(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.
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Regional slang from around the English-speaking world — British, Australian, Irish, Caribbean, Nigerian, Filipino, AAVE, and the hyphenated-English dialects that make the internet sound local.
See all Regional & Other slang on Slangora.