“Heroin” was volgens Lou Reed eigenlijk bedoeld als grap: “I was working for a record company as a songwriter, where they’d lock me in a room and they’d say write ten surfing songs, ya know, and I wrote “Heroin” and I said “Hey I got something for ya.” They said, “Never gonna happen, never gonna happen”. Reed zou in de jaren ’70 opzichtig en theatraal flirten met het gebruik van heroïne, maar zelf is hij nooit verslaafd geweest en hij heeft altijd ontkend dat zijn songs het gebruik van heroïne aanprezen. Lou beschreef wat hij zag, niet wat hij wenste: “It was about taking heroin from the point of view of someone taking it. I’m still not sure what was such a big deal. So there’s a song called ‘Heroin.’ So what?”.
I don’t know just where I’m going
But I’m gonna try for the kingdom, if I can
‘Cause it makes me feel like I’m a man
When I put a spike into my vein
And I tell you things aren’t quite the same
When I’m rushing on my run
And I feel just like Jesus’ son
And I guess that I just don’t know
And I guess that I just don’t know
I have made big decision
I’m gonna try to nullify my life
‘Cause when the blood begins to flow
When it shoots up the dropper’s neck
When I’m closing in on death
You can’t help me now, you guys
And all you sweet girls with all your sweet talk
You can all go take a walk
And I guess I just don’t know
And I guess that I just don’t know
I wish that I was born a thousand years ago
I wish that I’d sailed the darkened seas
On a great big clipper ship
Going from this land here to that
In a sailor’s suit and cap
Away from the big city
Where a man cannot be free
Of all the evils of this town
And of himself and those around
Oh, and I guess that I just don’t know
Oh, and I guess that I just don’t know
Heroin, be the death of me
Heroin, it’s my wife and it’s my life
Because a mainline into my vein
Leads to a center in my head
And then I’m better off than dead
Because when the smack begins to flow
I really don’t care anymore
About all the Jim-Jims in this town
And all the politicians making crazy sounds
And everybody putting everybody else down
And all the dead bodies piled up in mounds
‘Cause when the smack begins to flow
And I really don’t care anymore
Ah, when that heroin is in my blood
And that blood is in my head
Then thank God that I’m as good as dead
And thank your God that I’m not aware
And thank God that I just don’t care
And I guess I just don’t know
Oh, and I guess I just don’t know
