Lyric discussion by FrankCastle1013 

Cover art for Paranoid Opioid lyrics by Corrosion Of Conformity

Actually this song is about doing coke not heroin. A Spoon is slang for coke spoon, besides heroin doesn't give you feelings of paranoia like cocaine does. Burnt by the spoon is meant to be taken figuratively not literally. Also the lyric "Sun breaks through useless shade" to me means being up all night till sunrise doing cocaine. In the song it ends up driving him crazy hence paranoid and then eventually dead from heart failure. This song also is a great companion piece to Black Sabbath's Snow Blind also about cocaine.