When heroin enters the brain, it is converted into morphine, which binds to opioid receptors involved in pain perception and reward. These receptors are also in the brain stem, controlling essential functions like breathing and blood pressure. After injecting heroin, users experience a rush of euphoria, dry mouth, warm skin, heavy limbs, and mental cloudiness. This is followed by a state of alternating wakefulness and drowsiness known as "on the nod."