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What IS BTH?

Black Tar Heroin is a crude, impure form of heroin, a powerful opioid derived from morphine, which itself is extracted from the opium poppy (Papaver somniferum). Unlike the fine white or beige powdered heroin found in some regions, black tar heroin is dark, sticky, and resembles roofing tar or hard resin.

It is most commonly produced in Mexico and trafficked primarily to North America, especially the western United States. Due to its ease of manufacture and lower cost, black tar heroin has become widely available in regions where other forms of heroin are less accessible.

Physical Characteristics

• Color: Dark brown to black

• Texture: Sticky like tar, or crumbly like resin

• Smell: Vinegar-like or burnt sugar scent

• Solubility: Dissolves in water or can be heated into a liquid

Black tar heroin is usually less refined than powdered heroin. It contains various impurities, including plant matter, by-products from processing, and sometimes additives.

How It’s Made

The production of black tar heroin involves:

1. Extracting raw opium from the poppy plant.

2. Converting the opium into morphine base.

3. Processing morphine with acetic anhydride to produce heroin (diacetylmorphine).

4. Skipping multiple purification steps, resulting in a dark, tar-like final product.

The lack of purification makes black tar cheaper to produce but also less potent and more dangerous due to contaminants.

How It Is Used

Common methods of use include:

• Injection (most common): Dissolved in water and injected into a vein, muscle, or under the skin.

• Smoking: Heated on foil and inhaled (“chasing the dragon”).

• Snorting: Less common due to its sticky consistency.

Because of its sticky or chunky form, injection tends to be the most efficient method, though it comes with the highest risk of health complications.

Harm Reduction Strategies 

While abstinence is the safest choice, harm reduction programs aim to reduce the risks of use through:

• Needle exchange programs: Prevent the spread of HIV and hepatitis.

• Supervised consumption sites: Medical oversight reduces overdose deaths.

• Education on safer use: Sterile equipment, safer injection practices, and hygiene.

• Access to naloxone (Narcan): Saves lives during overdose emergencies.

• Medication-Assisted Treatment (MAT): Includes methadone, buprenorphine, and naltrexone to manage addiction.