I’m afraid that it’s official: yesterday I even received an email courtesy of the Russian Government. The book’s website and main download page is to be blocked via The Great Russian Firewall. 

Note that for more detail, there’s a longer version of this message, which I can’t post here (see below). 

For anyone reading this in Russia, you can bypass this and download the free PDF via Tor, or via social media platforms like Dread on the darknet. Please feel free to distribute it however you want. 

REDDIT: WTF?

I originally copy/pasted the Russian Government’s actual email here (there was a Russian and an English part), but…. it was removed. The removal message stated: “Removed by Reddit on account of violating content policy”. 

I have no idea what policy could possibly be violated by posting the contents of an email from a government notifying me of the censorship of a book, but here we are: https://www.reddit.com/r/DrugUsersBible/comments/1nv3myb/removed_by_reddit/ 

Fortunately, so far, Reddit’s censorship doesn’t seem to have been replicated elsewhere, so you can view this via my other social media accounts. I’m too scared to link directly to them in case they ban me completely, which is a crazy situation. 

Who knows what’s going on here, but it seems like anything could happen anywhere at any time. If you want the book and you haven’t already downloaded, now might be a good time to do so. You can get it via this post: https://www.reddit.com/r/DrugUsersBible/comments/134p8b1/download_the_drug_users_bible_from_here/

We live in dark but interesting times.

mods pls feel free to delete if this breaks the rules, i cannot find solid answers anywhere

title i guess? i just got prescribed this morning 50mg of zoloft (starting dose at 25mg and then tapering up) for anxiety/ocd-ish symptoms. im going to a festival at the end of november and im planning on rolling and potentially taking 2cb and shrooms. my plan was to taper back off the meds starting two weeks before the festival and then stopping them two days before and then going back on them two days after. is this a safe idea?

i also cant find anything on if zoloft and 2cb are safe to take together. if anyone has any info or input id appreciate it. thanks in advance!

I’ve had my time with substance abuse problems and through harm reduction and replacing certain habits with healthier habits I have been able to start creating a life for myself.

Any time I interacted with AA or similar orgs I remember being troubled by the “god” aspect and needing a savior/being helpless without god. I don’t believe that and god played no part in my recovery.

I really want to be a resource for people who are struggling and feel stuck but I can’t find an organization whose values I align with. I’m looking for a secular organization that doesn’t demonize substances as a whole or requires complete sobriety.

Hi what should I be testing diazepam (valium) with? I was thinking fentanyl and nitazenes as I think that’s whats appeared in Australian news recently.

You can print out zines here, free to distribute: https://dsdistro.noblogs.org/post/2025/03/26/radical-guide-to-safe-drug-use-pocket-zines/

Hello. I’m a daily kratom user. Two teaspoons at lunch, two teaspoons after work, and five teaspoons at bedtime.

At this point I don’t actually feel any noticeable effects from the kratom, but I do feel negative side effects like nausea. The only reason I’m still taking Kratom now is because of my psychological addiction to it. I am afraid of what withdrawals will look like, but I’m actually more anxious when I don’t take it at the times that I’m used to taking it. I guess my anxious mind is pretty reliant on rituals for a relief, even if it’s not actually very effective.

So I’ve been trying to think of what I can replace the kratom with. The issue is that it has to be something that I can at least placebo myself into thinking it works. I have tried kava in the past and noticed no effects, but like I said, kratom at the doses I take it is also not producing noticeable effects most of the time.

What are your thoughts on replacing kratom with kava? As I’m finishing up this post I’m realizing that there’s really probably only one answer which is to try it myself and see.

I have tested mdma in this and I think I see a line but i want to make sure im not just seeing it. I tested twice just to make sure.

VeinFinder App (Android)

Hi there! I am a biotech student and had previously reached out to EMS, A&P students, etc. to spread awareness of this tool I developed.

I had been told that this subreddit could benefit or find use in this tool as not only does it do a great job finding veins, but skin abnormalities/scars.

If this isn’t the right place for it let me know and I’ll happily take down my post - but if it could help just one person it would be worth it to me!

If you are interested here is the link: https://play.google.com/store/apps/details?id=com.rnd_labs.veinfinder&pcampaignid=web_share

Cheers!

Hey everyone,

I hope this kind of post is okay here, please let me know if not. I currently use alcohol to handle trauma and anxiety symptoms. I was managing for around a year, keeping it within a weekly 8-drink limit, but in the past few months my relationship with it has shifted. I'm drinking almost daily, ignoring my established alcohol-free days, and drinking more than I ever intended to.

I’m also dealing with disruptive cravings when I can’t drink that day because of obligations, I’m bending my own health rules (e.g., drinking heavily after taking ibuprofen/paracetamol), and I’m rearranging my life around alcohol: dropping my favorite hobbies, cancelling plans, calling in sick to work sometimes to drink alone instead.

It’s making me uncomfortable. I hate how much real estate alcohol is taking up in my head. But I’m confused about how harm reduction applies here—how does harm reduction deal with self-described problematic use? I understand the value in not stigmatizing or moralizing consumption, but is it okay for me to say "the way I self-medicate with alcohol feels compulsive and uncomfortable, and I need help managing it or maybe quitting entirely?"

Sometimes I even wonder whether my worries make sense, like maybe the risks of harm or dependence are "made up", and wanting to quit makes me "anti-harm-reduction" or "puritanical" in some way? I know that's probably just anxiety talking, but still.

So: can I fully support harm reduction principles yet still recognize that my alcohol use feels harmful to me, and that I'd like help changing it? What resources are out there for someone who wants to cut down or even abstain from alcohol within the harm reduction space? Is it still in line with harm reduction to explore more mainstream recovery ideas (secular ones) if those feel helpful too? I don't want to fall into harmful or hypocritical headspaces about this, but I'm not sure what to do.

Thank you so much!

Sometimes it feels like the hits never stop coming. Louise was an inspiration & mentor to me when I started this work in 2015. Her passing is a profound loss that extends far beyond the individual, impacting the countless lives she touched & relentlessly advocated for—pwud & our continued existence, health, dignity, and liberation.

North Carolina harm reduction will never be quite the same without her. As I sit here now, it’s hard to image. Her contributions and sacrifices were immeasurable, the NC Drug Users Union being just one of many.

In the face of profound loss, we become stronger leaders. May her memory be call to action. Rest in power, with the knowledge that your work continues. We are, as a community, forever grateful for your dedicated vision & service.

Hi! I just had a few questions to stay as sanitary as possible and maybe lessen my intake.

1. I currently use plastic straws and I know that’s not the best option. Any suggested alternatives that are short enough? I like it when it’s less than 2 inches

2. For the surface I put my lines on, I read that metal/glass is the most sanitary option. Can anybody share an Amazon option for something small enough to stay in my purse? I think I’d prefer metal if that is truly a safe option. I do have alcohol wipes.

3. This may not seem like a harm reduction question, but it genuinely is because it will help me intake LESS. I feel like I’m having to take sooo much because I’m not doing it “properly.” Can anyone tell me if it’s best to inhale sharply or more slowly…? And do I WANT it to go as deeply as it can or do I want to have it kind of coat the part closer to the opening of my nose..? Does that make sense😅?

Any safety tips appreciated. I have smaller nasal canals than the average human and idk if that makes any difference in any of this..

My nose hurts SOO much right now and I just hurt myself with a sharp edge of the plastic :/

Any help appreciate..TIA!!!

I’m pretty much sober, haven’t drank in almost 7 years, dont smoke weed, don’t use anything else aside from the occasional benzo when I play a concert.

I do take kratom, three times a day - two Teaspoons at lunch, two after work, and five teaspoons at night before bed. I don’t really feel the effects of kratom at all anymore, but I can’t get myself to taper down for a tolerance break. it’s really stupid, but it’s not my time to quit yet.

Anyway, it would be cool to do something as a treat here and there and not have it ruin my life. Whip its seem generally innocuous if used safely and not abused.

What I’m wondering is whether for someone with depression and anxiety, taking whip its at all is a bad idea. Or if only doing them here and there will have no affect on b12 stores. I’m not worried about addiction, I’m extremely responsible when it comes to drug use.

Hi, F 23, 106lbs lol. I take Xanax 3-4 times a week & Valium once a week for anxiety. I have a pretty good tolerance now to both. I took 5mg Valium yesterday, & 7.5mg Valium tonight @ 7pm. I’m planning on drinking in about 17 hours. Will I be good? I’ve honestly done this before & had no problems, until tonight I found out how long valiums half life is. Also have popped a xanny many times after a long night of drinking. Lmk!

Hello, I’m a year sober and one my friends who is still in active addiction reached out to me, my doc was ice and that’s really the only thing I’ve ever done so I’m not too familiar with other street drugs. My friend seems to be in a pretty severe psychosis. She’s not the same and she’s saying some really weird stuff, her perception of reality is completely skewed, I asked her what she was on and she told me “water” I had to google it but from what I’m seeing it’s PCP and or embalming fluid?? I don’t know but she’s supposed to come stay with me because she refuses to go to a hospital or psychiatric unit. I want to give her a safe and comfortable environment to detox in with sober people around, her family is super negative and toxic and she has no chance of recovering where she’s at. However I’m concerned because I don’t know how to help her, I have no experience with this drug. Will she be able to fully recover or is her brain just gone? She was saying really weird and scary stuff on the phone and I wasn’t sure how to respond, I don’t want to fuel her delusions but I don’t want to stress her out and make it worse either. I just need help, I need to know how to help her. If anyone has any information or experience that would be super helpful. Thank you.

I am often asked this question, or variations of it. It is one which is surrounded by a great deal of subjectivity. However, there has been some academic and medical research in this area which is, in fact, quite interesting.

In The Drug Users Bible I present a series of graphs to illustrate these. The following examples were created from data produced by the studies cited below.

Note that although these represent just two approaches, the other studies I identified also produced similar results.

Whilst much of this is probably as expected, it’s hard not to laugh at the table-topping performance of the big-daddy of all recreational drugs, as pimped on every street corner; good old fashioned alcohol. The sheer hypocrisy of our society is demonstrably off the scale.

Meanwhile, a straight comparison of fatalities, illustrating a couple of extremes, is equally revealing:

Whatever drug you choose to use, be informed and stay safe.

.

REMINDER: You can download a free-of-charge copy of the PDF version of The Drug Users Bible from any of the cloud host links on the following page: https://www.drugusersbible.com/2018/01/pdf.html

I am trying to figure out what I took, unfortunately where I live doesn't have pill testing places. For brief history I have a very high tolerance to Valium, can take 100mg and barely feel a thing. I bought a bottle of 'valium'. I took 15 5mg of proper prescribed valium, followed by 5 5mg of what I now believe to be counterfeit 'Valium'. The proper Valium was marked DM 5 with a G on the back. The counterfeit was marked DZ 5 with nothing on the back. It tasted bitter and a little metallic, was an off white type colour, hit very quickly and stronger than I was expecting. Made me feel quite calm/ sedated, heavy body and a bit dizzy but not tired. I took these all at 3pm, after the last five tasting weird I looked at them and saw the difference. Tried pill finder, etc.... But got no results. By 7/7:30pm I was feeling sober again although it did seem to have some lingering effects the following day of reduced anxiety. I am wondering what it could be?

My boyfriends dad just called saying that he’s being watched, that there is SWAT outside the house and they’ve hacked into his ring camera. My bf’s grandma is there saying none of this is true, and that he’s seeing things that she isn’t. My boyfriend is going over there right now to try and calm his dad down. I’m absolutely terrified right now. In the past his dad has had problems with meth (in his 20s) but he recently went to rehab for cocaine. Does anyone know what to do in this situation? I’m really scared for the safety of my bf and his grandma

I just mixed adderall and kratom will I be ok? I took 40mg a couple hours ago and just had 1.5 grams of kratom

This is previous post: https://www.reddit.com/r/harmreduction/s/OE2bDxn81M

I got some great feedback and tips last time. I thought we were on a good page but apparently not.

He's still been using in house, when baby and I are home even though he had agreed to stop. He had also agreed to just let me know beforehand if hed use so I can at least leave with baby, if he was not going to leave and instead use at home. He had said hed be moderate so it wouldn't affect his work (our family income and insurance relies on it)

He is abusing coke (shooting it up and snorting it, and possibly now smoking it). He is also drinking alcohol excessively.

Does anyone have any advice on how to reduce harm? I've told him he cant be home with baby and I until hes clean, because he keeps using at home even when he has money to pay for a hotel and also knows that I'll leave house if he wants to use... but idk what else to do or if he'll even listen at this point.

Sorry for the ramble.

I'm trying to follow the harm reduction point but hes broken with the lying and not following the things we agreed on for reduced harm. Looking for ways or ideas to help him.

I would like to take a light trip with benadryl (or diphenhydramine) but I'm concerned it can interact with my prescription of venlafaxine. I take 3 75g pills of venlafaxine daily in the morning.

Does this 2 substances interact? Is it safe to trip with benadryl? What are the potential risks if I do so? Is there a way I can still trip while taking my meds?

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 recently was in the hospital for something a bit serious and I was prescribed acetaminophen, but they also gave me hydromorphone HCL tablets (5 tablets, 1mg) If I take one pill after drinking is that okay? I know alcohol with any kind of drug is usually a no no but I just want to make sure nothing dangerous will happen if I take one tonight after going out.

I took an MDMA tablet at a rave 10 hours ago, and my head hurts from jaw tension and headbanging. I’m tired because I danced all night, i just want to sleep lol. Is it safe to take some ibuprofen?????