Addiction Blog

Heroin Hallucinations: Fact or Fiction

Heroin is a powerful opioid that is derived from the opium poppy plant. It typically comes in the form of a powder and is injected, snorted, or even smoked. People initially abuse heroin because of its euphoric rush, but they keep abusing it because the drug is highly addictive. While heroin is known to sometimes be accompanied by nausea, insomnia, itching, depressed breathing, slowed heartrate, and heaviness in the limbs, the side effects may not stop there.

Does Heroin Make You Hallucinate?

Most people who abuse heroin will not experience heroin hallucinations, but they are a possible side effect of opioid use. These hallucinations can be auditory, visual, or even sometimes tactile. Whether or not someone experiences, heroin hallucinations seem to depend on a variety of factors that researchers are still studying. The exact frequency of this phenomena is unknown and likely underreported.

For comparison, a small study of cancer patients on morphine found that around 5% experienced some kind of hallucination while on the drug. Also, fentanyl, an opioid that is far more potent than heroin, has a hallucination rate estimated around 6%.1

Causes of Heroin-Induced Psychosis

Everyone is different so the effects of drugs can vary drastically from person to person. Because heroin hallucinations do not occur that often, studies on the causes of heroin-induced psychosis are not conclusive. There could be several reasons that some people experience heroin hallucinations including drug interactions, brain changes, insomnia, and underlying mental health problems.

Mixing drugs can be dangerous and lead to some serious adverse effects, especially when these drugs are being abused. Psychostimulants can also exacerbate opioid-induced hallucinations.

Another probable cause of heroin hallucinations is changes in the brain, especially those concerning dopamine, a neurotransmitter associated with feelings of happiness and the brain’s reward system. Over time, heroin abuse can lead to overactivation of dopamine pathways in the brain that are believed to be connected to hallucinations.1  During a heroin detox, a person may experience heroin withdrawal psychosis and hallucinations. These withdrawal symptoms are likely a result of the brain readjusting to normal dopamine levels.

Insomnia may also be a contributing factor to hallucinations from heroin. Heroin abuse often leads to lack of sleep because it increases wakefulness and disrupts the body’s natural sleep cycle.2 In one study, after 24 hours without sleep, 43% of students experienced perceptual changes like hallucinations, and after 60 hours without sleep, this number rose to 100%.3

Heroin may not cause hallucinations, but instead, exacerbates underlying health problems that make people predisposed to hallucinations. Hallucinations are a common symptom for people with schizophrenia, Parkinson’s disease, dementia, and Charles Bonnet syndrome. Because of the harmful nature of drug abuse, prolonged heroin use may make these health problems worse and lead to the development of hallucinations. People with both a heroin addiction and a mental health disorder should seek treatment for both issues like at our dual diagnosis treatment center in Florida.

Regardless of whether or not someone is experiencing hallucinations from heroin, heroin is a dangerous drug that can have a serious impact on a person’s health. People who are addicted to this opioid should get heroin addiction treatment before too much damage is already done.

To get help for an addiction or mental health problem, call 888-280-4763. At Behavioral Health of the Palm Beaches, we are here to help both you and your loved ones move past these problems.



  1. NCBI – Opioid-induced Hallucinations: A Review of the Literature, Pathophysiology, Diagnosis, and Treatment
  2. PubMed – Morphine-like Insomnia From Heroin in Nondependent Human Addicts
  3. NCBI – Severe Sleep Deprivation Causes Hallucinations and a Gradual Progression Toward Psychosis With Increasing Time Awake

Sober Activities in Palm Beach County for a Fun Recovery

Now that you are done with your inpatient rehab in Palm Beach County, you want to get out and about, but doing so can be intimidating. The fear of relapse may be in the back of your mind, and you may not be sure what to do that doesn’t involve drugs or drinking. These concerns are normal, but they should not prevent you from having a good time in addiction recovery.



Benzodiazepine Withdrawal Symptoms, Timeline, & How to Handle it

Benzodiazepines, or benzos, are a group of drugs that depress the central nervous system. They are prescribed by doctors to help with anxiety disorders, muscle spasms, alcohol withdrawal, sleep disorders, and seizures. There are several on the market, but some of the better-known benzodiazepines are Xanax, Valium, and Klonopin. Like some other prescription drugs, these medications do have a propensity for abuse and can be addictive.



What to Do Instead of Drinking (& Also Help Your Recovery)

When Friday night rolls around, people are ready to go out, have a good time, and forget about work for the next few days. For some people, these weekend plans may include sipping on a few cocktails or having a beer. While drinking may be the norm for many people on the weekend, if you got alcohol abuse treatment and are now sober, this is not an option.



Is Marijuana Addictive? The Truth Behind This Controversial Drug

Marijuana is a psychoactive drug that stems from the cannabis plant. It can be smoked as well as infused with food products in what are called edibles. Marijuana does have medicinal purposes related to glaucoma and pain relief, but many people use marijuana recreationally for its euphoric high.

In recent years, more and more states have been legalizing marijuana for recreational use. As states continue to follow suit, concerns over the addictive quality of marijuana is rising. Many fear that the legalization of this drug could lead to problems down the road.



Realistic Addiction Recovery Goals for Your Early Sobriety Journey

Goals can be stepping stones to a happier and healthier life, but they require a lot of work. Many people may set goals, but not everyone will follow through on them. Addiction recovery comes with a lot of big changes and setting goals in recovery can help provide you with some direction. While they are important for your sobriety journey, achieving these goals is often far from easy, especially if you have unrealistic expectations.



Helping Someone with Depression

When someone you care about is hurting, all you want to do is help. Unfortunately, depression isn’t something your loved one can just snap out of. It is a complicated mental health disorder that is persistent and can be the result of several factors. Although you may be feeling lost or overwhelmed, there are some things that you may be able to do to help them.