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Providing health info to Toronto party people since 1995!

TRIP! provides safer sex and drug information and supplies to party people in Toronto's electronic music communities. We neither condone nor condemn the use of any drug, and provide factual information to help partiers make informed decisions that directly affect their long-term health. TRIP! is a grassroots initiative that sprouted in the summer of 1995 and has since nurtured healthy and wise choices among those in our communities. Donate today by clicking on the button below!

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Drug Induced Seizures

brain 

 

At a festival recently, I heard a story from a festival attendee discussing how someone in front of them started convulsing. They were shocked and immediately put their hand in the seizing person’s mouth. In their mind, they had seen a few episodes of House and figured that they were helping stop the seizing person from choking on their tongue.


The commonly held belief that someone having a seizure can choke on their tongue is absolutely a myth. The person sticking their hand in the mouth of a stranger obviously had good intentions – but they were putting both themselves and the person who was having the seizure at risk of injury and transmission of blood borne illnesses. This post will cover how you should help a person who is having a drug induced seizure and keep them (and you!) safe.


What causes a seizure?


Seizures can be triggered by epilepsy, but this post is specifically about drug induced seizures. Seizures are a common side effect after physically withdrawing from long term (or heavy binging) alcohol, ghb, benzo or barbiturate use. Seizures can also occur from most recreational drugs including: alcohol, ghb, heroin, cocaine, ecstasy, amphetamine, antidepressants, and prescription medications (even certain anti-allergy drugs and antibiotics are known to trigger seizures). They are more likely to happen when a person mixes multiple substances together, or after someone hasn’t slept in a few days and has been up partying. It’s also common for someone to have a seizure while overdosing.


FUN FACT: we all have our own personal “seizure threshold” meaning given the right conditions, it could happen to literally anyone. Along with drugs there are a few other things that can lower someones seizure threshold some of those are: not eating properly, overheating, exhaustion, sleep deprivation, an infection, flashing lights, a head injury and low blood sugar.


Here are a few things you can do to help lower your risk of having a seizure:

  • Make sure you eat a full meal before you start.

  • Stay hydrated throughout the night; alternate water with sports drinks to replenish your body's electrolytes and sugar.

  • Take rests from dancing to cool off and prevent exhaustion.

  • know your body's limit when it comes to drugs... don't over do it.


Seizures are triggered by altered electrical activity in the brain caused by complex chemical changes in nerve cells. Brain cells can become too excited or just stop communicating with other cells. Usually there is a balance of brain cells that excite and stop messages – when this balance gets out of whack and there is too much or too little activity, this chemical change can cause a surge of electrical activity, triggering a seizure.  


What is a seizure?


Seizures can look really scary or be so subtle they can be hard to identify. Often when folks think of seizures they imagine a very specific kind called a grand mal seizure. Although that kind of seizure is marked by sudden loss of consciousness and violent convulsions, there are more than twenty different types of seizures! Someone having a petit mal seizure might remain conscious and just have intense twitching or be very inattentive or zoned out for a few minutes.


What to do when someone is having a seizure

  • Stay calm. You can’t help them if you’re wigged out.

  • If you’re at a party, you can designate someone near you to go get help.

  • Move everything out of the person’s way. Are they by a table with glasses on them? Are there glass pipes lying around? Chairs? Move away everything the person might come into contact with and clear a space.

  • Encourage people to stand back and give the person lots of room. Make sure that you are not in the way of being kicked or injured by the seizing person.

  • Put something under the person’s head so that it’s not hitting the ground. You could use a coat, your sweater, your folded fluffies, whatever you have.

  • If you can, time the length of the seizure. This is helpful information for the paramedics to have.

  • Put the person in the recovery position after the seizure has stopped and wait for help to arrive.

  • Stay there and wait it out. Don’t leave the person and check in with them after.

  • Don’t hold their head or limbs this can lead to injuries to either you or them.


Remember: it’s a myth that someone can choke on their own tongue. Don’t ever try to put anything in a seizing person’s mouth (like a wallet or water and definitely not your hands!). Anything you put in their mouths can be a choking hazard.  


When to call an ambulance

  • If the person is seizing and overdosing

  • If the person has two or more seizures without regaining consciousness between them

  • If the person takes longer than 15 minutes to regain consciousness

  • If it’s the person’s first seizure


Following up with a doctor is always a good idea, just to rule out things other than substance use, like tumours or viruses.


Some folks can be prone to having drug induced seizures and know the specific substances that could set them off. Be sure to tell your friends if you have a history of seizures before you start partying and what they can do if it happens. In many cases, a properly handled seizure is not life threatening and just another risk to be aware of when you’re partying hard.


Testing Kits

Testing kits can help you identify what a substance is so you can decide how or if you want to take it. When getting drugs from someone or the internet you can't be 100% sure what it really is, even if it's from a friend. You can use a testing kit to get more info!

You can buy testing kits from us by emailing info@tripproject.ca to set up a time to pick up your kit in person from Central Toronto Community Health Centres or you can order them directly online here

testkitplus 

Just say KNOW!  

Increasing the Purity of Street Drugs

If you do synthetic street drugs that are sold as powder, crystals, or pills, the following techniques for "cleaning" drugs may be of interest to you.

One of the simpler methods of purifying your drugs is called an alcohol wash. The premise is that some impurities/cuts will not dissolve as much in alcohol as the actual drug. This works especially well with coke, since it is very soluble in alcohol. It will remove some but not all of the levamisole/tetramisole in coke.

Supplies: Drugs to clean, 2 clean glass or ceramic containers, lab or coffee filters, something to measure small quantities of liquid with (usually you can get a free 10ml oral syringe from any major pharmacy chain by asking for one), internet access, and the purest alcohol you can get. if you can have somebody bring it in from out of province or the U.S, pure ethanol over 90% is best. Sold as Alcool Global 94% in Quebec, Everclear/Spirytus 95/96% in the U.S. Next best is 99% isopropyl alcohol from a pharmacy, make sure it's 99%, not normal rubbing alcohol. After that, some LCBOs sell a 75.5% proof Spirytus, don't get Bacardi 151 unless you want your drugs to have non-alcoholic rum residue in them. In a pinch, normal vodka will work but not nearly as well as those above, and you'll lose a lot more of whatever you're cleaning to the process.

How much alcohol you'll use will depend on what you're cleaning, and how soluble it is in the solvent you've got. For example, cocaine HCl (which is what you'll have if you bought coke that isn't rocked up into crack) is soluble in water at 1.8 grams per millilitre of distilled water, that means every millilitre of water can dissolve 1.8 grams of coke. In pure ethanol (drinking alcohol) it takes 3.2ml to dissolve a gram. That means, in 94% alcohol, you'll need about 2.8ml per gram, just call it 3ml since you'll lose a bit to evaporation and the sides of your container. If you have a toaster oven, set it for about 150F, cover the top of your container with a glass plate, and wait for it to come up to temperature. The plate will have to sit flush with the container so the alcohol doesn't escape. Heating the alcohol is optional, but will improve your results. If you do heat it, make sure you pick up the container with oven mits or a folded towel, because it will be hot. While hot, dissolve your coke in the alcohol and stir to help it dissolve. You can then let it cool to room temperature and pour it through your filter into the other container. Before pouring, wet the filter paper with a bit of alcohol that doesn't have coke in it. Anything less soluble than coke will now be left in the filter, and your cleaner coke will be in the alcohol. Pour the alcohol onto a flat plate and let it sit until it evaporates, which will leave behind your coke. You can use light heat to help it evaporate faster, but make sure it's under 175F and absolutely no open flames. Once it's almost dry, chop it up finely and let it sit for another 48 hours to get all of the alcohol out, especially if you used alcohol not meant for drinking. It may look like a weird white paste before it's completely dry, don't be alarmed if that happens.

To wash other drugs with alcohol, just look up how soluble they are in the solvent you're using (liquid that you'll be dissolving your drugs in) and adjust the figures accordingly. If the solubility is lower than 30ml per gram it's probably not worth doing.

Another method of cleaning your drugs is called an acetone wash. This will improve the purity of most drugs if done correctly, but will not get rid of most cuts that are drugs themselves. If your mdma has speed, PMA, lidocaine, etc. in it that will still be in it at the end. This is best for getting rid of things that whomever manufactured your drugs left behind due to greed, laziness, or incompetence. It will also get rid of caffeine. If you have mdma that's dark brown and smells strongly, it will be white and mostly odourless when you're done. Warning: Acetone is very flammable, unhealthy to breathe in, and it dissolves paint, varnish, plastic and styrofoam among other things. Keep away from open flames, keep a window open, and only use clean glass, ceramic, or metal containers. This does not work for any drugs that are in freebase form, like crack or DMT.

Supplies: Acetone (available at most hardware stores. Make sure the container just says it has acetone in it, don't just get any bottle from the paint thinners sections). To test if your acetone is clean, pour a little bit onto a clean glass/ceramic/metal surface and see if it leaves residue behind when it evaporates. If it doesn't, you're good. Epsom salts (should be available at most pharmacies, make sure they're unscented and not sea salt/ something else). An oven or toaster oven, coffee filters, clean glass/ceramic containers, and a mortar and pestle.

First you're going to want to "dry" your acetone. Dry acetone means it has no water in it, water is bad because even a little bit will cause you to lose some of your drugs. To do this, crush up epsom salts in your mortar and pestle and put them in the oven on high for 3-4 hours. This will take all the water out of the epsom salts, and they will now absorb water from the atmosphere, or your acetone. Put the equivalent of roughly 1/5 of your container of acetone in dried epsom salts into the acetone container. Give it a good shaking for about a minute, and let it sit for a day. You now have dry acetone. Don't shake the container before using and pour slowly from the top layer so you don't pour out epsom salts with it. Pour it through a coffee filter to make sure you don't get any epsom salt in your drugs. If you have a glass eyedropper and patience, it's better to just use that to siphon acetone off the top and leave all the epsom salt at the bottom. Crush your drugs finely, and depending on how much you're washing put them in an acetone friendly container of appropriate size. Probably a shot glass. Then pour your filtered, dry acetone on top, enough to cover your drugs plus a little room at the top. The acetone will absorb impurities and some cuts, but not your drugs. Stir it around a bit with an acetone friendly utensil, (glass or metal) and let it sit for maybe 10 minutes. Then take a clean container with a new coffee filter on it, and wet the coffee filter with a bit of acetone. You can then pour in the contents of your shot glass. Save the coffee filter and scrape any residue from the shot glass. Let the acetone evaporate off and you can then retrieve your drugs from the coffee filter. If you're curious, you can also let all the acetone from the other container evaporate which will leave behind all the impurities that were removed, otherwise just dispose of it or keep it in a closed container to reuse later.

If you apply both of these techniques to your drugs they will become even cleaner. Keep in mind these techniques only work if what you bought as MDMA/coke/whatever actually contains MDMA/coke/whatever. If you wash a mystery E pill you'll still have mystery powder at the end, albeit cleaner mystery powder.

Links to resources on this topic: http://www.drugs-forum.com/forum/showthread.php?t=29652 http://www.drugs-forum.com/forum/showthread.php?t=27089 http://www.drugs-forum.com/forum/showthread.php?t=38798 https://www.dmt-nexus.me/forum/default.aspx?g=posts&t=46821

Harm Reduction Takes A Step Back as EDM Events are Banned at The Ex

 

Ex 

On Friday April 11th, Toronto City Councillor Giorgio Mammoliti introduced a motion to prevent agreements with Electronic Dance Music promoters who wish to rent the city’s publicly owned buildings on The Exhibition grounds.


The motion passed with a vote of 4-3. Mammoliti was thrilled, “We’re talking 5600 kids, many of them taking ecstasy on government lands owned by the taxpayers, I just think it’s wrong to be sending that message,” he said. “I don’t see the logic in that, if the private industry wants to have the venues in a private location then so be it.”


However, death from club drugs are rare. According to the Office of the Chief Coroner of Ontario between 2002 and 2010 only 17 deaths in Toronto were related to MDMA and ecstasy use. 10 of the people who died were over the age of 40. Meaning less than 1 youth a year died from ecstasy or MDMA use.


Furthermore, this motion goes directly against a long standing “Establishment of Late Night Entertainment Event Protocol (including Raves) and Co-ordinated Response to Inquest Recommendations into the Death of Allen Ho.” The protocol was adopted in August of 2000 and specifically recommends Exhibition Place a s a safe place to hold dance parties.


The Exhibition also created a protocol to ensure safety at dance related events held on the grounds. A number of harm reduction techniques must be used by event organizers including: paid duty police officers, private security, turnstiles and ambulance services on site at all times.


However noble, Councillor Mammoliti’s desire to protect children from the evils of raving may seem misguided.


Toronto’s rave community is notably upset by this decision and has started an online petition urging for it’s reversal.


Many community members feel that the motion was made due to the political sway of Muzik Nightclub owner Zlatko Starkovski. On January 14th, Mr. Starkovski wrote a letter to the chairman of the Exhibition and Councillor Mark Grimes, which stated:


In recent months the Exhibition Place has seen several competing events in both the Better Living Centre and the Direct Energy Centre. While we recognize the competitive nature of our business, this has caused Muzik problems in booking the talent for own shows on other nights. Muzik and the Exhibition Place are a destination venue. Our patrons come here one night a week specifically for our club, many from outside Toronto. If there is similar content and acts being hired on another or the same night, at the same location, we have will not be able to continue our successful programing.


Additionally, Exhibition Place staff have met with Mr. Starkovski and suggested he

consider the possibility of promoting a major EDM concert similar to the ones held on the

grounds in September and December 2013.


Muzik is not affected by this ban and stands to gain significantly from the decision. It has become increasingly obvious that harm reduction and safety was not the primary motivator in the decision to ban EDM events from The Exhibition.


When questioned about the possible negative effects of this decision, such as forcing the all ages scene underground, Mr Starkovski stated, “there is no underground scene, [this] means 12, 13, 14, 15 and 16 year old children will be at home safe.” He is also quoted as saying, “My biggest concern is that [electronic dance music concerts] are mixing 12-year-old girls with 50-year-old men.”


If you would like to see EDM events continue to be held at the Exhibition, which are safe and suitable for all ages, there are a number of ways you can help.


  • sign and share the petition

  • call and email your councillor

  • have your parents call and email your councillor

  • call and email the mayor

  • tweet about this using the hashtag #boycottmuzik

  • give muzik a 1 star review on facebook, google and yelp

 
By a Trip! Project volunteer

Photo from Facebook 

Protecting Young People (Who Use Drugs)

by Lisa Campbell 

Protecting Young People (Who Use Drugs)

 

Canada at #CND2014: Statement has not one word on human rights, death penalty for drug offences, harm reduction, #HIV #HCV#missingtheboat

— CDN HIVAIDS LGL NTWK (@AIDSLAW) March 14, 2014 

On the final day of the CND High Level Segment, right before the Canadian Delegation presented their statement, I received a message informing me that my friend Junior had died of a drug overdose. Choking back tears, I had to force myself to focus on the task at hand in the name of advocating for sensible drug policy. In honour of Junior, I would like to dedicate this post to him, as I continue to believe that we must push for life saving services for young people who use drugs.  During the CND, we have strived to be diplomatic in our calls for drug policy reform.  Achieving this diplomacy is difficult when the lives of young people who use drugs are at continued risk because of ineffective drug policies.  Unfortunately, the Canadian Delegation neglected to mention human rights, the death penalty for drug offences, harm reduction or reducing blood borne infections in their statement.

That being said, Canada did mention that a multistakeholder approach is essential, including engaging civil society in ongoing dialogue leading up to UNGASS 2016.  Today, the Canadian NGO Delegation had the opportunity to meet with the Canadian Delegation to discuss some of our concerns at the CND.  In preparation for the event, both the Canadian HIV/AIDS Legal Network and the Canadian Drug Policy Coalition created a briefing document titled, ”Promoting Smart Policy on Drugs: Brief to the Canadian delegation to the UN,” which was sent to the Canadian Delegation in advance of the meeting.  Although we were unable to address all of the points in the briefing during the meeting, many of questions we were able to ask were not responded to by the Canadian Delegation as a result of  the Harper Government’s  National Anti-Drug Strategy, which limits government officials from acknowledging harm reduction as an evidence-based strategy for improving public health outcomes.

It is strange to see this phenomenon in action, but it’s not the first time I’ve witnessed official government representatives shying away from the topic for fear of reprisal.  While we were able to discuss other issues, the lack of harm reduction funding for programs targeted at youth has a real tangible cost.  It may seem like we are being nit picky about rhetoric, but not acknowledging harm reduction in federal policy (let alone on an international scale) means that young people who use drugs are left without services due to age restrictions and abstinence-based programs.  Talking about young people and drug use only from the perspective of prevention and enforcement means that treatment and harm reduction are sidelined and do not receive sufficient funds to meet demand.  In this blog post, CSSDP will be going through the briefing document point by point to outline the concerns for young people who use drugs, and also to summarize the information discussed during our meeting with the Canadian Delegation.

1. Encourage all countries to adopt a comprehensive public health approach to substance use
While this was not on the forefront of our meeting, it is essential that young people who use drugs are not further criminalized for their use. Some of the students we work with have been caught up in the justice system, often facing jail time or probation when they should be focused on their education.  One of our most active students found out that his sentence is coming up (facing 5+ years potentially) right when he passed his LSAT.  With mandatory minimum sentences, young people are more at risk for increased sentences if caught  in an area where other underage youth are frequenting.  Just because a young person uses drugs does not mean that they are a criminal, and we therefore believe that drug use should be seen as a public health issue rather than a criminal one.

2. Supporting countries’ flexibility to experiment with alternative, health-oriented approaches to drug policy
Although many countries find ways to be flexible with the conventions in order to provide health services like needle exchange, harm reduction interventions for non-injection drug users are lacking.  While we still need services for young people who inject drugs, programs like drug checking have not been scaled up to be accessible to all young people globally. Drug testing kits for adulterants are often seen as “drug paraphernalia” and testing drugs for your friends or in a public health service can be seen as trafficking. While cannabis is being legalized in some states, rhetoric around “adult use” excludes young people, pushing them into the drug courts where sentencing can be just as punitive if they are suffering from addiction and are unable to maintain sobriety.

3. Respect, Protect and Promote Human Rights
Young people who use drugs have the right to access harm reduction services.  Oftentimes this provision of health services can be moralized by governments, as the main arguments for drug prohibition is to “protect” children and youth, which often results in their punishment as opposed to support. While we did not discuss the exclusion of human rights from the Canadian statement during the meeting, we did touch on the issue of the death penalty being excluded from the High Level Segment Joint Ministerial Statement (JMS).  Shortly after the approval of the JMS, several states came together to clarify that they were strongly opposed to the exclusion of condemning the death penalty from the JMS, but unfortunately Canada was not one of them.  The Canadian delegation was very frank in addressing our concerns, stating that they had no qualms with opposing the death penalty, but that the Minister of Foreign Affairs office did not have time to approve signing onto the EU led statement calling on the death penalty to be abolished for drug-related crimes.

3. Ensure Full Access to Essential Medicines
This was the one point on which the Canadian government was all ears and very open to technical expertise from the NGOs present in our meeting.  We were lucky to have Jason Nickerson from the Bruyère Research Institute present to speak to the Draft Resolution put forward by Thailand on Ketamine. As the predominant anaesthetic in many developing countries, Jason was concerned that Ketamine has gone “out of favour” in the international stage due to its increasing abuse in developed countries. The concern is that as drugs become scheduled and controlled in low-income countries, they become inaccessible. Canada should take a leading role in creating inclusion around access to essential medicines.

While it is important that we protect global access to Ketamine as an anaesthetic, it is also worth noting that this drug has a growing recreational use amongst youth in North America, Europe and Asia.  Due to a rise in awareness by bodies such as the UNODC, there has been a reduction in supply, forcing the prices of this cheap generic medicine to skyrocket and increasing adulterants, including New Psychoactive Substances such as Methoxetamine, which can have a higher potential for overdose.  In the Canadian context, as prices increase, young people who use drugs sometimes resort to changing their route of administration to injection, increasing their risk of blood-borne infections.  We need to stress to member states that supply reduction does not necessarily lead to better health outcomes for marginalized youth, and that we need proper addiction services for synthetic drugs like Ketamine.

4. Promote the full engagement of civil society in drug policy discussion

According to Robert Ianiro, “involvement of civil society is critical.” The Canadian delegation stressed that it was Canada that had helped to draft the initial language of the Resolution on the inclusion of civil society. Rita Notarandrea, Deputy CEO of the Canadian Centre of Substance Abuse (CCSA), is the  civil society representative on the Canadian delegation, and is a co-lead on many of the resolutions.  CCSA has a long history of youth engagement in creating federally funded youth prevention programs, yet the youth that they chose to engage are not necessarily young people who use drugs or marginalized youth.  In our meeting, we stressed that the inclusion of key affected populations is essential when discussing drug policy reform, such as young people who use drugs and street involved youth.  While scientific data is important, young people who use drugs have on the ground knowledge of trends, including the effects of drug policy.  Through the meeting, we learned that the CCSA sent out a questionnaire and presented summarized feedback from NGOs, but many of the NGOs present at our meeting did not receive it.  We need civil society engagement beyond online surveys, and one that reaches out to populations affected by drug policy and meaningfully engages them in a consultation process leading up to UNGASS 2016.

5. Concerns about the language of a “drug-free world”
Statements around aiming for a “drug-free world” are not based in reality, as it is increasingly recognized that the war on drugs is a catastrophic failure.  There is a great deal of evidence that indicates that rates of drug use are largely independent of drug control policies.  It is time for member states to redefine the measures of success for drug policies.  If the goal was shifted from eliminating all drugs to reducing drug related harms, we could focus on minimizing the negative impacts of drugs as opposed to criminalizing young people who use drugs.  This “drug-free world” rhetoric leads to policies like mandatory minimum sentences which disproportionally impact youth. Party drugs popular with young people, including Amphetamine-Type Substances, Ketamine and New Psychoactive Substances, are increasingly placed under Schedule 1.  Young people are curious about drugs, and we need to provide them with factual information on the harms so that they can make their own decisions and take control of their health.  If the focus is only on prevention, valuable harm reduction supplies are inaccessible.

6. Role of the World Health Organization
While Canada is officially opposed to the language of harm reduction, there is still a vague reference to these evidence-based public health interventions in the JMS. This arises by referring to the WHO, UNODC and UNAIDS Technical Guide, which states that such interventions have, “remarkably reduced the number of HIV infections, with some countries approaching the elimination of injecting drug use-related transmission of HIV.”  The NGOs present were interested in Canada’s specific concerns about the wording of harm reduction.  The Canadian Delegation enforced the government’s commitment to the NAS, and believed that prevention, treatment, control of production and enforcement are the tools they can use to curb harms.  That being said, they presented no issues to the technical guides, but were unable to address our questions as to why harm reduction itself was problematic.

On top of this important meeting with the Canadian Delegation, the CSSDP National Chair Nazlee guest blogged for the CND Blog hosted by the International Drug Policy Consortium (IDPC) for the first time today. She covered the Committee of the Whole in the morning (which covered resolutions E/CN.7/2014/L.2 andE/CN.7/2014/L.8), and a side event titled, “COPOLAD: Evidence-Based Tools and Resources Available for CELAC and EU Countries” in the afternoon. All of her posts are now available on the CND blog and have been linked for the convenience of our readers here. As is the tone of the CND Blog, Nazlee’s posts reported on exactly what was said in these sessions without adding personal reflection. 

Written by Lisa Campbell, we snagged this post from the CSSDP.org blog

Youth Moving, a movement meditation!

On Tuesday March 18 Central Toronto Community Health Center will be running its first Youth Moving, a movement meditation program for youth, age 16-29.

Youth Movement March 18th, 2014 

Movement meditation is a great way for individuals to explore themselves and their emotions, tap into group connectedness, and promote a sense of well-being.

Youth Moving will be a 2 hour free form dance group, accompanied by a DJ where participants are asked not to speak so that they may come out of their thinking mind and become present with their bodies. Supports will be available if someone is having a hard time navigating the space, finding their dancing way, or are emotionally in need of it. This group is a safe and inclusive space for all. Our facilities are fully accessible. There will be snacks available before, during and after the dance to keep our motors going.

Doors open by 2:30, dance by 3, please come by 2:30 if you have any special needs to be addressed prior to the group.
CTCHC’s address is 168 Bathurst St, between Queen and Richmond. The Health Center’s number is (416) 703-8480.

For more information or to pre-register and ensure entrance, contact amaiter@ctchc.ca 

Facebook event: http://www.facebook.com/events/1471105179775270/

Warning: Neurotoxic Chemical Being Sold In European / North American Party Pills

It goes without saying that all research chemicals / designer drugs / novel psychoactive substances must be treated with an abundance of caution, even more than would be applied to "traditional" psychoactives (ones with a longer and more studied history of use).  As such, we tend not to spend a lot of time singling out particular ones as more risky than others, unless they are being remarketed as substances which they are not, sold without accurate labeling, etc - the general rules still apply. 

Do your research, realize that you may discover problematic effects that other users have yet to report, start small if you are trying something out, and have a friend "sit" you in case you run into trouble!

Nonetheless, a warning come across our desk (booth?) recently via the bluelight forums, and it is an unusually serious one.

Although this warning was initially posted in the summer, the company in question is still distributing the exact brands and chemicals described, even offering free samples.  There is a fair chance that you, your friend or your local head shop could wind up with something from this list.  If you encounter a person or a business in possession of these, please pass along this warning!

Neurotoxic AM-HI-CO Diablo XXX Extreme 3, neurotoxic research chemical bath salts party pills

Text below has been quoted from the bluelight thread, and "AM-HI-CO" refers to a specific vendor while the rest of the given name is the specific pill branding. 

Highly questionable party pills, which according to the vendor/manufacturer contain para-chloroamphetamine / 1-(4-chlorophenyl)propan-2-amine. All products of this producer marked with a 3 contain the proven neurotoxin. These are, in alphabetical order:

AM-HI-CO BENZO EXTREME 3
AM-HI-CO DIABLO XXX 3 
AM-HI-CO DIABLO XXX EXTREME 3
AM-HI-CO HEAD RUSH ULTRA 3
AM-HI-CO SPACE TRIPS 3 
AM-HI-CO DYNAMITE N-R-G ULTRA 3
AM-HI-CO DOVES ORIGINAL 3
AM-HI-CO DOVES ULTRA 3
AM-HI-CO E-BLAST 3
AM-HI-CO E-PEP 3
AM-HI-CO E-XTC 3 
AM-HI-CO EXTREME RUSH 3
AM-HI-CO EXOTIX SUPER STRONG 3
AM-HI-CO EXOTIX ULTRA 3
AM-HI-CO HYPER X ULTRA 3
AM-HI-CO MIND CANDY 3
AM-HI-CO NEURO TRANCE 3
AM-HI-CO RED DOVES 3
AM-HI-CO ROCKET FUEL ULTRA 3
AM-HI-CO SPEED FREAK ULTRA 3
AM-HI-CO SPEED RUSH 3 
AM-HI-CO X-TACY ULTRA 3

Vendors stocking it are listing this item stating it contains "4-chloroamphetamine ; 1-(4-chlorophenyl)propan-2-amine"

This substance, 4-CA (or PCA, para-Chloroamphetamine) , is a highly neurotoxic substance that selectively destroys serotonin receptors and is in fact used in animal testing as a toxin to give lab animals permanent serotonergic brain damage needed for certain experiments.

This is not a novel drug that might be bad, its a very well known substance that is highly neurotoxic among a wide range of mammals, and is in fact used as a neurotoxin in animal testing for many decades. 

  

Physical Side Effects of Kronic Ketamine Use

Ketamine (also known as K or Special K) has been known to be habit-forming. Some people establish routines of repeated use and find them difficult to break. Regular users may experience distress and extreme cravings when trying to quit. Furthermore, tolerance can build up pretty quickly with frequent use. The following symptoms typically occur when people binge on ketamine or use it frequently. These symptoms are less common for those who do not use ketamine on a regular basis (approximately 2-3 times a week).

 

K Pains

Heavy use of ketamine can cause the user to experience severe abdominal pains known as “k-pains.”  The pain is caused by the inflammation of the hepatic and common bile ducts, which connect the gallbladder to the liver. K pains are often extremely agonizing. Although taking more ketamine may temporarily take away the pain, it will likely only worsen the condition in the end. Depending on the severity of the inflammation, the pain can last a few minutes or up to a few days.
If you are experiencing pains:

  • Avoid taking more  ketamine (even though it may temporarily reduce pain), or try to cut down on your use.

  • Take a warm bath (when you are sober), or place a warm cloth or hot water bottle over the painful region.

  • Try to eat some vegetables or rice (they can really help).  

  • Avoid fatty foods because one of the main functions of the gallbladder is to digest fat.

  • If they are severe and do not lessen, contact your doctor, call 911, or head to the nearest hospital.

Many users have also reported a significant decrease in side-effects by not swallowing their nasal drips after railing, which can be irritating and hard to process through the stomach and digestive system. Similarly, avoiding spicy, acidic, carbonated and otherwise 'difficult' foods can prevent discomfort. Your digestive system uses muscle contractions to move food along, and ketamine slows this process, so any irritating foods will linger for longer. This is often misunderstood to be true gallbladder-related "k-pains", because of the anaesthetic and disassociative effects of ketamine making it difficult for you to properly feel and understand the sensations of indigestion.

It does appear that the bile duct returns to normal after cessation of ketamine use, although the long term effects on the gall bladder, bile ducts, and liver are still unknown.

Bladder and Urinary Tract Irritation and Damage
Ketamine can irritate the bladder and the tubes that connect it to the kidneys and to the urethra (the hole you pee through). If the bladder becomes irritated and the user continues to take ketamine, severe and irreversible damage may occur and users may become incontinent, or unable to control their bladder. Ketamine can also injure the bladder, causing ulcers (wounds) and fibrosis (stiffening of the bladder walls and shrinkage). Ulcers may scar the bladder, making it unable to expand. This bladder shrinkage results in having to urinate more often and sometimes pain in the bladder area.  Although the bladder can heal to an extent, it will never be the same as it was before. Some people require bladder surgery or removal, and in serious cases, it can also lead to kidney damage.

The symptoms of ketamine bladder irritation/damage are:

  • Burns while taking a piss

  • Pain in genitals

  • Pain in bladder

  • Sometimes unable to urinate or takes a while to start (if you are unable to pee for several hours, go to the hospital!)

  • Blood in urine (note that this might not be obvious)

  • Unable to hold piss for long periods

  • Leaking piss

  • Mucous in piss from bladder

Sometimes people or doctors will confuse these symptoms with those of a urinary tract infection or UTI. Ketamine bladder damage and UTIs are not the same thing and should be treated differently, although they may appear at the same time.

If you are experiencing genital or bladder pains:

  • Try to not take more ketamine, or cut down on your use.

  • A warm bath (sober) may help ease genital pains.

  • Refrain from ingesting acidic, sugar-heavy, or caffeinated beverages, which may worsen the pain.

  • If you are have been experiencing symptoms for a while after you stop using, or you are experiencing a great deal of pain, you should see your doctor, call 911, or visit the emergency room. Tell them you suspect you injured your bladder from ketamine use, and they may refer you to a urologist. If your doctor or urologist needs more information about ketamine cystitis (or ketamine bladder syndrome), you can refer them to the case studies referenced here, or tell them to go to  www.ketaminebladdersydrome.com

 

Prevention

Moderation is important with Special K! If you do a lot of ketamine in a single sitting, or you use constantly for days, you are are more prone to damage. If you’re going to use K,  you need to drink water to help prevent it from irritating your insides! We recommend you drink water even when you’re not on drugs, cause water’s awesome and aids in maintaining good health! But it’s very important to remember to drink plenty of water when you’re using K, especially if you’re using a lot. Just remember to eat some food or get some electrolytes (i.e. sports drinks, though beverages with little sugar are preferable). It’s good to drink water the day after as well because K is turned into other chemicals which stay in your body until the day after you use, which may also cause irritation. If you’re sufficiently hydrated, this may aid in drug metabolism and flushing toxins from the body. If you do end up with the symptoms listed above, keep drinking water, and cutting out K would be a good idea as well (or you can risk serious life-changing damage to your body).

Cranberry juice and/or cranberry extract supplements can help minimise the chances of developing urinary tract infections (UTIs) that are common in ketamine users. However, although cranberry juice may help prevent UTIs, it has no therapeutic effect if taken after bladder irritation has occurred, and it may even trigger more pain and irritation as it is naturally very acidic.

Avoiding other foods and beverages that may irritate your bladder such as artificial sugars, chocolate, coffee, tea, soda, and fruit juices may be beneficial as well.

 

It is also very important to try to refrain from mixing ketamine with other drugs (like alcohol for instance), as this can add to the strain on your body.

 

Further Treatment

Ketamine can increase the general acidity levels in your body, and most of us already eat a diet that is off-balance towards acidity. Here is a list of foods that will help balance your pH levels (it's not always intuitive - lemons are acidic at first but don't act as an acidic food once they've been digested!).

Ketamine damages the bladder in a similar way to another condition called  interstitial cystitis.  Following the guidelines for treatment and self-help for this condition may help to varying degrees with ketamine bladder syndrome.  You can find info and links here: http://ketaminebladdersyndrome.com/KBS/Self-Help.html

You can see a urologist to treat your bladder with instillations (liquids put inside the bladder) or oral medications to help your bladder heal and make it less sensitive so you don’t have to pee so much.  If your bladder becomes severely damaged, you may need surgery to rebuild it or remove it. If you get your bladder removed, you will have to wear a bag to collect your urine. You may experience loss of sexual function as well. If you suffer kidney damage, you may need dialysis (which involves getting your blood filtered by a machine).
For more information, check out these resources:

Ketamine Bladder Syndrome: 
www.ketaminebladdersyndrome.com

One man’s personal story of K use: 
http://www.guardian.co.uk/lifeandstyle/2008/apr/21/healthandwellbeing.drugsandalcohol


References 
Hong Kong Ketamine bladder case study http://www.hkmj.org/article_pdfs/hkm0902p53.pdf

Hong Kong K Pains case study

http://www.hkmj.org/article_pdfs/hkm0708p311.pdf

Toronto Ketamine bladder Case Study (St. Michaels hospital) 
http://www.ncbi.nlm.nih.gov/pubmed/17482909


A review of 233 cases of Ketamine use Hong Kong http://www.hkmj.org/article_pdfs/hkm1002p6.pdf

For more information on ketamine generally, check out our other TRIP resources: 
http://www.tripproject.ca/trip/?q=node/14

International Drug Overdose Awareness Day - August 31

On International Drug Overdose Awareness Day this year, two people died at Electric Zoo, an EDM festival in New York. Our thoughts are with friends and family of these victims of the drug war and we are talking with local festival organizers about what we as an organization and as a community can do in our ongoing effort to keep partiers and drug users as safe possible.

 

 

  

 

In 2011 between 102,000 and 247,000 people died from drug overdoses around the world. On August 31 take part in International Drug Overdose Awareness day and help prevent and reduce the stigma around drug related deaths.

Take Part:


- Wear silver on August 31st to show your support or pay tribute to someone you’ve lost.


Take Action & Work Towards Prevention:


Know Your Source & Start Small


Try to obtain drugs of any kind from trusted and known sources. Start with a lower dose to test that you got what you paid for. You can never be 100% sure what is in a substance. You can also contact us about purchasing an adulterant screening kit.


Try not to mix drug use with alcohol consumption or other drugs (we know, it’s tough).


Do some research on the drug before doing it. Check out the TRIP website and Erowid to find out about different drugs.


Try something new with a friend who is experienced with that substance. They can help you understand if what you are feeling is “normal.”


Read all the information that comes with your prescription medication. If you experience adverse side effects speak with your doctor or pharmacist as soon as possible.


Speak with you doctor about the risks involved with mixing any prescription drugs with illegal drugs or alcohol. If you are uncomfortable speaking with someone directly you can email , tweet or text the TRIPwire (647) 822-6435 us with questions or check out ‘Here To Help’ for more information on dangerous drug combinations.


Know The Signs & Symptoms:


The signs and symptoms of an overdose are different depending on the substance. The following sites give a good overview:


Overdose Day: Overdose Basics


Trip Project: OD Prevention 101


Know Your Rights:


Depending on where you are located you may be protected from criminal prosecution if you seek emergency help for a drug overdose. These laws are known as Good Samaritan Laws. This law was famously used in New York State when Jon Bon Jovi’s daughter was rescued after suffering a Heroine overdose.


If this type of law is not in effect where you live (like in Canada for example) you can still seek help and protect yourself from legal woes:  

 

- If you're at an event, send someone to find the EMS workers onsite and send someone else to call 911. Stay with the person until help arrives, doing any first aid or CPR required that you've been trainined to do.

 

- When you call 911 you do not have to mention that the emergency is drug related. Instead you can say the victim has just stopped breathing or suffered a heart attack. Give as much information as you can about their symptoms like an estimated time of the attack or how long they’ve been passed out for.


- Put away any drug paraphernalia that you have on your bodies or out in the area.


- If the overdose victim is functioning well enough, take them outside (or even to the hallway outside of the house/apartment/venue) and wait with them for help. First responders do not need to enter a house and you are not required to let police in without a warrant.

 

Seek Harm Reduction Training:


You can learn to administer Naloxone, which helps to counteract an opiate/opioid overdose at The Works anytime they’re open or at The Central Toronto Community Health Centre on every 3rd monday of the month, 1-3pm. The training only takes 20 minutes and it could help you save a life.


CPR training is offered by St. John’s Ambulance.


Email TRIP to apply for the next volunteer training session this fall (beginning October 2!)



The Essential Point:


If you suspect an overdose, call 911 and stay with the person. Every second counts! When the Emergency Medical Staff arrive, you can tell them the specific substances taken so they can more effectively treat treat the person. Worst case scenario, legal issues are still better than death.

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