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For those seeking addiction treatment for themselves or a loved one, the helpline is a private and convenient solution. Caring advisors are standing by 24/7 to discuss your treatment options.
Calls to any general helpline (non-facility specific 1-8XX numbers) for your visit (IP: will be answered by American Addiction Centers (AAC) or a paid sponsor.
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Mixing heroin with alcohol

Are you considering mixing heroin with alcohol?

The risks and dangers of mixing heroin with alcohol may outweigh the benefits. So what happens inside your body when heroin in your system is combined with alcohol – whether you have snorted heroin, smoked or shoot it? What are the side effects, and what can go seriously wrong? We review here. Then, we invite you to ask questions about mixing heroin and alcohol in the comments at the end.

Heroin and alcohol effects

Alcohol has a chemical reaction with heroin in the body. Heroin is an illegal opiate painkiller which causes feelings of euphoria, along with analgesic effects. Alcohol is a legal central nervous system depressant which can intensify the effects of heroin. When combined, heroin and alcohol have an additive effect which causes both drugs to be stronger.This can easily cause accidental overdose or alcohol poisoning. When mixed, people have reported some of these effects from taking heroin and alcohol at the same time:

  • euphoria (a sense of extreme well-being)
  • numbness
  • lightheadedness
  • relaxation

Dangers of mixing heroin and alcohol

Taking alcohol and heroin together can result in serious adverse reactions, due to the additive effects of both central nervous system depressants. Some potentially dangerous effects of mixing heroin with alcohol include:

  • dizziness
  • drowsiness
  • loss of consciousness
  • shallow breathing
  • impaired coordination
  • overdose
  • slowed or irregular heart rate
  • tremors

But alcohol doesn’t just intensify the effects of heroin. It does both ways. Alcohol also becomes more dangerous when mixed with heroin, becoming a stronger sedative. Drinking and using heroin can cause trouble concentrating and difficulty with coordination. This makes it more likely you’ll be involved with an accident or injure yourself. You also experience a greater intoxication from alcohol when mixing it with narcotics, leading to a greater risk of alcohol poisoning.Your alcohol tolerance will always be lower than you would normally expect when mixed with central nervous system depressant drugs.

Heroin and alcohol overdose

You risk an overdose on heroin when you mix it with alcohol. Heroin is extremely dangerous as it is, since it’s a street drug and it’s difficult to know if it’s been contaminated and how strong any given dose might be. Adding alcohol on top of this unpredictable drug only makes matters worse.

Heroin and alcohol deaths

Heroin commonly ends up being mixed with alcohol, despite the dangers. Combining heroin with alcohol can cause your breathing to slow, or even stop completely. The only way to avoid potential overdose or other adverse effects is to avoid mixing heroin and alcohol completely.

Is it safe to drink on heroin?

No, it’s not safe to mix heroin and alcohol – the combination just brings out the worst potential effects of both drugs. Heroin is not normally safe to take as it is, given that it is illegal and completely unregulated. But when you drink and take heroin, you increase risk and danger of side effects.

Mixing heroin alcohol questions

Do you still have questions about mixing heroin with alcohol or other substances? Please leave your heroin questions here. We try our best to answer all questions personally, and promptly. And if we don’t know the answer, we will refer you to someone who can help. Your experiences with mixing heroin and alcohol are also welcome.

Reference Sources: NIAAA pamphlet: Harmful Interactions, Mixing Alcohol with Medicines
NHSTA: Drugs and Human Performance Fact Sheets: Morphine (And Heroin)
NIDA: Research Reports: Heroin: Abuse and Addiction
Leave a reply

Doug Manderbach
Monday, July 9th, 2012

Hello! I found most of the information in this blog post "Mixing heroin with alcohol" to be on point. However, there is a further point that needs to be discussed that was not addressed in this blog. That being the dangers of mixing alcohol with almost all drugs; licit or illicit from a physiological and pharmacological perspective. Like tobacco there is a tendency to view alcohol as being a relatively benign substance when it fact there is very little about the ingestion of alcohol that is benign. Ethanol (the primary psychoactive ingredient in alcohol), is for practical purposes poison. Physiologically, the body does everything it can to metabolize ethanol as quickly as possible. Almost all liver function is given over to metabolizing ethanol. Hence, when one mixes alcohol with other drugs like heroin, the heroin (or other drugs), effectively become trapped because the body is working almost exclusively to metabolize the ethanol. The above is the short answer to one of many questions on the dangers of mixing alcohol with almost all drugs. Suffice it to say, this is what is actually meant by the statement that alcohol can and does exacerbate the effects of other drugs (or sometimes diminishes--as in the case of antibiotics) when alcohol is consumed in combination with other drugs. Technically speaking, "effect" has NOTHING to do with euphoria. Rather it has to do with such things as lethal dose (LD) and effective dose (ED) curves, and much more. Let me conclude by saying that purpose here is not to scare anyone. Besides, to be quite frank, those who are in the midst of suffering with addiction will, in spite of evidence and reason, simply not take the information to heart. This fact is part of the nature of addiction. How do I know this? For decades I suffered with heroin addiction. Thus, I have not only my behaviors, but the behaviors of scores of others to support this view. As I once heard it said, "It is hard to see the picture when you are stuck inside the frame...". Since I no longer use drugs, today I have a somewhat clearer view of the picture. In the coming weeks I will graduate with a degree in counseling with an emphasis on substance abuse and chemical addictions. Hence, today I have two views of the picture. The users experience combined with a solid framework of the science and psychology of addictions and substance abuse.
Wednesday, July 11th, 2012

Well written article. Taking alcohol and heroin together can indeed be fatal.
Wednesday, September 26th, 2012

Who would do such a thing? :(
Sunday, October 21st, 2012

i've been an alcoholic for 15 years and now do heroin everyday for the past 2 years. my life involves sleeping. i don't do anything anymore. i basically can't even stand. what do i do?
Addiction Blog
Monday, October 22nd, 2012

Hi Susan. Thanks for reaching out for help. You can call 1-800-662-HELP for information, support, treatment options and referrals to local rehab centers for a heroin and alcohol problem. The hotline operates 24 hours, seven days a week. But you have to be willing to quit both alcohol and heroin 100%.
Linda Madison
Friday, December 7th, 2012

My sweet, loving friend was found dead and it took the coroner and police 9 months to determine the cause of death to be alcohol and heroin caused. I don't understand. I never knew he was on heroin. Did he die in his sleep, as the coroner suggests, or is that just what they say to spare loved ones from what really happened? Did he suffer? Did he do it on purpose? I can't get over his death after all this time, and I am not sure I even want to go on living. I want to see him desparately and ask him why. I am an alcoholic myself, but I don't touch drugs. Can anyone tell me what he went through in those hours before his body was discovered? I need to know. Why couldn't I see track marks? I need answers. Please.
Addiction Blog
Saturday, December 8th, 2012

Hi Linda. It's possible that your friend was also snorting heroin, and not injecting it. If death occurred during acute intoxication from heroin, pain was probably not an issue. The brain enters a state of intense well-being on heroin, and if your friend was in this state when death occurred, it's possible that he passed without much suffering. Maybe someone else can weigh in on this, as well?
greiving daughter
Monday, January 21st, 2013

Hi, i basically have the same story as Linda, except it was my father. i found him and he had some black stuff coming out of his mouth and i could see some stuff on the side of the bed, but not a whole lot. I dont know if he vomited and choked or if it was an overdose from the heroin and alcohol. I just want to know if it was painful for him, ive been searching online but i cant really find anything about the pain. i mean he looked very peaceful like he was sleeping. If anyone know anything about this pleas post back, thanks.
Doug Manderbach
Tuesday, January 22nd, 2013

Dear Grieving Daughter, Let me begin by offering my condolences on the loss of your father. This is yet another example of the dangers of substance use/abuse and the need for awareness. As for your question, there may be no definitive answer. Form a pharmacological standpoint heroin blocks the pain receptors and slows respiration which are exacerbated by the use of alcohol. Most people just don't seem to realize that the human body will exert considerable effort to excrete ethanol. Our bodies treat ethanol as a toxic substance. So much so, that when mixed with other drugs the body will attempt to excrete ethanol first. This can result in the lethal build up of drugs like opiates, or as in the case of cocaine for example, can result in the production of lethal levels of other active metabolites. I would guess that your father did not suffer. Most likely the effects of the drug(s) by that time would have nearly or completely rendered him unconscious.
wendy davies
Monday, January 28th, 2013

my stepdaughter took heroin and alcohol within 24hrs of one another,really strong larger some hours later she was found slumped in the bathroom dead could the use of both drugs cause her to die several hours later or would she have to have been shooting up at the time,the person who found her is her partner also a user and not very truthful and we are full of questions which he refuses to answer he only admitted the heroin use 36hours later thanking you and hope you can give us any information wendy davies
Addiction Blog
Monday, January 28th, 2013

Hi Wendy. I am very sorry for your loss. MY condolences to you and your family during this very difficult time. I think that the best way to find out the answers to your questions is to consult the coroner's report. It sounds likely that concurrent use of heroin and alcohol is possible.
Doug Manderbach
Monday, January 28th, 2013

Hello Wendy, Allow me to begin by offering my condolences to you and your family. Your story is one I hear all too often and which I don't think I will ever get used to. I started using in 1963 and didn't finally stop until August 2009. There are a couple of reasons why I point this out. The obvious one being that I have heard, seen, and very nearly lost my own life due to drug use more times than I care to remember. Also, I am afraid that you are not going to get many straight or truthful answers from your stepdaughter's partner. One of the multitude of reasons for this is that for him to be forthright and truthful means that he must look at his behaviors and the effect they have had on others as well as himself. This simply is not possible when a person is caught up in active addiction. Said another way, it is hard to see the picture when you're stuck inside the frame.... As the folks from Addiction Blog suggest, the corner's report is a possible avenue for finding some answers. This will depend on how comprehensive their toxicology is. What I mean by this is that sometimes the report will note is the presence and levels of opiates and other drugs found while the cause of death may be listed as respiratory failure, heart failure, or something else. In short, there is a lot of legal requirements for these kinds of reports that don't always seem to make a lot of sense. Please Wendy, while it may appear that I am doing more to discourage you than to encourage you, I know that what you really want is to try and make some sense out of a terribly tragic situation and to gain some closure from that understanding. This is a natural and reasonable response. Wendy, for you, your family, and friends, I wish you well and hope that you may find some peace in this difficult time.
Saturday, August 10th, 2013

My granddaughter came up to go to her brother's high school graduation and they tried to wake her at 7:30 a.m. to go to graduation at 8:00 a.m. and said she was snoring and they left her and got home around 10:35 and found her dead. She was 20 and had an alcohol problem, but did not do drugs. She had gone to the doctor the day before and got a prescription for Hydromet and was on seizure medicine, Zanax prescribed by her doctor. The hydromet has hydrocodone in it. The death certificate came today and it says toxic effects from Heroin. Things are not adding up to what happened in that house. Pictures of Alcohol being served to underage kids have been deleted from FaceBook and Twitter the night before. My question is if she was snoring at 7:30 and they found her around 10:35 and called 911 at 11:09 and she was pronounced dead at 11:22 at what point would she have had to take the heroin. Her friends and boyfriend said they never knew her to do drugs and neither have we. We requested a copy of the toxicology report but only got the death certificate. Any help would be appreciated.
Addiction Blog Network
Monday, August 12th, 2013

Hello Betty. I am so sorry to hear of your loss. Hydrocodone metabolizes into heroin-like metabolites. I'd suggest that you take the toxicology report to a Medical Review Officer, toxicologist, or coroner for an expert opinion about the time of the dosing.
Saturday, September 14th, 2013

If you smoke heroin how long does it stay in your system for also after 3 days can it be detected with a urrain test.
Wednesday, October 8th, 2014

The love of my life died 7 months ago today. He was twice legally drunk and had heroin in his system. He was fighting his addiction to whiskey and crack and as far as I know never did heroin til that day. He came in from work (he worked with a heroin addict) I could smell the whiskey on his breath in which made me mad. But I did notice he wasn't acting the normal way when he would get drunk. He usually wanted to fight but this day he wanted to lay down for a nap (which he never wanted to nap especially drunk) So instead of fighting with him I encouraged him to lay down. I was next to him when he fell to sleep. He did ok for a few minute but than he made 2 weird noises and than a little bit later he was not breathing. I began CPR and called 911 while on the phone I noticed this slimy brownish red stuff coming out of his mouth and nose. Needless to say when the EMTs got here they did not save him. I have read that whiskey and heroin is very dangerous but it don't kill every one. So my question is did I let my love die by not responding to the weird sounds I heard? This has been bothering me for 7 months. If anyone is reading this PLEASE PLEASE PLEASE if you are using heroin especially heroin with alcohol Please stop because losing a love one and not knowing if there was something one can do to save them is the worse.
Friday, March 20th, 2015

Hello Can you tell me please if you put a little dose of heroin into the Alcohol. Can the person dont remember what have happened? Can it me that so person remembers only some fragments or picture? Again i don't use drugs and can not not say what little dose can mean. But what dose is needed for the person not to remember what have he done on that date if there is reaction exist by mixing those two. Again the person had been drunk a lot in his life and always remembered everything that had happened during being drunk. This day he was drinking with the person who is heroin user. then he saying in one minute he felt like burds are singing clearly and colors became more bright. then he don't remember what happened within 2-3 hours then all he remembers the fragments like a picture. Is it possible that heroin was put inside the drink. Thank you
Friday, June 19th, 2015

What the difference between heroin an cocaine
Ivana @ Addiction Blog
Monday, June 29th, 2015

Hi Akeem. Heroin is an opioid analgesic naturally derived from the opium poppy. Cocaine is a powerfully addictive stimulant drug made from the leaves of the coca plant native to South America. The difference is that they are both completely different drugs.
Friday, July 10th, 2015

What would happen if the heroin was actually mixed into someone's alcoholic beverage and they consume it by drinking?
Wednesday, July 15th, 2015

Hello. I have a very important question. I'm new to this whole thing. My cousin has been a habitual user for years. She was clean for a year. And as of last weds-Sunday she was taking 5 to 15 m.g of methadone. Then tues and weds today split a 20 of heroin. She has a blood and urine test for this following Monday the 20th. She is about 5'4 and125 pounds.if she exercised and drank a lot of water, what are the possibilities she will test clean for the 20th please let me no. She's signed up for rehab. I'm just trying to help her.
Saturday, July 25th, 2015

My husband and I just suffered 3 horrific loses in our family. They were definite alcoholics, and recreational drug users, but not chronic! We are from a very small town and of course there are many things that you hear and some even tempted to believe. Facts known are that they were found by a neighbor approx.3 days after they were seen alive. At the time of discovery the odor of decoposure was said to be very strong. 2 were found laying in the floor and one sitting in a chair. First reaction of police officers on seen suspected foul play, but autopsy report show no apparent trauma to any of the bodies. The rumor is that heroin was possibly involved, but I am having a really hard time believeing that all 3 could have just killed over at the same time in the same room and no one think to call 911! It is suspected that there was a fourth person present because there was NO EVIDENCE AT ALL of drugs in the residence, no tools in which a person would smoke snort melt or shot up! It seemed as if it had been cleaned up, and these 3 people would not have been worried about cleaning up their mess! My mind just cannot wrap around the theory that they all 3 just OD at the same time, and a lot of folks are just brushing it off as just that. If there is anyone who has an opinion about this, please share!!!
Thursday, August 27th, 2015

My nephew died of acute heroine toxicity we find that suspicious because he didn't do heroine. We believe it was place in his beer. My question is if he ingested both of them how long would I take before it took effect and can it be found in the initial autopsy drug testing? I ask about the drug testing because when we received the first test they did not find heroine they only found alcohol and cannibas. It wasn't until weeks later when we recieved the toxicology report heroine was in his system ...they ruled his death acute heroine toxicity. Can you enlighten me a little more on this subject.
Ivana @ Addiction Blog
Thursday, August 27th, 2015

Hello Keisha. I'm truly very sorry for your loss. Unfortunately I cannot answer any of your questions with absolute certainty. In different individuals the offset of effects takes different amount of time. It is not suspicious that the heroin was not found in one test, but came up in the other. Maybe the second test was more broader. Also, it will probably stay unclear whether he was unaware of ingesting the heroin or whether he took it voluntarily. My condolences!
Saturday, November 7th, 2015

My frnd use to take heroin later his family came to know about this so he was undergone some treatment but later now I m in doubt that he is still taking heroin along with alcohal. But he is denying that he is taking heroin. How do i prove that.. What r the symptoms if he is doing so?? Sir plz do reply its really urgent
Sunday, November 15th, 2015

My son passed away by mixing heroine and alcohol. He got sick during his od and I believe he inhaled.
Addiction Blog
Monday, November 16th, 2015

Hello Melinda. I'm really sorry for your loss! Thanks for sharing. I hope our readers will reconsider mixing heroine with alcohol.
Thursday, December 24th, 2015

My son died on Nov 6, alcohol and heroin. Also amphetemines were in his system. I am heart broken. Getting on with life as best I can. I just wish users of these drugs knew the hell they put their loved ones through.
Lydia @ Addiction Blog
Thursday, December 24th, 2015

Hi, Clg. I'm really sorry for your loss...I am deeply pained and words are of no help in expressing the sorrow I feel at this moment. Sincere condolences!
Tuesday, February 23rd, 2016

Well, Lauren... There would be a complete and total state of relaxation, similar to New York. I'm so going down. Yikes! Hopefully that's appropriate.
Saturday, March 12th, 2016

My babies dad took heroine and alcohol, it took his life and left my little girl without a daddy, it's devastating! Please if anyone reads this, please don't do it ?
Friday, March 18th, 2016

I have recently lost my love ... I didnt go for postmortem i dont know the actual reason for his death . recently one of his friends told me that he had injected heroin.. Dt night in a party can anyone please tell me is it possible to die with just that little amount it was 500 mg. M unaware of these drugs i cannot share it with anyone please help me im finding the truth of his death
Lydia @ Addiction Blog
Friday, March 25th, 2016

Hi Sanvi. I'm really sorry for your loss. You have my sincere condolences. Every drug affects each person differently, so lethal dosages vary from person to person, and also there are many other factors such as tolerance, period of use, the intake, human body itself etc. I'd suggest you to ask for the death report and consult with a coroner or a toxicologist about your concern.
Friday, March 25th, 2016

This morning, like almost every morning the first things I do is make a cup of coffee, feed the cat, and turn on the computer to check my emails. At the top of the email list was an email from the Addiction Blog (mixing heroin and alcohol), and my heart sank because I know that such emails always involve unbelievable personal misery. At such moments I am instantly transported back in time to when I was still using and all the pain, misery, and harm that I caused myself, family and friends, and people whose names I don’t even know. Yet I am one of the lucky ones who after roughly thirty-five years of actively using decided that it was time to stop practicing survival skills and learn to practice life-skills. Those of you who have lost someone to addiction or death from addiction I deeply regret to say that there really are no words that will offer you any real sense of comfort. The question ‘why’ is always on your mind and in your heart. Try to keep in mind that the addict has a disease which leaves them sick of mind, body, and spirit. Like any many diseases it is progressive (literally), and if left untreated it is often fatal. However, unlike many diseases, the patient must do the majority of the work necessary for recovery to take place. And, as cruel as this may seem there is little or nothing you can do to help the person who doesn’t actively want help. You will only cause them and yourself harm if you take the approach of trying to help at all cost. This does not mean to say that you should just turn your back on the addict. Far from it! Try to encourage them to get professional in-patient treatment. Failing that, seek out the services of a qualified interventionist. If that doesn’t work, then you might consider walking away from the relationship. To be sure, this will all seem especially difficult where there are children in the household. But ask yourself, how much of a parent can an addict be? There is no doubt that there are moments when even an addict is capable of parenting, but parenting is not a momentary job any more than truly loving one’s spouse is, and when the obsession and cravings of addiction present, parenting and everything else takes a distant second to the need to get high.
Lydia @ Addiction Blog
Wednesday, March 30th, 2016

Thanks for sharing, Douglas! Hope other readers will get your message.
Tuesday, May 10th, 2016

What will happen if I drink whisky after smoked opium? thanks
Tuesday, June 21st, 2016

Thanks u saved my life..i accidentally mixed vodka n herion,thinking it was water...i found ur site n decided2 squirt it out..looks like im gonna detox now !! Everything happens 4 a reason. Thanks
Lydia @ Addiction Blog
Wednesday, June 22nd, 2016

We are glad to help you, Sandy! Best.
Thursday, September 15th, 2016

I accidentally spilled 50% isopropl alcohol on my heroin that I SNORT only. I have dried it out, and I have snorted a little bit afterwards. IS THIS DANGEROUS/ What could happen to me? Should I call 911?
Lydia @ Addiction Blog
Thursday, September 15th, 2016

Hi Julie. If you don't fell well, call 911 ASAP.
Sunday, December 25th, 2016

My husband passed away in June autopsy say he had alcohol and various drug intoxication. But I feel like the ambulance nor hospital do anything to save him
Lydia @ Addiction Blog
Monday, December 26th, 2016

Hi Rosalba. I'm really sorry for your loss...
Monday, March 6th, 2017

are there treatments for mixing alcohol and heroin?
Lydia @ Addiction Blog
Monday, March 6th, 2017

Hi Jose. Call the helpline you see on the website to speak with a trusted treatment consultant.
Monday, March 6th, 2017

Hi, can you tell me if heroin or opium will dissolve in alcohol and if the drinker will taste that it is there please? I was drugged and raped when i was 16. I'd had one glass of chinzano. I believe the man who did this to me used opium or heroin. I was unconscious through most of the attack and couldn't move my body at other times. I also feel that I came very close to death through respitory failure. Do these things serm in alignment with a heroin/opium plus alcohol mix? I am still trying to understand what happened to me 25 years later :( My friend had also been spiked and was unconscious in another room while i was attacked. The man kept me there for 8 or 9 hours but i hardly have any memory of what else happened. Any insight would be appreciated as i still struggle with ptsd from the attack. Many thanks Katy
Lydia @ Addiction Blog
Tuesday, March 28th, 2017

Hi Katy. I'm really sorry that this happened to you... It's traumatic and awful experience... It could be alcohol and heroin mixture, we really don't know. There are many drugs that can cause unconsciousness.
Tuesday, March 28th, 2017

Opium dissolves well in alcohol. One old remedy was laudanum, an opium-alcohol tincture. It was prescribed mainly as a cough suppressant, but was used for pain as well. I have prepared my own laudanum from Persian white and Tasmanian purple poppies I grew in a community garden. I would consider it superior to heroin or morphine, as it is much less addictive, mixes nicely with Port wine, though there is to date no strain of opium that will not give stomach cramps when ingested orally. Many botanists are still quite busy trying to find just the right mix of strains to produce a laudanum-friendly hybrid. Coincidentally, Bayer produced a strain of GM proprietary opium that increases the life-span of laboratory mice bu 30% or more. Not encouraging anyone to begin with opiates, but as someone who has used them responsibly for more than 40 years without ever becoming severely addicted (on 3-4 days, off 2--3 days and repeat, minimises addiction and tolerance), I can attest to their efficacy in treating chronic pain (I have arthrosis throughout my body, and have already had a shoulder replaced).
Thursday, June 15th, 2017

my sister was addicted to heroin and alcohol... in april i found her dead in our shed. she mixed heroin and drank. when her tox screen came back it said drug related obviously.. i called and asked what drug related meant they said from mixing the 2 her heart stopped and her brain shut down.. my question is when your heart and brain shuts down is tjere pain? or did she go peacefully? obviously peaceful isnt the right word but when you start to shut down is it painful??
Lydia @ Addiction Blog
Tuesday, June 27th, 2017

Hi Cyndi. I'm really sorry for your loss...
Friday, August 4th, 2017

Cyndi... I'm really to hear about your sister. I am not a doctor or coroner (and that's who I would ask) but I'd say your sister didn't feel anything. So sad. I'm an addict and I still suffer but the thought to accidentally hurt myself is never there. More it is always in the back of my mind to take things slowly... my condolences to all the families that lost someone...
Tuesday, September 26th, 2017

I know my child has had a problem with heroin and I believe he still does. Can I just take him to a hospital to be tested? He’s been lieing about everything lately. I’ve found wax paper bags in my car and one even had a white powder in it. He has no insurance as of now, so where Can I take him to get tested to prove to me he’s not using?
Lydia @ Addiction Blog
Tuesday, September 26th, 2017

Hi Joann. You can use some home drug tests kits. Here are some suggested reading: - - Also, you may download our free e-book to learn more about the whole process and types of drug tests:
Sunday, November 5th, 2017

is it ok for a rcovering heroin addict to have a couple of beers over the holidays?
Monday, December 4th, 2017

Can heroin be used in a drink? Can you smoke heroin in a cigarette? How to overdose on heroin without snorting it or injecting it best way possible