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Refers to an individual who stays "sal". This means generally to be high on prescripiton pills ranging from uppers to downers, though generaly associated with oxycontin. "Sal heads" are people who pop pills for extended period of times. Usually are pretty stupid as their brains begin to melt after repeated drug use.
That kid pops hella pills, he's the biggest sal head I know!
by Bomber BOi April 25, 2011
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