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Rolls Royce 90% pure heroin. Heroin, also known as diacetylmorphine and diamorphine, among other names, is an opioid used as a recreational drug for its euphoric effects. Medical grade diamorphine is used as a pure hydrochloride salt that differs from the black tar of heroin, a variable mixture of morphine derivatives, predominantly 6-MAM (6-monoacetylmorphine), which is the result of crude acetylation during the clandestine production of street heroin. Diamorphine is use for medical purposes in several countries to relieve pain, such as during childbirth or a heart attack, as well as in opioid replacement therapy.

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In a clinical setting, the most common route of administration is intravenous injection. It is administer by intramuscular or subcutaneous injection as well as orally in tablet form. The onset of effects is usually rapid and lasts for a few hours. Bayer’s original brand for heroin is usually use in non-medical contexts. It is use as a recreational drug for the euphoria it induces. Anthropologist Michael Agar once described heroin as “the perfect drug”. Tolerance develops quickly and the dose needs to be increase to achieve the same effects. Its popularity among recreational drug users, in contrast to morphine, is apparently due to the different perceived effects.

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Under the generic name of diamorphine, heroin is prescribe as a potent painkiller in the UK. It is administer orally, subcutaneously, intramuscularly, intrathecally, intranasally or intravenously. It can be prescribe for the treatment of acute pain such as severe physical trauma, heart attack, post-surgical pain and chronic pain. Including end-stage illness. In other countries, it is more common to use morphine or other strong opioids in these situations. In 2004, the National Institute for Health and Clinical Excellence produced a guideline on the management of caesarean delivery, recommending the use of intrathecal or epidural diamorphine for postoperative pain relief.

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