafe needles.
  • Smoking: Smoking black tar heroin involves putting the drug on foil and heating it with a lighter then inhaling the vapors. While this method might seem less dangerous than injecting, it still gets the drug into the bloodstream and can damage the lungs.

While some people snort powdered heroin, snorting black tar heroin is less common because of its sticky form.

The process of making black tar heroin is less refined than making powdered heroin. This makes it less potent, with purity levels around 30% – the manufacturing process caps purity levels. To make more money and increase the potency of the product, dealers mix it with other substances, increasingly fentanyl. Fentanyl is a synthetic opioid that can be lethal in tiny doses.

What Are the Signs of Black Tar Heroin Addiction?

Being aware of the signs of black tar heroin addiction can help you get early treatment for yourself or a loved one. Look out for these common signs.

Physical signs

  • Track marks: Visible needle marks on the arms or other body parts.
  • Weight loss: Rapid and noticeable weight loss.
  • Sleep problems: Trouble sleeping or sleeping too much.
  • Neglecting hygiene: Poor personal hygiene and a dirty appearance.
  • Scabs or sores: Scabs or sores on the skin from repeated injections.

Behavioral signs

  • Secretive behavior: Being very secretive about activities and whereabouts.
  • Lying or stealing: Lying or stealing to get money for drugs.
  • Loss of interest: Losing interest in hobbies or activities once enjoyed.
  • Relationship problems: Problems with family and friends due to drug use.
  • Skipping school or work: Frequently missing school or work and not caring about the consequences.

Emotional signs

  • Mood swings: Rapid changes in mood, from very happy to very sad.
  • Anxiety or depression: Increased feelings of anxiety or depression.
  • Irritability: Being easily annoyed or angry.

Health signs

  • Nausea and vomiting: Regularly feeling nauseous or vomiting.
  • Constant cough: A persistent cough, especially if smoking the drug.
  • Frequent illness: Getting sick more often due to a weakened immune system.

If you notice these signs in someone, seek help. Addiction can be treated, and there are many resources available to support recovery.

an image of someone learning about black tar heroin effects

What Are Black Tar Heroin Effects?

Most people addicted to heroin started by using prescription opioids. Common effects of using heroin include:

  • Euphoria
  • Nausea
  • Diarrhea
  • Deep relaxation
  • Feeling drowsy
  • Loss of coordination
  • Problems thinking
  • Slow breathing
  • Small pupils
  • Severe itching
  • Constipation
  • Dry mouth

Black tar heroin use can have severe long-term effects, including:

  • Tetanus: A bacterial infection from dirty needles.
  • Venous sclerosis: This happens when blood vessel walls get hard and unusable.
  • Necrotizing fasciitis: This flesh-eating condition is caused by using dirty needles.
  • Gas gangrene: A life-threatening condition from bacteria entering the bloodstream.
  • Wound botulism: A serious disease from a germ entering through skin injections.

Black Tar Heroin Statistics

  • Just over 1 million U.S. adults used heroin in 2022.
  • 709,00 used the drug in the past month, up from 590,000 in 2021.
  • Among these, 898,000 had heroin addiction.
  • Around 80,000 U.S, adults inject illegal drugs like black tar heroin. People who inject drugs are at a higher risk of diseases and death. They also need more medical care. Soft tissue infections, which affect the skin and muscles, are a big problem for people who inject drugs.
  • Heroin overdose deaths have gone down since 2016, with 5,871 deaths reported in 2022. Almost 80% of these deaths also involved synthetic opioids like fentanyl.

Types of Treatment for Black Tar Heroin Addiction

Treating black tar heroin addiction is possible with the right interventions. If untreated, the condition usually gets worse.

Detox

Detox is the first step, where the body gets rid of the drug. This process is done in a safe place with medical help to manage withdrawal symptoms.

Inpatient rehab

Inpatient rehab means living at a treatment center. People get 24/7 care, therapy, and support. This is good for those who need a lot of help and a safe place to recover.

Outpatient rehab

Outpatient rehab lets people live at home and go to treatment sessions during the day. This is good for those with a supportive home environment who need less intensive care.

Therapy and counseling

Talking to a therapist can help people understand why they use drugs and learn new ways to cope. Therapy can be one-on-one or in groups.

MAT (medication-assisted treatment)

Some medications can help reduce cravings and withdrawal symptoms. Doctors can prescribe these approved medications to help people stay off heroin long-term.

Support groups

Support groups like NA (Narcotics Anonymous) offer a place to share experiences and get support from others recovering from addiction.

Life skills training

Learning skills like managing stress, finding a job, and building healthy relationships can help people stay drug-free.

ohio recovery centers facility from curb view, representing what is black tar heroin

Get Compassionate, Science-Backed Addiction Help at Ohio Recovery Centers

Do you need help for yourself or a loved one dealing with heroin abuse? If so, we can help you at Ohio Recovery Centers, in Cincinnati.

We treat all types of addictions and mental health issues in an outpatient setting. This lets you continue at home, work, or school while getting help. We also offer more intensive outpatient programs for anyone who needs more support.

All addictions are unique, so all our treatment programs offer a personalized blend of therapies like:

Call our recovery experts today at 877-679-2132.

Table of Contents

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Joseph Gilmore

Joseph Gilmore has been working in the addiction industry for half a decade and has been writing about addiction and substance abuse treatment during that time. He has experience working for facilities all across the country. Connect with Joe on LinkedIn.
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Christopher Glover CDCA

My name is Christopher Glover, and I am from Cincinnati, Ohio. I am currently in school and working to grow in competence to better support our community. As a recovering individual I know the struggles that you or a loved one can go through and that there is help for anything you may be struggling with.

The hardest part is asking for help and we are here as a team to best support you and your decision to start your journey towards a better future. Connect with Chris on LinkedIn

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Amanda Kuchenberg PRS CDCA

I recently joined Ohio Community Health Recovery Centers as a Clinical Case Manager. I am originally from Wisconsin but settled in the Cincinnati area in my early 20s.  My career started in the fashion industry but quickly changed as I searched to find my drive and passion through helping others who struggle with addiction. 

As someone who is also in recovery, I wanted to provide hope, share lived experience, and support others on their journey.  I currently have my Peer Recovery Support Supervision Certification along with my CDCA and plan to continue my education with University of Cincinnati so I can continue to aid in the battle against substance addiction. Connect with Amanda on LinkedIn.

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Patrick McCamley LCDC III

 Patrick McCamley (Clinical Therapist) is a Cincinnati native who has worked in substance use disorder/co-occurring mental health disorder treatment since 2019. Patrick received his bachelors degree in psychology from University of Cincinnati in 2021 and received his LCDC III (Licensed Chemical Dependency Counselor) license from the Ohio Chemical Dependency Professionals Board in 2022. Patrick has worked in Clinical Operations, Clinical Case Management, and Clinical Therapy throughout his career.

Patrick has tremendous empathy and compassion for the recovery community, being in recovery himself since 2018. Patrick is uniquely qualified to be helpful because of the specific combination of his academic background and his own experience in recovery.

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Bill Zimmerman CDCA

Bill Zimmerman is a Greater Cincinnati Area native who has worked in substance use disorder/co-occurring mental health disorder treatment since 2018. Bill received his (Chemical Dependency Counselor Assistant) license from the Ohio Chemical Dependency Professionals Board in 2020.

Bill has worked in Clinical Operations in both support and supervision, and Program facilitating and 12 step recovery support during his career. Bill has a passion for the recovery community, having been in recovery himself since 1982. Connect with Bill on LinkedIn

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Taylor Lilley CDCA, PRS

Growing up in Louisiana with addiction running rampant on both sides of my family. A life away from drugs and alcohol seemed impossible for someone like me. I remember what it was like sitting across from someone thinking there is no way they could ever understand what I was going through.

Sharing my experience offers a credibility and a certain type of trust with clients that only someone who has walked down this road can illustrate. To immerse myself further into the field of addiction, I am currently studying at Cincinnati State for Human and Social Services.  I hope I never forget where I came from, if I can do it, so can you!

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Thomas Hunter LSW

Hello my name is Thomas Hunter. I was born and raised in Cincinnati, Ohio. I am a licensed social worker.In my scope of practice I have worked in the areas of mental health and recovery for thirty years. The clients I have worked with in my career have ranged in age from seven to seventy.

I strive each day to serve my purpose of helping those in need and I believe I do so by utilizing all of my experiences to accomplish my goal of supporting those who desire to establish their sobriety and maintain it in their recovery. Connect with Thomas on LinkedIn.

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Mary D.Porter,LICDC

 My name is Mary D. Porter. I received my Masters of Social Work in 2008 from The University of Cincinnati. I received My Licensed Independent Chemical Dependency Counselor Licensure in 2001. I retired from The Department of Veteran Affairs Medical Center on April 14, 2014. Currently, I am the Associate Clinical Director for The Ohio Community Health Recovery Centers in Cincinnati.. Due to the fourth wave of the Opioid Epidemic in 2019,  I decided to enter back into the workforce to assist the addicted population.

The overdoses were astounding and I wanted to help.  I consider myself  to be an advocate for the addicted population. My compassion, resilience, empathy, wisdom, knowledge, experience and  love I have for this forgotten population goes beyond words. I consider what I do for the addicted population as a calling versus a “career,” because I too was once an “addict and alcoholic.” Today I am 45.5 years alcohol and substance free.

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Ben Lemmon LCDC III

Hello, my name is Ben Lemmon, and I’m the Vice President and Clinical Director at Ohio Community Health Recovery Centers. I’ve been working in the addiction and mental health field since 2013 and decided to enter the field after overcoming my own challenges with addiction.

When I first meet a client, I always explain to them that the reason we are meeting is because they are not capable of obtaining or maintaining sobriety, and my goal is to create a person that can maintain sobriety. I believe a person’s personality is made up of their thoughts, feelings and actions and my job is to help clients identify the thoughts, feelings and actions that have them disconnected from recovery and provide them with the tools to live a healthy and happy life. Connect with Ben on LinkedIn