Heroin & Itching

Why do heroin users often itch and scratch themselves? Learn why itchiness often accompanies opioid use and how to manage it.

Wondering why heroin makes you itch? Itching is a frequently observed behavior in peoplestruggling with heroin addiction.What’s interesting is that it’s not just heroin that makes people itch —all opioids can make people feel itchy. Why is that?

The Causes of Heroin Itching

Heroincauses many unpleasantside effects, one of which is itching. Hereare a few different ways that heroin use may cause itching:

1. Immune System:Normally, the immune system induces itchiness to get rid of harmful substances in the skin, like infectious microbes or allergens. When your body detects a foreign invader in your skin, nose, or eyes, it activates an immune response which includes producing histamines. Histamines cause inflammation as well as itching. The body can mistake heroin chemicals as allergens or other invaders. When heroin circulates throughout the body, it triggers that same immune reaction, and feeling itchy is the result.
2. Nerves:Feelings of itchiness are transmitted from your skin to your brain through your nerves. Some of the neurons in your skin contain specific receptors that heroin can bind to. When heroin interacts with these receptors, it activates them andcauses them to send itch signalsto your brain.
3. Injuries to the Skin:Heroin itchiness can also result from more visible sources. Small injection injuries can also itch. When youinject heroin, the process can lead to injuries,abscessesand skin infections at the injection site. These will likely itch as they heal.

How to Treat Heroin Itching

There are some things you can do to relieve the itch. Anti-itch medications like antihistamines or topical steroids can help with physical symptoms.Anti-anxiety medicationscan also help with stress and mental compulsions. Seeking help from a trained therapist is also a good idea.

The best way to overcome the itching associated with heroin use is to stop using heroin.Recovery from heroin usecan be a long process and requires professional care and guidance for the safest and most-effective treatment.

Heroin Skin Picking

Skin picking is a common behavior among heroin users. Picking is often due to the intense itching that comes from drug use. Skin picking may occur when using heroin and also during withdrawal. The anxiety and restlessness ofheroin withdrawalcan lead users to want to self-mutilate. One symptom of withdrawal is the sensation often described as bugs crawling out of their skin, which can trigger skin picking.

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Sometimes,skin picking is due to a mental disorder(Dermatillomania) where people can’t keep themselves from scratching or picking at their skin. Skin picking doesn’t usually cause major health effects, but it can make inflammation worse and leave unsightly marks on the skin. The act of picking itself can lead to stress and othermental healthissues.

Dermatillomania

Dermatillomania also called “excoriation disorder” or “skin picking disorder” is atype of obsessive-compulsive spectrum disorderwhere a person has a repeated urge or compulsion to pick at their skin. Dermatillomania often occurs with other psychiatric disorders such asanxietyanddepressionas well as substance abuse. People who use heroin and otheropiatessometimes end up developing this disorder.

How to Stop Skin Picking & Heal Wounds

Skin picking was justrecently recognizedas a mental disorder. Because of this recent recognition, no standard treatment has been established yet. However, a combination ofmedications and counselingcan be successful. Medications can help with anxiety and physical causes of itching, while counseling can teach a patient how to stop skin picking through different techniques. Often,cognitive behavioral therapyhelps patients learn skills to control their impulses and develop positive behavior.

If skin picking is severe enough to cause discomfort and distress in your life, you should seek medical care.However, there are a fewmethods and ideasyou can try at home to help keep from picking:

• Keep your hands busy. Try a fidget cube, a simple craft or even a stress ball.
• Wear gloves
• Identify picking triggers
• Try to resist the urge for longer and longer periods
• Perform skincare when you feel the urge to pick. Try putting on moisturizer instead.
• Keep your skin clean
• Keep your nails trimmed short
• Ask other people to alert you when they see you picking
• Don’t keep things like tweezers or pins in easily-accessible places