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Opium

Nicknames: ‘Big O’, ‘Chinese molasses’
Last reviewed: October 2026

Harm Reduction

  • Carry naloxone: Because opium contains morphine and other active opioids, an overdose can be reversed by naloxone. Carry a take-home kit and ensure companions know how to recognize opioid toxicity. Visit our Naloxone page.
  • Never inject raw opium: Raw opium is botanical latex containing insoluble plant matter, bacteria, and resins. It cannot be dissolved for injection; attempting to do so will cause severe venous thrombosis, arterial occlusion, systemic infection, and tissue necrosis.
  • Avoid mixing with other depressants: Combining opium with alcohol, benzodiazepines, or other opioids increases the likelihood of fatal respiratory failure.
  • Equipment hygiene when smoking: Ensure pipes, vaporisers, and heating implements are clean and disinfected. Avoid sharing mouthpieces to prevent infectious disease transmission.
  • Know your tolerance and dosage: Raw opium purity and alkaloid concentration fluctuate widely depending on poppy variety and harvesting conditions. Always take a small test dose and wait for full absorption before consuming more.
  • Dependence & tapering: Regular use will lead to physical dependence. Do not stop abruptly; consult a healthcare professional or contact our helpline for confidential advice on gradual dose reduction.

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