Heroin overdose through insufflation

[Totalxtc]

Hi all, so I was curious about what happens when you overdose on heroin when snorting? Do you just fall out once it kicks in like when you shoot it up? How long does it take? Looking for what a step by step description of an OD by insufflation

 

[Coolwhip]

Unless we are talking about an opiate naive person, you'll just sort of fall asleep, and unless you did a stupid amount or mixed it with something, your friends may not be able to keep you awake(like they'll slap you, you'll open your eyes and splurt out some gibberish but go right back under) but there's good chance you wouldn't die.(but should still call 911 or administer narcan of course, and check for breathing, they will probably have very shallow breath, but if they aren't administer CPR) You won't die instantly, and even if revived could have brain damage, it'd basically be the same for an opiate naive person but with a MUCH faster timeline, and the opiate naive person is in more danger of asphyxiating on their own vomit as it'd be very hard for them to reach blood levels which cause enough respiratory depression to lose consciousness without becoming violently ill.

edit: good way to check for breath is holding a mirror under their nose and look for condensation, if someone is unable to maintain consciousness you probably won't be able to feel their breath or see their chest moving.

 

[Cocaine_Brain]

Uh, the survival statistics for opiate overdoses are very very minute, even if paramedics can arrive to help. Permanent brain damage occurs in a matter of minutes once the brain's oxygen supply has been cut off.

You are much less likely to overdose on insufflated than injected heroin because you may just fall asleep before you do a lethal amount. Also, with insufflation, it is virtually impossible not to be able to judge how high you are and whether dosing again is safe. All in all, insufflation is not a real danger as compared to IV.

Falling unconscious takes time, so even if you IV it, you will probably not go unconscious right away, and if you do, you aren't dead yet. When you fall out, you don't know that you are going to or that you already have fallen out until you wake up. If you are so tired that you can't keep your eyes open or stand up, your lips are turning blue, your face is pale, and your breathing gradually slows down, you probably have overdosed.

I personally have fallen out on sniffed and injected heroin. With sniffing, I fell asleep for about 10 minutes, then woke up to not knowing what had happened. With injection, I fell out about 6 minutes after and remained unconscious for 30 minutes, only to wake up lying on the floor. Also I was heavily sweating and nauseous.

 

[Totalxtc]

Thank you for your responses, those answers were much more explanatory and helpful than anything else I have read.

 

[subotai]

You absolutely can die from snorting it, especially if there is alcohol or benzodiazepines in your system

you'd have to be pretty opiate naive to die from a straight insuffalated heroin OD, but it is possible

snorting it caused you to just dip out and wake up a little while later wondering what happened. Usually a headache is present

shooting too much will literally make you fall out within a matter of minutes. There is no gradual process. Your body absorbs 100% of the heroin into your blood and immediately hits the brain.

Snorting it is more in the 40-60% absorption range so you'd have to really be off on your guessing of what amount to safely use to die

whereas IV requires more precise usage. It's easy to OD from IV because a little bit can put you over the top because you are absorbing all of it