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Harm reduction information

Festival Highs: Reducing the risks of using drugs at festivals

Article Introduction: Learn essential information about drug-testing, mixing drugs & alcohol, taking too many drugs, overdose, synthetic opiods and looking after each other.

FESTIVAL HIGHS

Reducing the risks of using drugs at festivals


Essential information about drug testing, mixing drugs & alcohol, taking too many drugs, overdosing, synthetic opioids and looking after each other.

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WHO DOESN’T LOVE A GOOD FESTIVAL? SOME OF THE BEST BANDS AND DJs IN THE WORLD, TIME WITH YOUR MATES AND, FOR SOME OF YOU, DRUGS: LEGAL AND ILLEGAL.

People take all kinds of drugs at festivals. Some, such as alcohol, are legal. Others, like cannabis, ecstasy, cocaine, ketamine, mephedrone, mushrooms and LSD, are illegal. New drugs (formerly known as legal highs) are now automatically illegal under the Psychoactive Substances Act 2016.

Some drugs speed you up, others slow you down, while some turn your head upside down and inside out. The trick to surviving a festival is making sure they don’t speed you up or slow you down too much.

The only way to avoid the risks associated with using drugs is not to use them. If you choose to take them at a festival, here are some ways to look after yourself and your mates.


HOW DO YOU KNOW WHAT YOU’RE TAKING?

The answer is you can’t be sure. One powder or pill looks much like any other, so you won’t know how long it takes to come up, how powerful it is, or how it will make you feel.

TEST YOUR DRUGS

Some festivals now offer a drug-testing service on the festival site. When you arrive, find out where they are. The service is confidential and non-judgemental and can help you identify what is - or isn’t - in your drugs.

This doesn’t mean they’re safe to use, but it can tell you if drugs are more potent than usual or have been mixed with unexpected substances.

LOW AND SLOW

Even if you do have your drugs tested, always exercise caution.

Using a small amount and giving it time to take effect before using more will keep you safer.

FENTANYL AND NITAZENES

More and more powerful synthetic opioids like fentanyl and nitazenes are being mixed with other drugs, increasing the number of overdose deaths. Be careful: test your drugs and go low and slow.


TAKING TOO MANY DRUGS

Using drugs can have long-term effects on your health, but the most immediate risk at festivals is overdose - basically, taking too many drugs.

Overdose signs will vary depending on what type of drugs you have taken
Overdose signs for stimulant drugs such as ecstasy and mephedrone:

  • shallow breathing
  • fast or racing pulse
  • rigid muscles
  • hyper-aggression/mania
  • seizure
  • unconsciousness

Overdose signs for depressant drugs such as GBL and heroin, alcohol and Xanax:

  • slowed breathing
  • pale or clammy face
  • fingernails and lips turn blue or purplish black (greyish or ashen on dark skin)
  • pulse (heartbeat) is slow, erratic
  • unresponsive

What to do if you think someone is overdosing or becomes ill

Most festivals have a medical tent with staff to help a person through emergencies, so find out where it is when you arrive on-site.

If someone is showing signs of overdose, get them to medical help as soon as you can.

If you have to leave them alone to get help, put them in the recovery position before you leave them.

Please don’t be worried about letting medical staff know what they’ve taken. Show them the substance so it can be identified, and the proper treatment can be given.


MIXING DRUGS

Using several drugs at the same time - and this includes alcohol - is dangerous.

Overdose is frequently caused by taking  more than one drug or adulterated drugs.

Taking drugs throughout a two or three-day festival can put you under a lot of strain and increase the risks to your mind and body.

OVERHEATING

Stimulant drugs cause your body temperature to rise. So, if you’ve taken drugs and been dancing all day and well into the night, you can get dehydrated and suffer heatstroke, which can lead to organ failure and death.

Heatstroke symptoms include
nausea, vomiting, fatigue, weakness, headache, muscle cramps, aches and dizziness.

Stay hydrated. Always carry a bottle of water or a sports drink with you and sip it regularly. Take frequent breaks and find somewhere cool and quiet to chill out for a while.

Also, it can be a long way back to your tent or trailer, especially if you get lost. Make sure you have warm, dry clothes to wear as you head back. Cooling down too quickly can make you ill.


OVERDOING IT

Going to a festival can be like going on holiday: you can get overexcited, feel invincible, and do too much too soon, which can lead to dangerous situations.

Some drugs, such as ketamine or GBL/GHB, can be very dose-dependent. A small increase in the amount used can leave you physically helpless and vulnerable to accidents and assaults (both physical and sexual).

TAKE A BREAK

Being off your face in the middle of a huge festival site with thousands of people can be daunting. It can also make you anxious and paranoid. If you or any of your friends start to feel this way, chill out in a quiet place. Take someone with you or tell your mates where you’re going so they can keep an eye on you.


SEX

Some drugs can increase sexual desire even though they decrease the ability to perform. This could increase the chances of risky sexual behaviour. Always carry condoms, and make sure you use them.

Consent

People who have taken lots of drugs or alcohol may be in no fit state to consent to sex. Remember, sex without consent is rape.


HOME TIME

REMEMBER, if you’ve been drinking alcohol and taking drugs during a festival, you may be unfit to drive.

You’re likely to be tired from the festival anyway, so it could be dangerous for you, your passengers and other road users.

DRUG DRIVING

Like drink driving, driving with above the permitted drug level in your system is illegal - even if they don’t affect your driving and will lead to a ban, fine or even prison. The permitted levels are tiny. If you’ve recently taken drugs, there’s a good chance you’ll be over the limit.

Finally...

It’s your body, so look after it. Many websites and forums can provide you with more information than we can fit into this leaflet. So, before you decide to use any drug, find out as much as you can about it from as many different sources as possible. Below, we have listed some places that may be of help.

erowid.org
Drug information library

release.org.uk
Drugs and the law

wearetheloop.org
Drug-checking at festivals

wedinos.org
Anonymous online drug-checking service


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New, and updated resources

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The resources are really good. Very user-friendly and packed with relevant information. They’re great.

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Drink Spiking: protecting you and your friends

Article Introduction: Prevent drink spiking. Recognise the spiking signs, and learn effective response strategies to protect yourself and your friends.

DRINK SPIKING

Protecting you and your friends

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A night out with friends should be safe and fun. But an increasing number of people are reporting drink spiking going on at clubs, festivals and house parties. 

That means it’s becoming more common for somebody to add a drug – including alcohol – to your drink without your knowledge. It’s usually done to make you vulnerable so they can steal from you, or assault you physically or sexually.

This leaflet contains tips and advice to help prevent you and your friends from being spiked and what to do if you think you have been spiked.

WHAT ARE THE MOST COMMON SPIKING DRUGS

Alcohol

Alcohol is the most common drug used to spike drinks. It can happen in several ways, such as getting somebody a double when they asked for a single, adding alcohol to someone’s drink when they’re not looking, or buying drinks for someone who’s already drunk.

Drugs

Some common substances used for spiking include the following: 

  • GHB/GBL
  • Benzodiazepines 
  •  (Valium and Rohypnol)
  • Ketamine

These drugs can sedate or confuse someone. They can dangerously reduce someone’s awareness of what’s going on and make them unresponsive physically, particularly when mixed with alcohol.

They risk slowing your heart and breathing and can lead to unconsciousness. They often go unnoticed in drinks because they’re colourless and don’t taste or smell of much. 

SIGNS OF SPIKING

  • A sudden increase in how drunk or affected someone seems
  • Feeling dizzy or sick
  • Confusion
  • Trouble with balance or coordination
  • Slurred speech or difficulty talking
  • Throwing up
  • Passing out

AVOIDING DRINK SPIKING

The best way to avoid getting spiked is to look out for each other while you’re out drinking. These tips will help you create a safe environment and reduce risks.

Keep an eye on your drink

Keep an eye on your drink, and never leave it unattended. Take your drink with you when you go to the toilet or to dance. Or if you’re buying a round, take a friend so you can carry all the glasses in one go. If you notice any changes to the appearance or taste of your drink, pour it away.

Be cautious

Only accept drinks from people you trust. 

Spikeys and bottle stops

‘Spikeys’ or bottle-stops help protect your drink and make it harder for someone to add something. Some bars will supply these, or you can buy them online and take them out with you.

Buy drinks in screw bottle tops

You can buy drinks that come in bottles with screw-top lids and are more difficult to spike.

IF YOU THINK SOMEONE HAS SPIKED YOU OR A FRIEND

Tell somebody

If you suspect someone has spiked you or a friend, tell a member of staff or a friend straightaway and find a safe space. Don’t wander off alone or leave your friends behind.

Feeling unsafe

Be careful when accepting help from strangers or anyone who makes you feel unsafe. Think very carefully about whether you should leave a pub, club or party with someone you’ve just met. If you feel in danger, dial 999. 

Feeling unwell

If you feel unwell, head directly to the nearest A&E. If you’re not feeling that unwell but think you’ve been spiked, ask a friend to go home with you until the effects wear off.

REPORTING SPIKING

If you feel up to it, report the spiking to the police immediately. It’s important because many spiking drugs become undetectable in your system as quickly as 12 hours later. Early reporting can assist the police in understanding what happened.

Don’t let the fact you might have taken drugs yourself stop you, as it’s not a crime to have illegal drugs in your system unless you’re driving.

When you report a suspected spiking incident, the police may ask you for blood and urine samples. Take someone you trust along for support. 

IF YOU THINK YOU’VE BEEN ASSAULTED

If you’ve been spiked, you may have no memory of being assaulted because certain substances induce amnesia. But, if you suspect something has happened, here’s what to do:  

  • Confide in someone you trust
  • Seek medical care for any injuries
  • Report it to the police immediately

Reporting an incident allows police to review CCTV, quickly identify suspects, and educate venue staff on preventing future spiking.

DON’T LOOK THE OTHER WAY

Adding extra alcohol or drugs to a drink makes people vulnerable and puts them at risk.

If you know someone who’s thinking of spiking someone, challenge them and consider reporting it.

INJECTION SPIKING

Injection spiking is rare, but if it happens, tell someone immediately. You might feel a scratch or pain from the needle.

It often takes 15-20 seconds to inject drugs that can incapacitate someone.

The chances of getting HIV from a needlestick are extremely low. However, if there’s a risk of exposure to HIV or hepatitis, Post-Exposure Prophylaxis (PEP) is available through the NHS or sexual health clinics, ideally within 72 hours after exposure.

You can take an HIV test any time, though it’ll take at least eight weeks after exposure for a definitive result.

SPIKING AND THE LAW

Spiking is already illegal under existing laws.

However, the government is currently updating parts of the Offences Against the Person Act 1861, which already makes it an offence to maliciously administer poison to endanger the life of someone or inflict grievous bodily harm. This will recognise spiking as an offence with a potential 10 years in prison for offenders.

HELP AND SUPPORT

Rape Crisis: for 24/7 confidential support

0808 500 2222

CrimeStoppers: give information anonymously

0800 555 111

crimestoppers-uk.org

FRANK: honest information about drugs

talktofrank.com


New, and updated resources

Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust

The resources are really good. Very user-friendly and packed with relevant information. They’re great.

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There aren't many resources aimed at young people. Your colourful clear resources are very good.

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Heads Up! Some street drugs have been contaminated with the synthetic opioids Fentanyl and nitazenes

HEADS-UP!

Some street drugs have been contaminated with the synthetic opioids Fentanyl and nitazenes

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Some street drugs have been contaminated with the synthetic opioids Fentanyl and nitazenes. These include heroin, illicit Oxycodone pills, Xanax powders, and synthetic cannabis (spice).

Fentanyl and nitazenes are much stronger than heroin and have led to an increase in deaths caaused by overdose.

If you’re a heroin user or use other opiate-type drugs, the advice in this leaflet will help you to reduce the chances of overdosing.

HOW TO SPOT IF SOMEONE IS SUFFERING FROM AN OPIATE OVERDOSE


The usual effects of heroin use, like drowsiness and slower breathing, can look similar to overdose, so it’s important to know the difference.

SOME SIGNS OF AN OPIATE OVERDOSE:

Shallow breathing
Breaths that are shorter and not as deep as normal.

Unresponsive
Not responding to someone’s voice or physical attempts to wake them up, such as shaking, pinching the back of their arms, or rubbing their chest bone with your knuckles.

Pinned pupils
The pupils of the eye become tiny.

Change in skin colour
Blue/purple lips and fingertips in light-skinned people.

In darker-skinned people, skin can appear greyish or duller than usual. In this instance, a colour change might be easier to detect on the inside of the lips, on the gums and under fingernails.

Limp body
Muscles become slack and the person may appear floppy.

Seizures
Synthetic opioids (such as fentanyl) can cause symptoms similar to seizures - such as muscle spasms, rigidity, and chest tightness - that complicate breathing.

Gurgling or snoring sounds
Snoring doesn’t always mean someone is asleep. Snoring and gurgling can mean someone is struggling to breathe.

Severe nausea and vomiting
Opioids can trigger the vomiting reflex, causing nausea and puking.

WHAT TO DO IF SOMEONE HAS OVERDOSED


Give them naloxone

If you use heroin - or any opiate-type drugs - or know someone who does, you should carry naloxone. This is a drug that can reverse the symptoms of an overdose. If you can, carry multiple doses as they may be needed if the overdose has been caused by drugs containing nitazene.

Even if you don’t use opioids, carry it, as nitazenes have been found in other drugs like illicit Xanax.

If you’re unsure if the cause of the overdose is heroin or another opioid, give them naloxone anyway. It won’t cause any harm.

A single dose of naloxone will begin to work in 2-5 minutes, and its effects will last between 20-40 minutes. If fentanyl or nitazenes are involved, you may need to give them more than one dose.

It’s more likely that overdose symptoms will return with nitazenes, so keep an eye on the person longer than you would if they had overdosed on heroin alone.

You only need to recover their breathing. They don’t necessarily need to regain consciousness.

Put them in the recovery position.

When they are breathing normally again, put them in the recovery position. This will help with their breathing and guard against inhaling their sick if they vomit.

Call 999

Remember that naloxone is not a substitute for emergency medical care. It’s a temporary measure that buys time until proper medical treatment can be given.

Call an ambulance as soon as you can. The police will not usually attend an overdose emergency. When the emergency services arrive, tell them what the person overdosing has taken – better still, give them a sample of what has been used.

Stay with them

Keep an eye on them. The effects of naloxone will wear off. You may need to give them more doses.

TIPS ON STAYING SAFER


Keep an eye on each other

Try not to use drugs alone. It’s always better to be with someone you trust so you can keep an eye on each other.

If you are with other people, make sure multiple naloxone kits are available. Don’t all use at the same time. Space out hits so somebody is alert and sober and can get medical help if anything goes wrong.

If you have to use drugs alone, tell someone and ask them to check up on you.

If you can’t do the above, consider using the BuddyUp phone app. It’s a confidential service that allows you to prepare an overdose rescue plan. BuddyUp is available via Android and iPhone.

Low and slow

Start with a small amount and wait to feel the peak effects before taking more.

If you’re using pills that haven’t been prescribed, try cutting them into smaller pieces.

If you can’t do that, crush the pill, dab a bit, and wait. This method works well for powdered or crystal drugs and can make pill use safer, too.
Don’t mix your drugs

Mixing drugs is more likely to cause an overdose. Try to use one drug at a time. If you are going to mix drugs, use less of each.

Check your drugs

There is no way to see if your drugs contain fentanyl or nitazene. Consider sending an anonymous substance sample to the WEDINOS Project for analysis. You don’t need to provide personal details other than your age, sex and the first part of your postcode.

Getting the results takes a few days, so take it easy. Use the low and slow method if you are going to take drugs in the meantime.

Fentanyl test strips, which are used to check for the presence of fentanyl in drugs, don’t detect nitazenes.

ADDITIONAL SUPPORT


HOW TO GET NALOXONE

England

Naloxone is available from all drug and alcohol services. Make sure you find out where you can get it locally.

Scotland

Scottish Families Affected by Alcohol and Drugs offers a ‘click & deliver’ naloxone service

W. sfad.org.uk/support-services/take-home-naloxone-application

Wales

If you live in Wales, Barod offers a naloxone ‘click & deliver’ service.

W. barod.cymru/naloxone-click-deliver-service

DRUG TESTING

WEDINOS

WEDINOS tests substances to give individual users and others rapid and accurate information to reduce harms.

W. wedinos.org


New, and updated resources

Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust

The resources are really good. Very user-friendly and packed with relevant information. They’re great.

DRD Co-ordinator (Aberdeenshire)

There aren't many resources aimed at young people. Your colourful clear resources are very good.

Life+

Always the most up-to-date and relevant information possible with great-looking design.

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Spice: synthetic\fake cannabis harm reduction information

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SPICE

Synthetic cannabis harm reduction advice

What is spice?

Spice is a mixture of chemicals created in a lab to mimic the effects of cannabis. It’s the most common synthetic cannabis and is known by various names including fake cannabis, K2, black mamba and lots more, depending on where you live.What does it look like?

The chemicals in spice, known as synthetic cannabinoid receptor agonists (SCRAs), start off as a powder, are turned into liquid and then usually sprayed onto chopped-up leaves and herbs to look like herbal cannabis (unlike cannabis, spice isn‘t sticky, doesn’t contain buds and has no distinctive smell). These chemicals can also be sprayed onto paper, making spice much harder to detect, and it’s in this form that it often finds its way into prisons.

How is it used?

Spice is usually mixed with tobacco and smoked like cannabis to make the most of its similar effects. More and more, it’s turning up in vapes and e-liquids, often sold online as CBD or THC liquids.

How strong is spice?

There are hundreds of different SCRAs, and they vary in strength and toxicity. There’s no consistency. It all depends on the type and amount of SCRAs used in each batch. So, there’s no way of knowing how strong your spice is going to be, or how it’ll affect you. Spice is potent even at very low doses: a pinch the size of a match head is an active dose.

Is spice illegal?

Spice is an illegal class B drug, the same as cannabis. It‘s illegal to make, sell, or possess. It used to be a legal high, until the law changed in 2013. Some synthetic cannabinoids are altered to avoid the class B classification and come under the new Psychoactive Substances Act 2016. Under this Act, possession for personal use is not an offence but production and dealing are illegal.

But, it’s an offence to possess, supply, or produce psychoactive substances in prison. Some synthetic cannabis can already be detected in urine tests, and more tests are being developed.

How does spice make you feel?

Spice can make you feel euphoric, relaxed, happy, talkative and drowsy. The effects are felt in seconds and typically peak in half an hour or so and tail off over the next two to three hours.

Can you overdose on spice?

Using too much spice is easy because an active dose is so small, and you can‘t be sure which chemicals have been used and what effect they’ll have on you.

Symptoms of overdose can range from the mild to the severe.

Mild

  • Anxiety
  • Paranoia
  • Nausea
  • Vomiting

Severe

  • Inability to move
  • Seizures
  • Convulsions
  • Psychotic episodes
  • Abnormally fast heartbeat
  • Hallucinations

Is spice addictive?

Regular use of spice can lead to dependence (addiction) and withdrawal.

Withdrawal symptoms include the following:

  • Disturbed sleep
  • Profuse sweating
  • Irritability Cravings
  • Tremors Seizures

Tolerance

Tolerance to spice can build up quickly, sometimes within just a few days of regular use. Tolerance means your body gets used to the effects of spice and you need to use more to get the same effects. Because the chemicals in spice change so often, even experienced users who’ve built up a tolerance to its most extreme effects, can get those extreme effects again with any new batch.


Reducing the risks

There‘s no safe way to use spice. If you use it, there’s a risk of harm. But, if what you’ve read so far hasn’t put you off, there are certain things you can do which may help reduce the risks.

Low and slow

Use a small amount, about the size of a match head, or less, and wait to see how it affects you before considering using more.

Avoid other drugs, alcohol or medicines

There are so many types of spice that you can never be sure how it‘ll react with other substances.

Don’t use it on your own

There‘s safety in numbers. You can look after each other.

Look after your mental health

Spice will make existing mental health problems worse. Even small amounts can cause severe mental health side effects in people without a history of mental health problems.

Take a break

You can become dependent. Don‘t use everyday. Get support If you think you‘re dependent, don‘t stop immediately. Use less, and get help and support from your local drug and alcohol service or GP.

Don’t share

Avoid sharing joints, bongs and vapes. Sharing spreads germs.

Sit down

Sit down to prevent falls, tripping, or collapsing.


In an emergency

Someone who’s used spice, might be behaving in a disturbing or worrying way. This can include appearing ‘zombie-like‘, talking gibberisah, hallucinating, and being unable to control movements.

Most of the time this behaviour will pass after a few minutes, but if you’re concerned, roll them on their side, put them in the recovery position and call an ambulance immediately.

Let the emergency workers know what they‘ve taken - it could save their life.

Symptoms include the following:

Heavy, rapid, or shallow breathing

If this goes on for five minutes or longer, call an ambulance.

Overheating

If someone has a high temperature loosen their clothing and put a damp cloth on their forehead. If it doesn‘t drop within five minutes, call an ambulance.

Chest pain or seizures

Try to calm them down, but don‘t delay, call an ambulance.

Bad trip

Reassure them, take them somewhere quiet. No need for an ambulance. It should pass.


Help & support

FRANK
Information about drugs Find out everything you need to know about drugs, their effects and the law. Talk to Frank for facts, support and advice on drugs and alcohol today.

www.talktofrank.com
Call: 0300 123 66 00

ADFAM
Help for the families of drug users Adfam has local groups for families affected by drugs and alcohol. It also has a range of information for the families of drug users.
www.adfam.org.uk

RELEASE
Drugs & the law Release provides free, non-judgmental, specialist advice and information to the public and professionals on issues related to drug use and to drug laws.
www.release.org.uk
Call: 020 7324 2989

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Smart drugs harm reduction information

COVER OF SMART DRUGS LEAFLET

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SMART DRUGS
HARM REDUCTION INFORMATION

Smart drugs, also known as nootropics, are a group of substances that claim to boost your brainpower, focus, and memory. I have added this copy - They’ve become increasingly popular in recent years as people seek ways to improve their cognitive performance.

Whether it’s an essay you want to do really well in, exams you need to revise for, or a looming project deadline, the idea of popping a pill for that much-needed brain boost can seem appealing. 

Hundreds of drugs both manufactured pharmaceuticals and natural organic substances claim to boost your brain power, and increase intelligence.

This page contains information about the two most commonly used assmart drugs in the UK: the manufactured pharmaceuticals modafinil and Ritalin. It will explain what they are, the risks of using them and how to reduce those risks.

RITALIN & MODAFINIL

Ritalin is a brand-name prescription medication with the active ingredientmethylphenidate, generally used for treating ADHD (attention deficit hyperactivity disorder) and sometimes narcolepsy (falling asleep without warning).

Modafinil, a prescription-only stimulant, is sold under the names Provigil, Modalert, Alertec and Modavigil.

Modafinil is used to treat sleep disorders like narcolepsy.

> How they work

Both drugs are stimulants, which affect the level of certain chemicals in your brain (neurotransmitters).

> Appearance

Ritalin comes in yellow, grey and white tablets and various-coloured capsules. Modafinil comes as a white tablet.

> How they make you feel

The effects are similar to stimulants: they will make you feel more awake, alert, and energised.

The downsides of smart drugs:

  • raised blood pressure and increased heart rate
  • insomnia
  • headaches
  • loss of appetite
  • dizziness
  • skin rash
  • in extreme cases, large doses can cause a psychotic episode

> Onset and duration

They take between 30 and 90 minutes to take effect, peak between two to four hours after taking them and can last between 12 to 15 hours or even longer, depending on dose, tolerance to the drug, liver function, and age.

> How long they stay in your system

Both can be detected via a drug or urine test; up to four days later for modafinil and up to three for Ritalin.

> The law

Ritalin (methylphenidate) is a controlled ‘Class B’ substance and is illegal to possess or supply without a prescription. Modafinil is legal to possess but is illegal to supply without a prescription.

THE RISKS

> Irregular sleep patterns

Stimulants can cause insomnia and irregular sleep patterns, increase stress, weaken the immune system, and raise the risk of cardiovascular disease and depression.

> Focus Shift

Some people who use smart drugs find their focus has shifted from the task they set out to do to something else that’s distracted them.

> Pregnancy and contraception

If you use modafinil during pregnancy, it may cause birth defects. It can also reduce the effectiveness of some hormonal contraceptives, including oral contraceptives. 

Ritalin may increase the risk of having a miscarriage. Some studies have suggested an increased chance for foetal heart defects when Ritalin is used during pregnancy.

If you’re breast-feeding, avoid using any drug not prescribed by a health professional.

> Addiction and withdrawal

Some people experience withdrawal symptoms such as poor concentration, sleepiness, low energy, depression, anxiety and shortness of breath. They’re usually infrequent and, in most cases, relatively mild.

Addiction to modafinil is unlikely, but it may be possible as it affects neurotransmitters like dopamine.

> Buying medicines online

Buying prescription-only medicines from unauthorised sources can increase the risk of getting poor quality or fake medication, or even not what you thought you were buying, putting yourself at serious risk of harm.

> Driving

Both can cause blurred vision and might affect your reactions and ability to drive. It’s an offence to drive while your reactions are impaired.

HARM REDUCTION TIPS

Modafinil and Ritalin are intended for people who need medication for specific conditions. You increase the risks if you take drugs you don’t medically need. Do your best to avoid using study drugs.

But, if you’re still considering taking them, here are some tips on reducing the potential for harm:

> Know the risks

Research the drugs you want to take. Don’t take what your friends or websites say at face value. 

> Know when to stop

If you get any adverse side effects, such as anxiety, insomnia, or headaches, stop taking them.

> Low and slow

Start with a low dose and see how you react. You can always increase the amount later, if needed.

> Avoid mixing with drugs or alcohol

Mixing smart drugs with other drugs or alcohol, makes their effects unpredictable. 

Drugs and alcohol can cancel each. You could take more to get the same effects - leading to dangerous levels of both.

Even at low doses, some combinations can increase how long the effects last, make sleep more difficult and increase the risk of high blood pressure, racing heartbeat, panic attacks and serotonin toxicity.

> Take a break

Don’t take them every day. They can have a cumulative effect. Even if you don’t have side effects, taking breaks from them can help to reduce the risk of dependency.

> Don’t mix with antidepressants

Avoid taking MAO inhibitors (anti-depressants). Be cautious: both substances affect chemicals in the brain and, when combined, can cause dangerous interactions.

DO SMART DRUGS WORK?

For people who have no medical need for Ritalin or modafinil, they are risky, and unlikely to make any difference to their cognitive performance. 

If there is any benefit, research suggests it’s quite modest and rather than making you smarter, they make you feel more awake and alert, so you get more done.

Most people would be better off focusing on getting enough sleep, following a healthy diet, and managing deadline stress.

BEFORE YOU REACH FOR THE PILLS, CONSIDER THESE STUDY TECHNIQUES:

Find a good place to study

Make sure the space is free from distractions and that you’ve got everything you need, such as your textbooks, notes, and a computer.

Set realistic goals

Don’t try to cram everything into one study session. Break what you’re doing down into smaller, more manageable chunks.

Use active learning techniques

Try to summarise the material in your own words, create concept maps, or practice answering questions.

Take breaks

Studying for long periods can be counterproductive. Get up and move around every 20-30 minutes to avoid burnout.

Reward yourself

When you reach a study goal, give yourself a small reward to help with motivation.

Get enough sleep

Studying when you’re tired is counterproductive. Aim for 7-8 hours of sleep each night.

> Manage your stress

Stress can make it difficult to focus and learn. Find healthy ways to manage stress, such as exercise, yoga, or meditation. Exercise has been linked to enhanced memory, improved focus, and increased cognitive flexibility. Meditation can help improve attention and focus.

WHAT TO DO IN AN EMERGENCY

If you, or someone you know, are experiencing any of the following symptoms, call 999 immediately:

  • chest pains
  • extreme confusion or severe agitation
  • uncontrollable shivering or shaking
  • overheating and an inability to control body temperature
  • stomach pains and/or continuous vomiting

Stay with the person in an emergency and reassure them until help arrives. Be honest about what they’ve taken, how much, and when.

ADDITIONAL HELP AND SUPPORT

Talk to Frank

National drugs awareness site for young people.

Call 0800 77 66 00 (calls are free and confidential)

talktofrank.com 

Mind

Student mental health information.

mind.org.uk/information-support/tips-for-everyday-living/student-life/

Release | Drugs, The Law

Free non-judgmental, specialist advice and information on issues related to drug use and to drug laws.

release.org.uk

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Drug Driving - Keep straight ahead!

DRUG-IMPAIRED DRIVING

Explore our comprehensive guide on drug driving, covering the effects of drugs on driving, up-to-date legislation, and roadside testing. Learn what to expect if stopped by police and test positive for drugs.

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DRUGS AND DRIVING DON'T MIX

In the latest government figures for road deaths, 147 drivers who died were found to have taken legal or illegal drugs - excluding alcohol.

 This information explains the latest drug driving legislation, roadside testing procedures and what happens if you test positive for drugs.

DRUGS CHANGE THE WAY YOU DRIVE

Drugs change the way you feel. They will affect your perception of speed and distance and impair your judgment and reaction times, putting you and other road users at risk.

The effect of drugs on your driving will depend on which drugs you’ve used.

Cannabis

Drugs like cannabis can result in your reaction times becoming slower, so you’re less aware and less able to respond to hazards fast enough.  Research using driver simulators found that cannabis makes drivers less able to steer accurately and more likely to react slower to another vehicle pulling out.

Cocaine

Stimulant drugs such as cocaine or amphetamine give you a feeling of increased confidence. They can cause erratic behaviour, such as driving too fast and taking risks, and, at the same time, reduce your ability to judge the situation accurately.

Heroin

Heroin and other opiate-type drugs have a sedative effect, slowing reaction times. They can also cause inappropriate responses, reduce coordination and your ability to think clearly.

Medicine

Some prescription and over-the-counter medicines can have side effects, which include drowsiness, blurred vision, dizziness, slowed movement etc.

DRUG DRIVING AND THE LAW

In March 2015, the government brought in a new offence of driving while over the limit specified for drugs in your system.

Section 5A is the new law and refers to ‘driving or being in charge of a vehicle with a concentration of a specified controlled drug above the permitted levels in your blood’. The law includes a number of illegal, and prescription drugs.

There are now two offences that relate to drug driving, as follows:

  • Section 5A RTA 1988
  • Section 4 RTA 1988

The previous Section 4 law (which still exists) concerns driving, attempting to drive, or being in charge of a motor vehicle while unfit - whether you’re over the limit or not.

Section 5A makes it easier to successfully prosecute drug driving offences because the court doesn’t have to prove impairment, as it has had to do under the Section 4 law. It will reduce the time and money spent on prosecutions, improve road safety and deter drug driving.

Permitted levels

Section 5A takes a zero-tolerance approach to the listed drugs. The limits are set so any claims of accidental exposure can be ruled out (no excuses that your mate was smoking cannabis close to you, and you just inhaled it).

Your driving doesn’t have to be impaired for you to be charged with this offence. You just have to be over the permitted levels.

Being in charge

It’s also an offence if you’re ‘in charge of a motor vehicle when under the influence of drugs’. This essentially means you could be parked up in your car and still be prosecuted if you are over the limit.

What drug driving charge will you face?

If your blood drug level is above the permitted levels, you will be charged with the Section 5A offence.

If you’re above the permitted levels and your driving is impaired, you’re likely to be charged with the Section 5A offence.

If it’s below the permitted level, but there is sufficient evidence of impairment, you’re likely to be charged with the Section 4 offence of being unfit to drive.

PERMITTED DRUG LEVELS

These are the drugs, and their permitted levels, which are currently covered by the new Section 5A law.

The levels are measured in microgrammes per litre of blood (µg), and are very small amounts.

Illegal drugs Amount
cocaine 10µg
cannabis 2µg
ketamine 20µg
LSD 1µg
methylamphetamine 10µg
Ecstasy/MDMA 10µg
heroin 5µg
Prescription drugs Amount
Amphetamine 250µg
Clonazepam 50µg
Diazepam 550µg
Flunitrazepam 300µg
Lorazepam 100µg
Methadone 500µg
Morphine 80µg
Oxazepam 300µg
Temazepam 1,000µg

Prescription drugs

You can drive after taking prescription drugs under the following circumstances:

  • You’ve been prescribed them and followed the advice of a healthcare professional on how to take them.
  • They are not causing you to be unfit to drive even if you’re above the specified limits.

How long can drugs be detected in your system?

It’s difficult to say with any degree of accuracy how long drugs are still detectable in your system*.

If you’re a regular cannabis user, it might take many days before it’s left your system and is no longer detectable.

A single line of cocaine could be detectable 12 hours later.  Benzoylecgonine, a by-product of cocaine use, is reportedly detectable for 30 hours, or even several days for some regular users. 

Many factors affect the speed at which your body processes and eliminates drugs, such as the following:

  • sex
  • age
  • build
  • dose
  • how often you use drugs

*Be aware that you may always have detectable levels of drugs in your blood if you use drugs regularly.

BEING STOPPED BY THE POLICE

The police can stop a vehicle for any reason. If they signal you to stop, you should always pull over when it’s safe to do so. You’re breaking the law if you don’t stop.

The police can conduct a roadside screening test or a field impairment test, both of which may result in your arrest under these circumstances:

  • they think you’ve taken drugs
  • you’ve committed a traffic offence
  • you’ve been involved in a road traffic collision

Officers can test for cannabis and cocaine at the roadside, and screen for other drugs – including ecstasy, LSD, ketamine and heroin – at a police station.

Positive test

If the test is positive for drugs, you will be arrested and taken to a police station for a blood test.

A blood test can detect a broader range of drugs, provide an accurate reading of drug levels, and can be used as evidence in any future prosecution.

Even if you pass the roadside test, you may still be arrested and taken to a police station for further investigation if the police suspect that drugs have impaired your driving.

Giving a blood sample

When you arrive at the police station, a doctor or health care professional will take a blood sample.

They’ll send off one sample for testing and give you another so you can run your own independent test at an approved lab.

If you don’t provide the blood sample and have no reasonable medical excuse for failing to comply, you could be charged with ‘failure to provide’ and banned from driving and/or fined.

DRUG DRIVING PENALTIES

If you’re found guilty of drug driving, you’ll face several legal penalties, including the following:

  • an automatic 12-month driving ban which could be extended depending on your circumstances and prior history of offending, and an unlimited fine
  • a community sentence, which might include community service, a curfew requirement or mandatory rehabilitation treatment
  • a prison sentence of up to six months, in the most serious cases

Aggravating circumstances, such as the following, will increase the penalties:

  • you were driving for work, whether that’s driving a taxi, bus or making deliveries
  • you had more than one drug in your system
  • your standard of driving was poor
  • you were driving near a school

The penalty for causing death by dangerous driving under the influence of drugs is a maximum prison sentence of 14 years.

  • Your License

    A conviction will remain on your driving record for 11 years.
  • Driving insurance

    A drug-driving conviction will dramatically affect insurance options. Many insurers won’t provide cover after a conviction or, those that do, are likely to hike your premiums considerably.

  • Travel

    A drug-driving conviction could jeopardise your chances of working, studying or travelling abroad because, unlike penalty points, a conviction will go on your criminal record.

More drug driving information


  • GOV.UK

    Government website containing the latest up-to-date information on drug driving law

  • THINK!

    Campaigning website for safer roads

  • Release

    Release is the national centre of expertise on drugs and drugs law. The organisation, founded in 1967, is an independent and registered charity.

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STREET BENZOS-VALIUM: MSJs, blues, vallies, benzos, scoobies. Harm reduction information

STREET BENZOS/VALIUM: MSJs, blues, vallies, benzos, scoobies. Harm reduction information

Street Benzos or Street Valium, known as MSPs, blues, vallies, benzos and scoobies, has become a collective term used to describe real, fake, and novel/new benzodiazepines obtained and used without a legitimate prescription. 

Benzodiazepines are a group of pharmaceutical drugs. There are many Benzodiazepines. Some, such as diazepam and valium, are prescribed as medicines in the UK. They are generally used to treat anxiety, alcohol withdrawal, and seizures.

Benzodiazepines make you feel drowsy and sleepy. They depress your central nervous system depressants and slow down your heart rate and breathing. You may experience a 'floating' sensation and feel warm, calm, relaxed and tired.

Deaths following the use of benzodiazepines, both on their own and combined with other substances like alcohol and opiates, have been rising in recent years among all age groups. 

If you are using street benzos, this harm reduction information will highlight some of the risks and help you make informed decisions.

We use the term 'street benzos' to refer to illicit benzos obtained and used without a prescription. We have broken them down into three sections: Pharmaceutical, fake, and Novel and new benzodiazepines (NPS).

Pharmaceutical benzodiazepines 


Pharmaceutical benzodiazepines are manufactured under controlled conditions in regulated facilities, meaning the contents are safe, accurate, and consistent.

Obtained with a prescription and used under the supervision of a GP, or health professional, they will typically be supplied in blister packs or medicine bottles and contain information around dosage and side effects.

Fake benzodiazepines 


Fake benzodiazepines are made to look like legitimate medicines. Manufacturers will often produce pills and capsules which have the same shape, colour, size and markings as the real thing.  

They can contain no active ingredients or the wrong type or amount of active ingredient and cause serious harm, illness or overdose.

Fake drugs can sometimes come in poor quality packaging, lacking medical information, and poorly made pills or capsules.

Novel and new benzodiazepines (NPS) - designer drugs


Remember the days when we had so-called legal highs before they were made illegal in 2016 by the Psychoactive Substances Act? Well, guess what - they are still around. 

The supply has increased in line with demand; only now you have to obtain them illegally.

Many NPS benzos contain Etizolam, Phenazepam, Diclazepam, Flubromazolam, Flubromazepam, alprazolam (also known as 'Xanax') - none are licensed in the UK, and some are class C drugs.

They normally come as pills and are commonly referred to as MSJs, blues, vallies, benzos, scoobies - or are mis-sold as diazepam. 

They can often be referred to based on their markings, such as: 'Roche 10', 'MSJ', 'T20', 'WW' and 'D10'.

Public Health England has recently (July 2020) issued a warning about pills with similar markings - they warned:

"There is significant evidence from toxicology results of illicit tablets being sold as diazepam, temazepam and alprazolam linked to recent hospitalisations and deaths. This includes tablets known as and/or marked with 'DAN 5620' (on one side) and '10' (on the other), 'T-20', 'TEM 20', 'Bensedin' and 'MSJ'. These may contain dangerously potent benzodiazepines or their analogues [chemicals which have a similar effect to benzodiazepines] such as flualprazolam and etizolam. Most of the tablets causing concern are blue (but they come in various colours) and these may stain people's mouths".

How are benzodiazepines supplied?


The only legal way to obtain benzodiazepines is with a prescription and from a legitimate pharmacy. But they can be obtained in other ways.

Some benzodiazepines are supplied by people who sell on their legitimate supply; other supplies are 'diverted' from the factories that make them or from chemist burglaries.

Some drug dealers will supply benzodiazepines alongside more established illegal drugs.

An increasingly popular way to obtain illicit benzodiazepines is online, either in bulk through the so-called dark web, using social media and encrypted messaging apps, such as Instagram, Snapchat, WhatsApp and Wickr, or through bogus online pharmacies.

It can be difficult to distinguish between registered online pharmacies and other commercial websites. The General Pharmaceutical Council (GPhC) operates an internet pharmacy logo scheme to identify legitimate online pharmacies.

Harm reduction Advice


  • Do not take large amounts. Start low and slow. You can't be sure if what you are taking this time is the same as last time. Take a small amount and give it time to work before you take more.
  • Do not use it on your own. But if you do, let someone know and ask them to check on you.
  • Do not use regularly/daily. Leave it for a week; give yourself a break to get over it. Otherwise, you will get addicted.
  • Do not use during pregnancy or breastfeeding. But if you do, tell your doctor.
  • Do not drive or operate machinery - if you do, you will have an accident.
  • Do not take the day before your driving test/go to work/school – leave it for Saturday night.
  • Do not mix with alcohol or other sedative drugs - JUST DON'T! But if you do, look after each other.
  • Do not inject - JUST DON'T! But if you do - don't share, take care!
  • Do not stop abruptly - but if you do, be prepared for withdrawals. Talk to your GP or a health professional. Tell them what you have been taking, so they can help reduce your use.

 

 

 

sophisticated online market : https://www.emcdda.europa.eu/publications/joint-publications/eu-drug-markets-report-2019_en

 

Buying apps:

 

https://theconversation.com/instadrugs-new-research-reveals-hidden-dangers-when-young-people-use-apps-to-buy-illicit-substances-110319

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BENZODIAZEPINES: Harm reduction information and advice

Article Introduction: This resource will help people who use prescribed and illicit benzodiazepines better understand how to manage the risks associated with their use.

BENZODIAZEPINES: Harm reduction information and advice

Cover of benzodaizepines harm reduction resource showing a list of  benzodaizepines nd the image of a head

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This resource will cover the risks of using prescribed and illicit benzodiazepines and provide harm reduction advice.

The use of benzodiazepines  is increasing.More and more people are using benzodiazepines to help with anxiety, stress and sleep problems.

Most benzodiazepines are obtained legitimately, with a prescription, and their use monitored by a doctor or other health professional. 

But an increasing number of people are using illegally obtained so-called ‘street benzos’ or ‘street Valium’ - either diverted from legitimate prescriptions or purchased online.


WHAT ARE BENZODIAZEPINES?

Benzodiazepines are sedative and anti-anxiety drugs that are used to treat various conditions such as anxiety, insomnia, muscle spasms, epilepsy

Benzodiazepines work by increasing the effect of a brain chemical called GABA (gamma-aminobutyric acid). GABA reduces brain activity and has a calming effect.

They are also misused, and when used at the same time as alcohol and other drugs, the chances of a fatal overdose is increased.


TYPES OF BENZODIAZEPINES?

There are different types of  benzodiazepines, which include:

  • Alprazolam (Xanax)
  • Chlordiazepoxide (Librium)
  • Diazepam (Valium)
  • Lorazepam (Ativan)
  • Flubromazolam
  • Flurazepam (Dalmane)
  • Phenazepam
  • Temazepam (Restoril)

Dosing

Different benzodiazepines will stay in your body for different lengths of time - depending on their half-life. Half-life is the time it takes for your body to break down and remove (metabolise) half the drug. 

Diazepam has a half-life of around 20 hours - so after 20 hours, you will still have half the dose in your body. Using again can lead to increased levels and an increased chance of overdose.

Remember, not all benzodiazepines are the same. 10mg of one benzodiazepine isn’t necessarily the same as 10mg of another. 

Their effects will feel different, as will the time they take to start working and how long the effects last.


SIDE EFFECTS

Not everyone who takes benzodiazepines will feel side effects. but those that do may experience:

Common side effects include:

  • drowsiness
  • light-headedness
  • confusion
  •  unsteadiness on your feet 
  • dizziness
  • slurred speech
  • muscle weakness
  • memory problems
  • constipation
  • nausea (feeling sick)
  • dry mouth
  • blurred vision

Less common side effects include:

  • headaches
  • low blood pressure
  •  increased saliva production
  • digestive disturbances
  • rashes
  • sight problems (such as double vision)
  • tremors (shaking)
  • changes in sexual desire
  • incontinence (loss of bladder control)
  • difficulty urinating

Disinhibition

Benzodiazepines are normally prescribed to help reduce anxiety and calm people down, but they can have the opposite effect on a small number of people. 

They can cause dis-inhibiting and risky behaviour, particularly when mixed with alcohol or other drugs.

Behaviour can include:

  • acute excitement
  • altered mental state
  • increased anxiety 
  • vivid dreams 
  • hyperactivity
  • sexual dis-inhibition
  • aggression
      

MENTAL HEALTH

Links have been noted between benzodiazepine use and depression and, in some cases, the emergence of suicidal thoughts.

The evidence suggests that higher benzodiazepine dosages are associated with an increased risk of depression in certain groups of people and that reducing or discontinuing use can help deal with the feelings.

If you experience any of these feelings or are thinking about changing the way you use a benzodiazepine, you must consult your GP, keyworker, or other health professional.


STREET BENZOS/DIAZEPAM

Illicit or fake benzodiazepines, often called ‘street benzos’ or ‘street Diazepam’, are benzodiazepines bought online or obtained without a prescription.

They come in various sizes and colours and are packaged in blister packs or pill containers designed to make them look safe and legitimate. Markings can include ‘DAN 5620’ (on one side) and ‘10’ (on the other), ‘T-20’, ‘TEM 20’, ‘Bensedin’ and ‘MSJ’.

Street benzodiazepines are unpredictable in content and potency and often contain unknown substances or substances that are dangerously stronger than that displayed on the packaging.

The unpredictable content and potency make street benzodiazepines particularly dangerous and are causing an increase in overdose, hospitalisation and deaths.


COMBINING BENZOS WITH DOWNER DRUGS IS DANGEROUS.

Using benzodiazepines with other downer drugs, such as alcohol, GHB and opioids, is very dangerous. 

Both types of drugs suppress breathing, and when used together, smaller amounts of each kind of drug is needed to increase the risk of a fatal overdose.

Alcohol

Smaller amounts of alcohol and benzodiazepines are needed to cause an overdose when used together. 

Combining alcohol and benzodiazepines can also result in poor decision-making, blackouts, and an inability to control one’s emotions, resulting in hostile or aggressive behaviour.

GHB/GBL

Benzodiazepines will stay in your body for some time after the effects have worn off. Combining benzodiazepines and GHB/GBL is very dangerous and can be fatal - even when taken several hours apart.

Opioids

Combining opioid-type drugs like heroin, methadone and buprenorphine with benzodiazepines is causing an increasing number of overdose deaths.

Both drugs sedate users and suppress breathing, in addition to impairing cognitive functions.

When combined, smaller amounts of each drug are needed to cause an overdose.


ADDICTION & WITHDRAWAL

Addiction

Benzodiazepines are normally only prescribed for a short length of time. (Lower doses may be prescribed for extended periods - depending on individual circumstances). 

Tolerance can build up quickly, and users can end up increasing the amount they use to maintain the initial effects. 

Using benzodiazepines for too long can cause psychological and physical addiction. 

Cutting down or stopping suddenly can cause unpleasant and dangerous withdrawal symptoms.

Reducing benzodiazepine use should only be done over a period of time, with the support of a health professional.

Withdrawal symptoms

Symptoms can start anything from eight hours to two days after you last took them. 

Symptoms can include:

  • feeling sick or vomiting
  • unpleasant sensations in your body, including muscle spasms, ‘crawling’ skin or goosebumps
  • hallucinations (seeing or hearing things that aren’t there)
  • feeling spaced out
  • anxiety and panic attacks
  • seizures (fits)

Call NHS 111 or go to NHS 111 online if you stop taking benzodiazepines and start to get any of these symptoms.


OVERDOSE ADVICE

If you are with someone when taking drugs, watch them carefully for the signs of an overdose.

Signs of overdose may include:

  •  unconsciousness (won’t wake up with a shake or a shout)
  • nausea and vomiting
  • noisy, rasping, slow breathing
  • difficulty breathing
  • slow or erratic pulse (heartbeat)
  • pale tinge to lips
  • cold clammy skin
     

Benzodiazepines and opiates

If you have access to naloxone and you think someone has also used heroin, methadone or other opiates, give them a shot of naloxone.

It will not reverse a benzodiazepine-only overdose, but it will not harm them if you administer it when it’s not needed.

IF SOMEONE OVERDOSES, CALL 999 IMMEDIATELY FOR AN AMBULANCE.

Put the person in the recovery position and monitor the airway, breathing and pulse.

Do not assume that a person who seems to be coming around will not worsen later – stay with them until the ambulance arrives.


REDUCING THE RISKS FROM USING BENZODIAZEPINES

The only way to avoid the risks associated with benzodiazepines is not to use them. but if you intend to, this information will help reduce some of the risks.

Avoid buying benzodiazepines online. - usually advertised as diazepam (referred to as Valium), temazepam, and alprazolam (referred to as ‘Xanax’). 

Markings can include ‘DAN 5620’ (on one side) and ‘10’ (on the other), ‘T-20’, ‘TEM 20’, ‘Bensedin’ and ‘MSJ’, and can contain dangerously potent benzodiazepines or other dangerous substances not for medical use. 

If you use Benzodiazepines or other drugs, be extra cautious; test the strength by starting with a small test dose (1/2 a pill) and waiting at least an hour before taking more.

Don’t drive or operate machinery while using benzodiazepines or any other drugs.

Don’t mix benzodiazepines with alcohol.

Don’t mix benzodiazepines with any combination of alcohol, heroin, and gabapentinoids like gabapentin and pregabalin. Gabapentinoids work in a similar way to benzodiazepines and reduce tolerance to heroin and other opiates, increasing the chances of overdose.

If you’re going to use any drugs, make sure someone is around when you take them - if you overdose alone, nobody can help you.

If your drug use is causing you problems, you should seek help from your GP or local drug and alcohol service.


THE LAW

If you have a prescription for benzodiazepines and have obtained them from a pharmacist, you have nothing to worry about.

If you have bought them from the internet, been given them, or sold them by another person, they become a Class C drug and they are unlawful to use or possess.

Possession

Unlawful possession of Class C drugs is an offence which carries a maximum sentence of 2 years’ imprisonment or a fine, or both. 

Supplying

It is also an offence to supply or produce Class C drugs. Supply carries a maximum sentence of 14 years’ imprisonment or a fine, or both.


HELP AND SUPPORT

Here are some websites and organisations that can provide further information about benzodiazepines.

NHS

Advice, tips and tools to help you make the best choices about your health and wellbeing.

www.nhs.uk

Talk to Frank

National drugs awareness website. 24hrs a day, seven days a week.

Call 0800 77 66 00 (calls are free and confidential)

www.talktofrank.com 

Release | Drugs, The Law

Free non-judgemental, specialist advice and information on issues related to drug use and to drug laws.

www.release.org.uk

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