I was fond of Ian Fleming’s James Bond books as a small boy (yeah, I know), and I dimly recall Bond executing a heroin smuggler at the start of the book, and giving a stern lecture to an otherwise decent guy (named Blackwell in the book, after one of Fleming’s golf partners) who had been caught up in the business in order to maintain his addict sister’s heroin supply after her legal diamorphine prescriptions were cut off following a change in the law. I got the impression that Fleming thought the law change was a dumb move that would lead to both an increase in organised crime and an increase in heroin addiction, which was indeed what happened as heroin addiction was very much a niche activity up until this point. Couldn’t remember what book it was in, so have just now looked it up: it was Goldfinger (1959).
I have in front of me a log book titled Register of Dangerous Drugs Purchased and Supplied according to the Dangerous Drugs Act, 1951, and Regulations Thereunder, printed by H.T. Woodrow & Co. Ltd., Liverpool. It was an unlikely find in a skip at an old workplace - not a clue how it would have got there as the site was fairly modern, and an engineering concern. Anyhoo, it lists Morphine, Diamorphine, Cocaine, Ecgonine, etc., Medicinal Opium, Extracts or Tinctures of Indian Hemp, Dihydrohydroxycodeinone (Eucodal), Dihydrocodeinone, (Dicodid), Dyhydromorphinone (Dilaudid), Pethidine, Methadone (Amidone), Phenadoxone and Methorphinan.
I’ll post some pics if anyone’s interested, and if it turns out I’ve got SMDB pic posting rights now (I didn’t the last I checked).
More recently, serial killer UK doctor Harold Shipman used diamorphine (medical heroin) to kill many of the patients in his care (estimates range from a conservative 218 victims, to over 459). I have known of people with terminal cancer in the last, horrendous stages who have been euthanised with diamorphine by their doctors (with the consent of the patients and their families); strictly illegal but no-one will prosecute a doctor for shortening the life of a consenting patient in intense pain by a few hours. So, still available for UK doctors to prescribe, but I believe with even tighter controls, post-Shipman.
What I haven’t really heard of is diamorphine being prescribed for heroin addiction, at least not since the 1950s. Possibly there are some small-scale pilot projects out there prescribing diamorphine for addiction, but usually it’s methadone, which seems much nastier in IMHO.