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hillbilly heroin

(US, _, slang, derogatory) , Percocet, or similar opioid/opiate drugs, when used as recreational drugs.

ˈhɪlbɪli ˈhɛɹoʊən116 viewsLast reviewed Jun 29, 2026+ Add a definition
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#1·Apr 27, 2026

(US, _, slang, derogatory) , Percocet, or similar opioid/opiate drugs, when used as recreational drugs.

Drug overdoses are the leading cause of accidental death in West Virginia, and the state leads the country in fatal drug overdoses. OxyContin—nicknamed “hillbilly heroin”—is king.
Origin: From its initial popularity in rural regions in Kentucky, West Virginia and Ohio. Origin information sourced from Wiktionary contributors (CC BY-SA 4.0).
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