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Symptoms of heroin use combined with alcohol use include: Depression Anxiety Mood swings Extremely slowed, shallow breathing Low blood pressure, which can lead to fainting and dizziness Drowsiness Increased risk of overdose Confusion Alcohol withdrawal Decreased libido Slurred speech Heroin withdrawal symptoms, also known as dope sickness Increased heart rate Hallucinations Coma How to Get Help for a Heroin Addiction If youre struggling with alcohol abuse or an opioid use disorder, you know just how hard it can be