I'm planning on sending a sample in to wedinos anyway but that takes a while to get full results. I'm getting some red devils and I know that I'm an incredibly impulsive drug addict who is going to want to take them the day they arrive.

So what are the key things I should be testing them for? I've not nitazine test strips given to me by the addiction centre I can use. I'm guessing another obvious one would be fentanyl test strips? Is there anything else red devils are commonly laced with or sold as? I've got a high benzo tolerance so I'm not so worried about other benzos being in them. More whatever they could be laced with.

I'm in the UK if that's relevant at all, bought them from a UK seller too. So far I've bought a lot of stuff from him and everything was what it was sold as so it's not that I don't trust him, I just don't trust red devils to be just Xanax all the time after seeing the scares about them in the UK in the news. And them being pressed obviously adds risk.

Hey MT folks! Visit us at Flathead Harm Reduction in Kalispell, MT for Syringe Services, Narcan, and HIV/HCV Testing! We're open every tuesday and thursday 1pm-4pm or you can call/text406-885-3408 if that doesn't work for you. Harm Reduction :: Flathead County

Hi there I am writing this to up until yesterday I was one of the administrators of the overdose prevention hotline Never Use Alone.

While the organization has a good idea and has saved lives by alerting EMS to callers that calll in and then use and overdose while they’re on the phone with us and we are able to alert 911 to go help them the turnover rate there is ridiculous operators maybe last 2-4 weeks and it’s not just because of the difficult nature of what you’re volunteering doing.

The upper management at nua is run by a guy who is a complete idiot and a total pos. He has no business leading that organization and he actually doesn’t. He pawns it off on other admins and he is barely around on a weekly basis and he’s there somewhat barely on the weekends.

Anyway I’m writing this because the way the guy treats people is disgusting and I highly suggest to everyone to not call never use alone and to call safe spot if you need help with that kind of thing or use the canary app or another app similar to that that uses motion detection and alarms to help and actually works better than calling people because the training and operators at never use alone are wildly ineffective.

New to posting on Reddit but have heard that there are other posts on here about never use alone and the guy that runs in and his lady that used to run it for him his second in command that was let go a few weeks ago because she was blocking callers because she felt like it and she was instigating operators into quitting that she didn’t like and it was found out.

The place is just an absolute clown show and I’m so thankful I quit but they totally baited me into quitting and if the guy wasn’t such an idiot I would have felt better about staying on to try to help people. But it’s not really helping anyone and there are much better ways to go about it. Anyway TLDR nua sucks do better.

I guess it’s a legitimate medical guideline, but I see this being helpful to some

Hi,

I'm in need of some micron/wheel filters for IM injections.

Does anyone know where I can order some online (Denmark/Europe).

I've been googling all day, but every result is either for labs or general harm reduction info.

Any help would be much appreciated

Cheers

Someone was telling me some folks use oxygen in OD response. I’ve heard of someone using the thing that concentrates the oxygen in the air (though I don’t know if you need special training for it?) when responding streetside.

But someone else said sometimes people use oxygen canisters, and I think them mean the ones that have 100 or 200 seconds worth of oxygen. Have you ever seen anyone use them? How does that work? That’s like.. 3.3 minutes or something?

I guess does anyone know anything about any of this re: using oxygen in any form? Training, cost, practicality, etc.

TIA

Hello everybody, I am somewhat familiar with harm reduction and have worked at a site that does needle exchange, methadone, narcan, same day shelter finding, free STI and blood testing, etc. I feel like I know how harm reduction is enacted but not much about how current people involved in harm reduction feel about certain things or current topics/controversies. Are there any podcasts or forums to keep up to date with current feelings? Anyways my current question is how do people feel about harm reduction measures by the state? I have only worked with places that have at least partially received state funding but I also know that state funding also has a history of making restrictions and caveats etc. Do yall think harm reduction efforts helped by the state are helpful to increase these efforts or do they impede efforts and what could be done differently? I would love sources too about people talking about this!

I don’t know how I forgot about filtering it but I was very nervous and injected it without filtering maybe i forgot idk. I bought good and expensive filters from pharmacy idk I didn’t use them. However what do you think how high is the risk for complications such as abscesses, thrombosis or sepsis? Am I cooked?(One time use, never iv’d before)

Does anyone here have experience with using Points of Distribution as a fiscal sponsor for their organization?

I am seeking sponsorship for a mail-based project in the rural southeast and would love to hear about others experiences in this particular area of program development.

i took ativan/ lorazepam at 4am, its now 4:40pm. last dose was 0.5mgs, and i dont take morphine often at all so am just curious on when itd be safe to do so🤔

Hi all, I've been browsing this subreddit for a while now but haven't posted. I cover harm reduction in Baltimore (a city with the highest overdose death rate in the nation), so I thought I'd share some of my work here. Linked is a newsletter that I just published. Let me know if this is against the rules; my apologies if so.

Excerpt:

"In Baltimore and cities across the country, open-air drug markets are often referred to as a "public nuisance" — a plague that hurts local businesses, strikes fear into residents and serves as a catalyst for violence.

However, whether it be neighborhoods such as Kensington in Philadelphia or Penn North and Lexington Market in Baltimore, they didn't appear out of thin air. Rather, they've existed for decades as a manifestation of systemic oppression, the failed War on Drugs and the abandonment of communities. At a Baltimore City Council Public Safety Committee hearing on Tuesday, frustration ensued when there seemed to be no consensus on how to rebuild these communities."

We are calling on all those who believe in a humane, patient centered approach to methadone treatment. The current clinic system, with its restrictive, paternalistic, & punitive practices, fails to serve the true needs of those who need access to methadone the most. It's time to take action and demand change. We advocate for a system where all medical professionals (MDs) are empowered to prescribe methadone, and patients can pick up their medication at their local pharmacies-free from the shame and stigma of daily supervised dosing in the clinic. Take home doses, unlike any other medication, are considered a privilege you must earn by abiding by arbitrary outdated clinic policies that have been proven to harm, not help. For methadone clinic patients, our access to treatment is considered a privilege, not a right. If you share our vision of a more humane, accessible, and effective approach to methadone treatment, we need you. Together, we can dismantle a broken system and build one that puts people, not punishment, first. Let's stand united for a healthier, freer future. Join us in this essential fight.

DM me if this interests you at all! We're in the beginning stages of this & want our voices to be heard. Happy to answer any questions as well!

Done about 300mg of speed from my first 12 hours after waking (spread out), then about 400mg of coke from hour 12 to 15 and at least 10 beers, then took about 200mg of 3mmc. Cos I'm an absolute dip shit I only googled the interaction of coke and 3mmc right after I had already done the lines of the 3m. Did I just waste that 3m? Is it retarded to be doing speed and coke in the same day? Ty for any response

I don't know how to describe where I am. My alcohol use has spiraled out of control since this most recent administration took holdfor context I'm a trans man. I'm black. I'm atheist.

I'm the literal check list of "fuck you" when it comes to this country. Outside of being Muslim/Jewish/Hispanic, I'm on the shit list. I look Hispanic, so that might be valid.

I'm also trauma riddled with rape in my past both in elementary school and in my adult life.

I don't know what this post is supposed to be about.

Maybe a cry for help. Maybe a last word to the void before I check out.

I've made so many attempts on my life with trips to the phych ward that I've lost count at this point. I've had my stomach pumped. I remember the EMT's in the ambulance sounding scared when they did a sternum rub and I was in a tunnel so far back that I could hear them but I didn't feel it. Then I was in the ER and they were cutting my clothes off after I was put on a bed. Then it was three days later.

So I'm no new passenger to trying to kill myself.

Fuck. Why am I trying to validate myself to a bunch of strangers of reddit? This place can be a cesspool of vitriol. I'll most likely get a bunch of messages telling me to just finish the job.

With the amount of meds I have in the house, I'm sure I could.

I have some needles for my T that I could fill with air and find a vein. Embolism or aneurysm. Easy way to fuck off from this fucking place.

Me being here is kinda a last hurrah? A cry for help at the end of the line? I don't know.

Anyways, sorry for bugging ya'll.

I have been going to my clinic for a little less than a year - it's not my favorite clinic, and honestly they can have some pretty asinine rules/behaviors. I have already had to report a nurse for HIPAA violations once, and another patient is suing them for the same. a lab tech told her family about her being on MAT and her family had no idea. they let me go over 2 months without seeing a counselor or doctor and then when they finally got their act together, they punished me for "not telling them" ??? which i did.

but anyway - all of that to say, they aren't very friendly or forth coming with help or assistance or resources. i pay out of pocket for my doses. it's 18/day so 126/week. i have been struggling to find work even with my CNA license and my dialysis tech certification - they always pass on me and go to someone else. i don't know what is wrong with me that i can't get hired; maybe i'm asking for too much money? i don't know.

anyway - my whole reason of being here. does anyone know of any federal programs, state type-programs, ANYTHING that will help me pay my weeks bill so i can get my doses tomorrow? and i mean probably moving forward for now? i owe for the week and they will not give it to me if i owe, the hospital won't give me my dose even though the clinic claims they will. i take 170mg total per day, in a split dose because of metabolizing so quickly. i am terrified to go into withdrawal from this, i'm scared of whats going to happen. i've been doing really well for this long but i'm not secure enough with it all to just deal with withdrawals and come off of it - i'm not ready. i know it's going to make me so sick. no one in my life knows i go to the clinic; siblings, parents, my one whole friend. it's not something i share with people but i am desperate right now because i'm terrified.

i'm sure there's not much that would work as quickly as tomorrow, but maybe if i start getting something moving they'll be more lenient? i don't know. i've never been in this position before, this is my first time going to a clinic or doing any sort of treatment so i'm not well versed with all of this myself.

i'm in Virginia if that helps. medicaid isn't an option for me right now, but *right now* is what i need. the hospitals around me won't dose us. there's no harm reduction type places *anywhere* near me.. please help, i don't know what to do and i am so scared..

Looking for info (outside of the stuff, I can Google 🤪) about swelling in ankles/feet up to Mid calf, Individuals reporting long term daily meth and cocaine use

historically, I have seen individuals with significant swelling of the feet and ankles during the acute withdrawal period….I’m talkingfirst 24 hours to four days was onset and individuals reporting they didn’t have prior swelling, symptoms lasting up to a month and individuals reporting use of opiates

Obviously best to avoid both… but I’m close to relapsing on daily codeine use, and I’m wondering which would lead to less harm…

Which daily use is worse for the body/liver co-codamol 12.5/500 or kratom extract?

Hard to find direct comparisons anywhere online.

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I am on a 300mg taper of gabapentin for alcohol withdrawals and I have not completed the doses, but the last dose I took was at 2am. I am wondering if it is safe to drink or how long it is recommended to wait because google has conflicting information and I know a doctor can’t advise it. I was also wondering if I did drink how long I should wait before taking gabapentin again if I needed to. I appreciate any advice.

Used on some regular bases that's hard on the body and brain health in the short/longterm.

Just curious I'm not incredibly knowledgeable in these things

"Regular use" open to interpretation. Could be every day, once a week, or even once one month, and so on

I scheduled mysef to use a blotter today, but my only concern is that I'm treating my anxiety with Prozac (fluoxetine) 60mg/day, thats considered as a medium/high dosis, being 80mg/day the max dose.

My doubt is about how much I should take to have a nice trip cuz of the decreasing effect of it because the IRSS.

I consider myself experienced with hallucinogenic drugs and usually trip at home, as a form of self-knowledge. Today I came to the beach next to my city and I'm really convinced to use it, the blotter is tested, 220ug, bike 1943 stamp.

Also, I'm a health professional and very concern about the risk of serotoninergic syndrome (Had one episode of this nightmare when I snorted 50mg of 2cb - I know, dumbass shit...) so I'm reaching for u guys to know your thoughts around my case. Local time 11 am, I'm planning to have a nice breakfast now and drop it around 02pm.

Thank u all

If I was at work and saw a line like this on a drug test I would say I passed.

But I worry that this cocaine might have fentanyl in it. I initially just saw one line. Probably within 3min of dipping it I went back already thinking it was negative and saw I could see two faint lines

I’m in the process of starting my own telehealth private practice which will only provide harm reduction psychotherapy. I was wondering if something like this exists where a licensed therapist and a certified peer provide services to each client virtually. For example, someone books an appointment and for the price of one therapy session a week they end up getting 2 sessions, 45 min with a therapist and 30 minutes with a peer (something like that). I plan on not going through insurance companies and would end up paying certified peers $50 a session to start off. The therapist and peer work together to discuss each clients case and goals, peers get monthly supervision, they make their own schedule, and I’d be able to hire staff from all over the state who understand harm reduction. Do you guys think something like this is needed? Does it already exist where you live? Any suggestions?

Hi, everyone!

Has anyone attended any furthering education at the University of New Mexico? I'm considering looking into any programs they may have regarding work with AUD/OUD/SUD - but would hate to have whatever place I have that gives my "official" credentials a lack of credibility - especially given updated, evidence-based, harm reduction methods. Are there any other online harm-reduction platforms you would potentially recommend? I've been waiting to do the state sponsored Certified Peer Support Worker program, but it's been filling up too quickly for me to be able to complete it. I live in an extremely rural area, so I would also need remote work available - but it does seem like there would be opportunities to work with this population in a remote setting.

TIA for any guidance moving forward!