Substance use disorders usually have their onset during the adolescent period. However. in rare cases environmental and psychosocial factors can contribute toward a later onset. We describe a case of an elderly male who initiated his heroin use for the first time at 65 years of age and eventually developed dependence. https://www.spidertattooz.com/Essie-Gel-Couture-Transition-Piece-1754-p14911/