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Neither, it is a central nervous system depressant. Problems with blood clots might occur if the user is injecting the drug since this is usually done with less than sanitary equipment and the veins being used can become infected and irritated causing a potential for thrombophlebitis.

Heroin can absolutely cause a blood clotting disorder if injected over a long period of time. A friend used sterile equipment but is now seriously ill with multiple blood clots and pulmonary embolisms due to injecting. Doesn't have to be only with unsanitary equipment.

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Q: Is heroin a blood thinner or does it clot the blood?
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