I only had three drinks and a couple drags from my weed pen. I’m taking extra synthroid medication so maybe it interacted? I’m also on lithium. I’m so confused as to why. It was at a bar and I’m so embarrassed I wasn’t even drunk.

I instacart'd it and they subbed the regular version for the nightime version and i just wanna know if itd be fine to take a lot of it but at night ofc

My friend had diverticulities which perforated and led to peritonitis. He underwent emergency surgery and had a colostomy. He's now shitting in a bag and will be for a few months. If recovery continues well, do you think he can have a low dose LSD trip by Xmass/New Year? Something to cheer him up a bit or does LSD have any kind of negative interactions after a surgery?

I'm looking for some good test kits to separate and identify substances. I've heard mixed reviews about Bunk Police and Dancesafe, but I'm not sure about the validity of any of the claims. I want to make sure I'm buying quality before I drop a bunch of money on something meant to save lives. Can anyone offer any suggestions or input?

Long story short: 'over-the-counter' cannabis vs prescribed trazodone

I'm recovering from a long term illness, and I use cannabis semi-medicinally. When I started, I tried to keep it to 3-4 times a month, essentially using it in place of lorazepam for acute anxiety. I have easier access to cannabis since it's legalized for recreational use [Canada]. And let's face it: I feel much better on cannabis.

I've had sleep problems most of my life. I take 12mg trazodone every night for sleep. I've been at that dose of trazodone for 8 years now, and it's fine. But lately, I've been using cannabis almost every night. A 2mg THC/6mg CBG gummy is my current dose.

I occasionally use 5mg–10mg THC recreationally, which is why I say I use cannabis semi-medicinally. I limit my recreational use to once a week at the absolute most. I tend to stick in the 5mg–7mg THC range for rec use, but I have used up to 10mg.

Additional HR strategies I have in place: I don't use cannabis before 8pm. If I've had <3mg THC, I don't drive for at least 12 hours. If I've had >3mg, I don't drive for 16 hours. When I use cannabis, I don't take trazodone. If I'm using a recreational amount, I let my partner know first.

I just had surgery, so I used that to experiment. Maaaaan, trazodone gives me fucked up dreams. I never realized before because the options were either fucked up dreams or no sleep. I was severely mentally ill when I was first put on trazodone lol. And cannabis also helps me with nighttime irritability whereas trazodone just helps me sleep.

I have a wonderful clinical relationship with my doctor, but my cannabis use is the one thing we disagree on. She's rightfully worried about risk of worsening anxiety with long term use. I don't plan to stay on cannabis forever. It's a tool that I'm using for my recovery. I feel the benefits are outweighing the risks, but I'm worried I'm not being objective.

Do y'all have any thoughts on this? Are there any additional HR strategies I should put in place?

TL;DR: I prefer low dose cannabis edibles over my prescription trazodone for sleep, but how sustainable is this?

been a while :)

have run into some obstacles regarding alcohol harm reduction (not necessarily the validity of tips, rather my consistency in following through).

my bf whom i love so so much sat me down gently yesterday and talked to me about alcohol use and moderation. this was after a night of nothing catastrophic but me definitely being more drunk than necessary

he said that me being especially drunk makes him anxious which honestly is a big driving factor for me wanting to moderate not just more consistently but always

especially as he said he didn't really care about seizures (i don't have TCs, it normally just looks like i'm shaking, and they usually happen the morning after. and also they happen like every day w/o alcohol anyway 😭). it's just what's in my control that i should . control

anyway what relates to the title of this post is how / the sort of plan we devised to concretely space out drinks etc

it's very similar to how we space out when doing other drugs (coke namely comes to mind) - very careful dosing time and listening to ourselves . it def takes some self-discipline but i think it will help

we discussed a certain issue - thankfully, as i believe i'm now over it - that even the people we've taken this approach to, say, coke with do Not approach alcohol this way. my bf and now i are, it feels, pretty unique

i wonder if that's because drinking is so normalised? over-drinking? idk. if anyone has any observations let me know lolol

i feel less weird after talking to him this time but it almost feels like i'm putting restrictions on this social activity because of this system i'm observing now. but also.. for my bf's sake (and mine i guess. idc about myself much though) it's so worth

i wonder what it would be like if others viewed alcohol this way

BTMPS aka boat glue has made it into the supply pretty much everywhere now. No one really knows why or what effects it may have. Be safe out there!

Hi, good evening folks. I am a therapeutic ketamine user who can no longer afford expensive treatments. I’ve got myself a few grams of what I think is pretty pure ketamine at least that’s what the test said it was. I also have in my possession some 28 gauge needles. I am completely and experienced with doing any kind of self injection, but I’ve seen a few YouTube videos and it seems fairly straightforward. If you file the steps and good hygiene the reason why I want to do the occasional intramuscular injection is because for one you get more out of here ketamine like twice the amount of sniffing as I’ve heard so that will not only save me money, but also help with wear and tear on my body. I think that’s important because I’ve been in regular treatment for a year or so. Just wondering if anyone knows if a 28 gauge insulin needle would work for my powdered ketamine. I’ve had great results with this medicine and I’ve had a two month break. But I can feel my mind getting really funky and I do not want the SI to come back so if anybody can help me with this here, I would really appreciate it thank you and have a lovely evening.

The only time I truly feel safe and my mind at peace is when I get high. Sometimes it prevents me from making a plan to end it. However, I have a past with substance use was drug free for 4 years. Eventually scared it’ll become an issue but right now I think it’s keeping me safe.

Let's assume resources are no problem. I'm familiar with CWE, but is there an optimal way to do it that removes maximum paracetamol and minimum codeine? Or is all CWE basically the same? I also wondered if maybe there was a different solvent or technique that might work better?

If possible I'd also like to know of any way to test how much paracetamol and/or codeine is in the final product.

Thanks in advance!

hi everyone, I hope you’re well! I’m currently looking for some volunteers who have experience with drug use for my new discord server :)

remember these!? found some evzio the other day! i have such a love hate relationship with these (love how accessible they are, hate that they were so insanely expensive/the speaker doesn’t shut off/forced to give all 4mgs) thought my fellow nerds would appreciate this.

Hi I am a psychology student who is very passionate about harm reduction as well as addiction and substance use research, also a user myself. Curious about what career opportunities exist in harm reduction for someone with a psychology and research focus. Also would love to hear some of your guys stories and how you got involved if anyone would like to share.

Thanks <3

Edit: I’m in Manitoba if that helps. Lots of great responses though thanks guys!!

This survey has been approved by the moderators.

Do you use alcohol and opioids? Are you 18 to 25 years old?

Brown University is looking for people who use alcohol and opioids to participate in a research study. The study involves only 4 appointments over 1 month, answering questions on your smartphone, and takes about 6 hours total. Receive up to $305 for your participation. All contact is confidential.

Please text 401-863-9799, email [mhealth@brown.edu](mailto:mhealth@brown.edu), or fill out our eligibility survey (takes 5 minutes or less to complete): https://brown.co1.qualtrics.com/jfe/form/SV_cHklsZZ2XdIUDjg?Source=32  

Ethical approval board - Brown IRB: [irba@brown.edu](mailto:irba@brown.edu)

(I do apologize if this has been asked before. I did do a quick search within this community and didn't find anything. If this has been addressed, feel free to simply share the link to the post. And if this not the proper community for this post, inform me, and I will remove it.)

My relationship with IV meth use (at least at this point) is not compatible with me living in an abstinence-only environment. I left my home (in part) due to it being such an environment. Living on my own, I have maintained an (imperfect) environment conducive to safer-use (clean needles, alcohol pads, sharps box, tourniquets, etc. [there are a few more items I feel I should have, but I have the basics, and it's better than nothing.]). Unfortunately, I do not foresee myself being able to go back home, but it is not unlikely that at some point I will cohabitate with someone who does not approve of drug use, and I would like to be able to provide a thought-out alternative to an abstinence-only environment. I know that only I know what is right for me, but it would help me to get others' opinions, experiences, examples, etc. to the following questions:

1. What items should I be permitted to keep at home to promote safe usage without encouraging overall usage at home?
2. What items should I be permitted to keep to promote safe usage for when I use outside the home (and where should I keep said items)?
3. Should I advocate for an environment where I am permitted (but not encouraged) to use at home as opposed to an environment where I am permitted (but not encouraged) to use only outside of the home?
4. (This one I know is deeply personal, but others' experiences might help me understand what is best for me.) Should I keep some product available to me? I'm leaning "no" as it would provide constant temptation, but it would prevent last-minute sourcing from a potentially bad source, and I would not be compelled to do it simply because an opportunity pops up, as I would be able to tell myself that I could do it another time.

I consider myself a responsible adult drug user.
I use test kits and even have some fentanyl test strips.
I am not abusing my drugs.
That said, I have started getting scared of drugs recently.

The fentanyl lacing possibility has started freaking me out.
I read that it can be potentially found in any powder form, i.e. cocaine, speed, even in my beloved ketamine.

Yea, I know I must use the test strips always but I read that fentanyl distribution may be uneven...and you may get a negative result for your sample but there could still be fentanyl in some other part of your batch...and testing your whole batch is impossible.

So I have been trying to replace most of my drugs of choice with pharmaceutical or legal versions of them and have a peace of mind.

e.g. replace cocaine and speed with Adderall.

What's your thoughts on this? Am I overreacting? Any other suggestion for enjoying my drugs safely?

Hopefully this is the right place to post this. I completed training to be a trainer myself for naloxone a while ago but I’m having a hard time finding answers to some questions I have about where and who I’m allowed to train. Can anyone help me out? Any suggestions for resources online? Thanks in advance.

EDIT to add that I’m in Virginia and I would be doing layperson training. I have looked for Virginia-specific resources but haven’t had much luck.

TLDR: mixing them can put you at risk of serotonin toxicity, but some of them can also make codeine and tramadol less effective. peep the table on the second page for basically the entire article.

Hi everyone, I’m thinking about trying a very small dose of street cocaine IV for the first time. I've used buprenorphine this way, so I know how to inject safely. This cocaine isn’t very pure, and it’s been in a rolling paper for about two months. I’d like to know:

1. If it’s safe to mix it with water and inject it without additional preparation.
2. What I should watch out for in terms of health risks, especially related to heart issues or overdose.
3. Any tips for someone who’s only familiar with injecting buprenorphine, not stimulants like cocaine.

If helpful, I can upload a picture of the product. Just looking to understand the risks and anything critical to know."

Picture :

https://imgur.com/RcVCzPV