Injection of recreational drugs is a method of the drug into the body with a hollow needle and a syringe which is pierced through the skin into the body. Although there are various methods of taking drugs, injection is favoured by some users as the full effects of the drug are experienced very quickly, typically in five to ten seconds. This shorter, more intense high can lead to a dependency, both physical and psychological, developing more quickly than with other methods of taking drugs. Recreational drug use is the use of psychoactive drugs for recreational rather than medical or spiritual purposes, although the distinction is not always clear. ... A syringe nowadays nearly always means a medical syringe, but it can mean any of these: A simple hand-powered piston pump consisting of a plunger that can be pulled and pushed along inside a cylindrical tube (the barrel), which has a small hole on one end, so it can...

While a wide variety of drugs are injected, among the most popular in many countries are morphine, heroin, cocaine, amphetamine and methamphetamine. Other drugs that are injected less often include MDMA and certain prescription medications distributed in pill or capsule, or even suppository form such as benzodiazepines, meprobamate, and narcotics such as Dilaudid® (hydromorphone), Numorphan® (oxymorphone), OxyContin®, Eukodol®, Proladone®, and others oxycodone, Vilan® (nicomorphine), Palfium® (dextromoramide), methadone, dipipanone, and MS Contin® and many other morphine formulations. Injecting codeine into the bloodstream directly is dangerous because it can cause pulmonary oedema and anaphylaxis, and dihydrocodeine, hydrocodone, nicocodeine, thebacon and other codeine-based products are also moderate risk in this case. Morphine (INN) (IPA: ) is a highly potent opiate analgesic drug and is the principal active agent in opium and the prototypical opiate. ... Heroin (INN: diacetylmorphine, BAN: diamorphine) is an opioid synthesized directly from the extracts of the opium poppy, Papaver somniferum. ... Cocaine is a crystalline tropane alkaloid that is obtained from the leaves of the coca plant. ... Amphetamine or Amfetamine (Alpha-Methyl-PHenEThylAMINE), also known as, beta-phenyl-isopropylamine, and benzedrine, is a prescription stimulant commonly used to treat Attention-deficit hyperactivity disorder (ADHD) in adults and children. ... This article is about the psychostimulant, d-methamphetamine. ... ecstasy and religious ecstasy MDMA, most commonly known today by the street name ecstasy, is a synthetic entactogen of the phenethylamine family whose primary effect is to stimulate the brain to rapidly secrete large amounts of serotonin, causing a general sense of openness, empathy, energy, euphoria, and well-being. ... Benzodiazepine tablets The benzodiazepines are a class of drugs with hypnotic, anxiolytic, anticonvulsant, amnestic and muscle relaxant properties. ... Meprobamate (marketed under the brand names Miltown® by Wallace Laboratories and Equanil® by Wyeth) is a carbamate derivative which is used as an anxiolytic drug. ... The term narcotic, derived from the Greek word for stupor, originally referred to a variety of substances that induced sleep (such state is narcosis). ... Hydromorphone is a drug used to relieve moderate to severe pain. ... Hydromorphone is a drug developed in Germany in the 1920s and introduced to the mass market beginning in 1926. ... Oxymorphone (Opana, Numorphan) or 14-Hydroxydihydromorphinone is a powerful semi-synthetic opioid analgesic that is derived from thebaine, and is approximately 6-8 times more potent than morphine. ... Not to be confused with oxytocin. ... Nicomorphine (Vilan) is the 3,6-dinicotinate ester of morphine. ... Dextromoramide (Palfium®, Palphium®, Jetrium®, Dimorlin®) is the right-handed isomer of the moramide molecule. ... Methadone is a synthetic opioid, used medically as an analgesic and in the treatment of narcotic addiction. ... Dipipanone hydrochloride is an opioid painkiller. ... MS Contin® is a time-released formulation of morphine, usually taken every eight hours for chronic pain. ... Morphine (INN) (IPA: ) is a highly potent opiate analgesic drug and is the principal active agent in opium and the prototypical opiate. ... Codeine (INN) or methylmorphine is an opiate used for its analgesic, antitussive and antidiarrheal properties. ... Anaphylaxis is an acute systemic (multi-system) and severe Type I Hypersensitivity allergic reaction. ... Dihydrocodeine, also called DHC and Paracodeine and by the brand names of SS Bron, Drocode, Paracodin, Codidol, Didor Continus, Dicogesic, and DF-118 amongst others, is a semi-synthetic opioid analgesic prescribed for postoperative pain, severe dyspnea, or as an antitussive. ... Hydrocodone or dihydrocodeinone (marketed as Vicodin, Anexsia, Dicodid, Hycodan (or generically Hydromet), Hycomine, Lorcet, Lortab, Norco, Novahistex, Hydroco, Tussionex, Vicoprofen, Xodol) is a semi-synthetic opioid derived from two of the naturally occurring opiates, codeine and thebaine. ... Nicocodeine (Lyopect) is an opiate derivative developed as a cough suppressant and analgesic. ... The chemical structure of dihydrocodeinone enol acetate Dihydrocodeinone Enol Acetate, or Thebacon, formerly marketed as its hydrochloride salt under the trade name Acedicon, is a semisynthetic opioid once used as an antitussive, primarily in Europe. ...

Some manufacturers add narcotic antagonists to pills to prevent this, including Talwin NX® pentazocine, Heptadon® (laevomethadone a.k.a. d, l-methadone and levomethadone), Valoron® (tilidine), and Lomotil® (diphenoxylate) contains subtherapeutic doses of atropine (about 2,5% of the therapeutic dose for GI problems and mild organophosphate poisoning; formerly a formulation of morphine in the USA also contained atropine for the same reason. Unlike the naloxone in the other formulations listed above, atropine does indeed help morphine and other narcotics combat neuralgic pain. The atropine may very well not present a problem, and there is the possibility for solubale tablets having their atropine content reduced bu putting them on an ink blotter and putting a drop of water on them and taking the remainder of the pill off the blotter and cooking it up. Canada and many other countries prohibit manufacturers from putting in active ingredients for the above given reason; their Talwin PX® does not contain naloxone -- being a narcotic agonist-antagonist though, pentazocine and its relatives can cause withdrawal in those physically dependent upon narcotics. There are four major opioid antagonists in current use; naloxone, naltrexone and nalmefene are used in humans, while diprenorphine is used in animals. ... Pentazocine is a synthetically-prepared narcotic drug used to treat mild to moderate pain. ... On opiod agonist used for the treatment of diarrhea. ... Atropine is a tropane alkaloid extracted from the deadly nightshade (Atropa belladonna) and other plants of the family Solanaceae. ... Naloxone is a drug used to counter the effects of opioid overdose, for example heroin and morphine overdose. ...

Of all the ways to get drugs into your system, injection has the most risks by far as it bypasses the body's natural filtering mechanisms against viruses, bacteria and foreign objects. There will always be much less risk of overdose, infections and health problems with alternatives to injecting, such as smoking, snorting (nasal ingestion), or swallowing.

Viruses such as HIV and hepatitis C are prevalent among injecting drug users in many countries, mostly due to small groups possibly sharing injection equipment combined with a lack of proper sterilization. Other health problems arise from poor hygiene and injection technique (be it IV, IM, or SC), such as Cotton Fever, also known as the Shakes, phlebitis, abscesses, vein collapse, ulcers, malaria, gas gangrene, tetanus, septicaemia, thrombosis and embolism and the results thereof, lodging of pill fragments in small blood vessels, the lungs, and elsewhere, and local infections. Hitting arteries and nerves is dangerous, painful, and presents its own similar spectrum of problems. Species Human immunodeficiency virus 1 Human immunodeficiency virus 2 Human immunodeficiency virus (HIV) is a retrovirus that causes acquired immunodeficiency syndrome (AIDS, a condition in humans in which the immune system begins to fail, leading to life-threatening opportunistic infections). ... Hepatitis C is a blood-borne, infectious, viral disease that is caused by a hepatotropic virus called Hepatitis C virus (HCV). ... Phlebitis is an inflammation of a vein, usually in the legs. ... An abscess is a collection of pus collected in a cavity formed by the tissue on the basis of an infectious process (usually caused by bacteria or parasites) or other foreign materials (e. ... Collapsed veins are a common result of chronic use of intravenous injections. ... An ulcer (from Latin ulcus) is an open sore of the skin, eyes or mucous membrane, often caused by an initial abrasion and generally maintained by an inflammation and/or an infection. ... Malaria is a vector-borne infectious disease that is widespread in tropical and subtropical regions, including parts of the Americas, Asia, and Africa. ... Gas gangrene is a bacterial infection that produces gas within tissues in gangrene. ... Tetanus is a medical condition that is characterized by a prolonged contraction of skeletal muscle fibers. ... Sepsis (in Greek Σήψις) is a serious medical condition caused by a severe systemic infection leading to a systemic inflammatory response. ... Thrombosis is the formation of a clot or thrombus inside a blood vessel, obstructing the flow of blood through the circulatory system. ... In medicine, an embolism occurs when an object (the embolus, plural emboli) migrates from one part of the body (through circulation) and cause(s) a blockage (occlusion) of a blood vessel in another part of the body. ...

Harm reduction

Harm reduction is a philosophy of public health intended to be a progressive alternative to the prohibition of certain lifestyle choices such as the taking of illicit drugs. While it does not condone the taking of illicit drugs, it does seek to reduce the harms arising from their use, both for the person taking illicit drugs and the wider community. Harm reduction is a philosophy of public health, intended to be a progressive alternative to the prohibition of certain lifestyle choices. ...

Safer injection of illicit drugs

A philosophy of harm reduction promotes information and resources for injecting drug users. General guidelines on safer injecting various substances intravenously are typically based on the following steps. The philosopher Socrates about to take poison hemlock as ordered by the court. ... Harm reduction is a philosophy of public health, intended to be a progressive alternative to the prohibition of certain lifestyle choices. ...

The preparation area for drug preparation should be cleaned with warm soapy water to minimize the risk of bacterial infection.

The equipment required involves new syringes and needles, swabs, sterile water, filter, tourniquet and a clean spoon or stericup. The person should soap their hands with warm water and use a swab to wipe down the spoon. The swab should be wiped once, in one direction only, over the injection site and another swab used on the spoon.

A person should not inject alone a dose from an unknown batch due to the dangers of overdosing. They also should under no circumstances share any of their injecting equipment, even tourniquets, due to the high danger of bacterial and viral transmission.

Sterile water should be drawn into the syringe with the needle uncapped to prevent blunting, then into the spoon to prepare the mix. Where sterile water is not obtainable, the next option is tap water boiled for five minutes.

Some drugs need heat applied to mix with the water completely, especially when relatively little water must dissolve relatively much of a drug. The mix should be allowed to cool to preferably less than 110 °F (43 °C) before injecting. Heroin in its base form (common illegal form in Europe) require an acid to render the mix pH neutral. While some people use lemon juice to do this, this can lead to serious bacterial and/or fungal infections. Citric acid or ascorbic acid (Vitamin C) is the best option and is usually available in supermarkets in granular form. The next best option is vinegar which will have less chance of bacteria than lemon juice but will be easy to cause burns because it is hard to dose.

Drugs which come as pills with lots of waxy binders, carnauba wax in particular, can be dissolved by stripping any coatings off the pill and then pre-heating the tablet with a flame or other heat source until it starts to turn pink or brown on the outside, and possibly also pre-heating the powder derived from the next step until the first suggestion of vapour or smoke appears, then adding the water.

Suppositories can be injected by melting them in a little hot water and then letting the resultant liquid cool int he refrigerator for a number of hours, after which the liquid on top is drawn off with a pipette, syringe, or eye dropper

The mix should be drawn up into the syringe through a filter. The ideal here is a wheel filter, preferably 0,2 micrometres, which will filter all microorganisms, but not viruses. Ground up prescription pills usually contain many fillers that can lead to very serious health problems if injected, including lung embolies that may be trivial but also life threatening. Although not as efficient, alternative filters include cotton wool, tampons or cigarette filters (if they do not have a fibreglass base).

Once the mix is drawn into the syringe, remove any air bubbles by flicking the barrel with the needle pointed upwards. At the same time, gently push the plunger to expel any air.

Place a tourniquet above the injection site (injection sites should be rotated to allow veins to heal). The tourniquet should not be on too tight, or left on for too long. The needle’s 'hole' should be facing upward then it should be eased into the vein at a 45 degree angle. Make sure the needle is going in the same direction as the blood flow.

The plunger should be pulled back a little (‘jacked back’) to see if the needle is in the vein. Blood should appear in the barrel of the syringe if this is the case.

Take the tourniquet off and gently press the plunger. If it hurts or there is pressure against the plunger, stop immediately as the vein has probably been missed. After injection, remove the syringe and keep a clean tissue or cotton wool against the injection site to prevent bleeding. Don’t use a swab to do this as the alcohol base prevents the blood from clotting.

Dispose of injecting gear using a 'sharps bin' if supplied. Otherwise place the used equipment in a rigid-walled container and dispose of safely.

A good alternative for those who value the economy of injecting but not the rush that comes with intravenous drug use may use a little bit safer injecting method, subcutaneous injection, which is suitable for heroin, MDMA, and most prescription pills, but can not be used with amphetamine or cocaine. Subcutaneous injection doesn't bear the danger of sepsis if the user works in a non-sterile way and thus is less life-threatening, though still bears many possible complications.

Alternatives to injection

The safest alternative is, of course, not to take illicit drugs. The majority of legal systems around the world encourage this option. Harm reduction acknowledges that some people in a society will not choose this option and will at least provide information to safer means of taking illicit drugs to minimise the individual health risks, and also the spread of viruses such as HIV and hepatitis C to the wider community.

Snorting, or nasal ingestion of drugs, is usually safer than injection in terms of the relative danger of transmission of blood-borne viruses. However, the membranes in the nose are very delicate and can rupture when snorting so users should have their own snorting equipment that you don’t share with anyone else, to prevent viral transmission. As with injection, a clean preparation surface is required to prepare a drug for snorting. Nasal membranes can be seriously damaged from regular snorting.

Smoking, often called 'chasing the dragon', has negligible risk of bacterial or viral transmission and the risk of overdose is lessened compared to injecting. It still retains much of the 'rush' of injecting as the effects of the drug occur very rapidly. It is a far safer way to use heroin, with the best option being to use new aluminium foil, first passing a cigarette lighter flame over both sides to get rid of any contaminants.

Swallowing tends to the safest and slowest method of ingesting drugs. It is safer as the body has a much greater chance to filter out impurities. As the drug comes on slower, the effect tends to last longer as well, making it a favourite technique on the dance scene for speed and ecstasy. People rarely take heroin orally, as it is converted to morphine in the stomach and its strength is halved in the process. Pills like benzodiazepines are best swallowed as they have chalk or wax fillers in them. These fillers won’t irritate the stomach, but pose serious health risk for veins or nasal membranes.

Shafting, or rectal ingestion, relies on the many veins in the anal passage passing the drug into the blood stream quite rapidly. Some users find that trading off some of the 'rush' for much less health risks is a good compromise. Shafting usually involves about 1.5 ml of fluid mixed with the drug. While squatting, gently insert the syringe (without the needle) until it is just inside the anus then ease the plunger down. A bit of Vaseline or lubricant will help if there is any pain. The sphincter muscles should be strong enough to hold the mix inside while it is absorbed. It can pay to do a trial run with water first.

Women have the added advantage of shelving, where drugs can be inserted in the vagina. This is similar to the rectum, in that you have plenty of blood vessels behind a very thin wall of cells, so the drug passes into the blood stream very quickly. Care should be taken with drugs such as amphetamine that may irritate the sensitive lining of the rectum and vagina.

External links

• Fact sheets on illicit drugs including harm reduction strategies, detox and information for people affected by another's illicit drug use

• Safer injection and vein care Chicago Recovery Alliance's extremely comprehensive and well designed informational series

• United Nations Office on Drugs & Crime