Tag-Archive for » harm reduction «

Wednesday, January 06th, 2010 | Author: Synchronium

Mephedrone isn’t just another obscure research chemical. Everyone’s at it, all the time. Despite the media scare stories, over 20% of mephedrone users polled on Drugs Forum take more than 10g each month, with just under half of those consuming over 20g.  A lot of replies to that thread also reveal how quickly usage can escalate, meaning those results are probably on the conservative side. “More acceptable than weed”, some have been saying. “Even my non-druggie friends are doing it!”

Mephedrone MoleculeMephedrone has achieved this unusual status thanks to a number of factors. Firstly, it’s an effective stimulant, which is more than can be said for ecstasy and cocaine these days; the former consisting mainly of disagreeable piperazines (due to their cheapness, and until recently, their legal status) rather than MDMA, and the latter being incredibly inpure. Next up is the lack of a comedown that would normally be experienced with other stimulants, especially for new users. This means people can keep taking it for days on end with little to no perceived negative effects. The other major contributor is the price – at around £10 a gram, it undercuts a great many of its illegal counterparts, while often being more effective, or at least more reliable. Other factors include (potentially inaccurate) purity measures, the ease of buying it from the comfort of your own home  with a credit card, rather than handing over a fistful of crumpled notes to a typical drug dealer, and of course its legal status.  Although the majority of users understand that legal doesn’t mean safe, the fact that you can’t be imprisoned alongside murderers, rapists and other violent criminals for possessing it is certainly a plus. Oh, and it’s psychologically addictive – it won’t kill you if you stop taking it, but you might be able to think of nothing else.

Reports of children doing it, entire friendship groups crumbling as a result of compulsive use and the media frenzy have got people understandably worried and calling for this “evil” drug to be banned.

I Disagree.

Why We Shouldn’t Ban Mephedrone

If you haven’t read Top 10 Reasons Why Legal Highs Should Stay Legal, have a quick look now. Here are a few more mephedrone-specific points:

  • Changing the law won’t change demand – we’ve already seen this with the reclassification of cannabis and the massive popularity of the synthetic cannabinoids that just got banned. Also, the decriminalisation of drugs in Portugal has resulted in not only a decline in drug use, but also a decline in drug-related illness and death (HIV from sharing needles, for example), as well as a increase in the number of people seeking treatment for addiction.
  • The current classification system doesn’t work – Our current ABC system is a shambles, as any scientist, or indeed anyone that values evidence, will testify. Currently, one of the safest drugs, MDMA, sits alongside one of the (if not the) most dangerous, heroin. Cannabis, and soon the synthetic cannabinoids, which haven’t killed anyone, are positioned alongside amphetamine, a drug with far more potential dangers and addiction, meanwhile alcohol, which hospitalises over 1200 people a day and costs the NHS several billion pounds a year, remains legal along with tobacco. I would estimate the harms of mephedrone to be similar to amphetamine, if not a little worse, but placing it in class B would give the message that it is as dangerous as cannabis. Placing it in class A wouldn’t be right, as it certainly doesn’t appear to be as dangerous as heroin, but it’s probably worse than MDMA. Placing it in class C would be ridiculous, as it suggests cannabis is more dangerous. It would be impossible to have a sensible think on how to classify it properly without getting a headache.
  • If mephedrone’s popularity persists, more people will die – in the event of an overdose or an idiosyncratic response, people taking illegal drugs are far more likely not to either tell the doctors what they’ve taken or even go to hospital in the first place. That’s not to say that mephedrone will kill a tonne of people, but if no one ever died whilst on mephedrone, that would be pretty weird…

What Should We Do Instead?

Just because I don’t think it should be illegal doesn’t mean I think the current situation is perfect. Instead, I think the best thing the government could do to reduce harm is keep it legal, restrict its sale to people over the age of 21 and slap on a tax of something like £15 per gram. This would make it much harder to buy large quantities at a time, especially for kids with little expendable income, and so curb mephedrone’s addictive nature. Obviously, this wouldn’t be the perfect solution, as some teenagers would still be able to get hold of it just like they do with alcohol, but at least less people will be taking it and a lot more money would be available to better fund the NHS, harm reduction methods, education about the drug and scientific research.

Why Mephedrone Won’t Be Classified Immediately

Heh. The government have certainly shot themselves in the foot here. Thanks to the sacking of Dave Nutt and the resignation of three others on the ACMD, the government now lacks the skills to ban it. Dr Les King, one of the resignees, was responsible for a large part of the ban last month, so without people like him, the government can’t do anything for a while. Looks like it’ll be legal for a good year or so yet.

How YOU Can Help

Well, you can’t really do anything about the mephedrone situation, but you can help me out by posting Mephedrone Cat everywhere!

You might save millions of lives by directing them to some of my harm reduction articles. :)

Tuesday, January 05th, 2010 | Author: Synchronium

Mephedrone Cat

Mephedrone Cat knows when enough is enough, and so should you!

Thursday, December 31st, 2009 | Author: Synchronium

Last week’s ban on a few legal highs will certainly do more to harm the public than keeping them legal. Here are 10 ways in which every sensible legal highs user has just been shafted:

#1 – Don’t associate with dodgy people

Drug DealerSelling legal highs can be done by a legitimate business. Since these businesses aren’t breaking the law, engaging in any other kind of illegal behaviour (guns, violence, money laundering, etc) is a massive risk. People that deal illegal drugs are already breaking the law – if they get caught, they’re going to prison for a long time. Breaking the law a second time is no longer such a big deal, especially if the price is right. Not only do you get the safety of dealing with an organisation that doesn’t want to break the law, but you’re also not seen with any dodgy characters, whether that’s meeting up on a street corner, visiting their house or them turning up at your place at a suspicious frequency.

#2 – Comparison Shopping

We all live in hope that one day we could type in RateMyWeedDealer.com, find the best prices in town and arrange for a delivery. Fortunately, as customers of legitimate products, legal highs fans can shop around to their heart’s content. Selling something for more than you should be? Then no one will buy it! It’s as simple as that, so, not only can customers get a better deal by shopping around, this behaviour also encourages healthy competition between legal highs vendors. Another plus for the customer!

#3 – Buyer Protection

Perhaps RateMyWeedDealer.com is a long way off, but what about just ringing your dealer to complain about something? Inadequate packaging? Does the product weigh half as much as you were promised? Unfortunately, I doubt your dealer gives a shit. Luckily, for legal highs consumers, most sites out there have some form of customer service, and if they can’t resolve things, facilities for refunds or chargebacks exist to protect the customer.

#4 – A Strength For Everyone

The sheer number of similar products available mean there is usually a strength for every occasion. Want a bit of an energy boost for work? Caffeine! Want to go to a rave all night? Synthetics! Want to go to a rave but it’s not going to be a “big one” because you’ve got work in the morning, and, let’s face it, your joints and muscles aren’t what they used to be? Something herbal!

I think asking an illegal drug dealer for something cheaper and less effective would be a world first.

1 2 3 4 5

#5 – Diversity

Not only is there a range in price and strength, there’s also an incredible range of effects available. Clear headed stimulation, total euphoria, intense rushes, powerful relaxants, shit that makes you laugh – whatever you want, there’s probably something available somewhere that will do the trick. In the world of illegal drugs, that kind of product diversity could only be maintained via a database of epic proportions containing your millions of “hookups” and your own data entry guy.

#6 – Passing A Drug Test

Drug TestingSome people might thing it’s unfair that their co-workers can party all night on a litre of vodka, sleep for a few hours in a bathtub alongside their own sick and eventually drive to work still pissed, while they get fired for smoking a bit of weed after work. Sure, people should get fired if they let their abuse of any substance interfere with their work, but some people may feel that what they get up to in their own time is their own business. These people may feel drug tests are massive breach of their privacy, so it’s a good job that they have a legal alternative to turn to, since they shouldn’t show up on drug tests.

#7 – Friends More Likely To Do The Right Thing

People that overdose on illegal drugs will sometimes go without the treatment they need to avoid any legal trouble for themselves or their friends. Perhaps a friend might not tell the doctor what someone else has taken for fear of getting their mate into trouble. With legal highs, there’s no risk of prosecution so a) people can fully disclose what they’ve taken and could even present the doc with the original packaging and b) the quantity of chemicals in pills or powders will be consistent between batches…

#8 – Batch Consistency

Not only can doctors share notes on specific products, but users can too. It’s no good trying to compare ecstasy pills from different ends of the country, since the contents are likely to vary wildly, even if they share the same stamp. With legal highs, that’s a different story. Consistency between brands and batches facilitates a great deal of discussion not only on how good they are, but also harm reduction. Occasionally manufacturers do change their ingredients, but it only takes a short while for the changes to reach the entire country.

#9 – The Government Could Learn A Thing Or Two

Straight away, the fact that the legal highs industry even exists tells us that people want to get high and that people think the current drug laws are stupid. There’s one massive lesson that could be learned from it though – why not use it as a model for eventually legalising cannabis and the rest? Instead of trying to ban every new substance before anyone has died, why not look at regulating their sales with similar legislation to alcohol and tobacco? If we as a country could get this right with legal highs, we could see if it works or not and them maybe think of abolishing our current bullshit excuse for a drugs law.

#10 – Taxes

PoundHere’s a list of taxes that illegal drug dealers don’t pay:

  • Personal Income Tax
  • National Insurance
  • Corporation Tax
  • VAT

If legal highs remained legal and were taxed like alcohol and tobacco, the government would even more money on top of the taxes above that they already receive. These products are relatively harmless compared with alcohol, for example, which hospitalises 1200 people a day and costs the NHS at least £2 billion to deal with, so a tax on them wouldn’t be paying for the damage they’d cause to society – they’d be making the government a massive profit to spend on more doctors, nurses, medical research and fucking moats!

Nice one, G’ Brown!

Thursday, December 03rd, 2009 | Author: Synchronium

I don’t know how much people outside “the industry” have heard about mephedrone, but by all accounts, it’s exploded in popularity over the past few months. In the last three months, there’s been at least 50 news stories reposted to Drugs-Forum on the topic, and probably quite a few more that haven’t been picked up. We’ve got reports of teens dying, 11 year olds taking the stuff and a guy ripping his balls off – all the classic examples of the media whipping up an unnecessary (and untrue) shit storm. I’ve also read lots of anecdotes about the drug’s prevalence among students, friendship groups and even dealers of illegal drugs (points for diversification!). Since my articles on JWH-018 have been reasonably popular and stimulated some interesting discussion, I felt it was about time we gave mephedrone the same treatment.

The Basics

Mephedrone is not only cheap and legal, but it’s also incredibly effective. It’s a short-acting stimulant that feels something like a mixture of cocaine and ecstasy. If that wasn’t enough to explain its popularity, then the icing on the cake is the almost complete lack of a comedown the next day when used in moderation. Purities of over 99% make another great selling point when compared with similar illegal drugs.

Mephedrone is a white, crystalline powder with little to no smell. The term “Mephedrone” comes from methyl-ephedrone, describing the chemical structure.  Other names for it include:Mephedrone Powder

  • 4-MethylMethCathinone (methcathinone is another name for ephedrone)
  • 4-MMC
  • 4-MMCAT
  • MCAT (This is incorrect, but people use it anyway)
  • Meow
  • Bubbles (seems to be a brand name for capsules containing it and methylone, another research chemical)

Effects include an initial euphoria, which tapers off to a milder stimulation. Mephedrone does seem to oil social situations rather well and get everyone talking, laughing and having a good time, especially during the initial euphoria. Several users have compared it to cocaine, but some how less jittery and “arrogant”, while others will compare it to a more rushy ecstasy (which has to be a good thing, given the current state of the MDMA market). Actually, the effects seem to depend very much on dose and your chosen route of administration.

The most common ways to get this stuff into your blood are snorting it and eating it. As you can probably imagine, eating it will give a longer, less intense experience, while doing lines of it will give a much shorter, more intense buzz and make you want to keep taking it, but we’ll get to that later. Oh, I should probably mention that snorting it feels not too dissimilar from being raped in the sinuses by a Portuguese Man o’ War, particularly for your first line.

Other reported methods of administration include shoving it up your arse, requiring less than an oral dose and peaking somewhere between an oral or insufflated dose, and intravenously injecting it, which apparently isn’t that great, having a similar effect profile to being snorted with a million times the risk.

Dosage

A single oral dose would typically be between 150 mg and 300 mg, while lines can range from 50 mg to a monster 150 mg rail.

Pharmacology

MephedroneIf only we knew! Unfortunately, no one knows anything for certain, so we’re forced to do a bit of guesswork. If it feels like a cross between MDMA and cocaine, then we can assume that there’s some serotonin and dopamine involvement. The apparent addictiveness of mephedrone (more on that later, srsly), along with talkativeness also points to dopamine pathways, while the similarity of some side effects compared with serotonin depletion (taking too much MDMA or abruptly discontinuing selective serotonin reuptake inhibitors [SSRIs]) points to the serotonin pathways.

I would love some more information on this, so if you ever come across anything in the future, please report back!

Misconceptions

There are a number of misconceptions surrounding mephedrone, which we should clear up:

Legal does not mean safe

While it seems that users can take vast quantities of the stuff and still function,  we don’t know what the long term effects of mephedrone use will entail. A handful of people have died from taking it too. While the number is tiny compared with alcohol, it’s still always a good thing to remember.

Purity isn’t necessarily accurate

Mephedrone bought online will certainly be purer than illegal drugs bought on the street, but claims of 99.9% purity may not be true. Since it’s not sold for human consumption (like everything legal and fun), I’m not sure an accurate purity measure is required. Also, that 0.01% could be some deadly poison. It probably won’t be, but it might!

“Plant Food” might not be mephedrone

Lots of those news stories I’ve mentioned above have listed a million different “street names” for this drug, including “Plant Food”. No one is actually calling it plant food, it’s just how it, and lots of other compounds like it, are sold. If you’ve obtained anything psychoactive packaged as plant food, make sure you know what the hell it is you’re taking!

Side Effects

Side effects can be many and varied, some serious and some not. Mephedrone shares a number of the typical side effects you’d expect to find with any stimulant, such as:

  • Increased heart rate (tachycardia)
  • Raised blood pressure (hypertension)
  • Not wanting to sleep (insomnia)
  • Not wanting to eat (anorexia)
  • Chewing/grinding teeth (bruxism)
  • Moving your eyes loads (nystagmus)

More mephedrone-specific, and so perhaps more serious side effects include

  • Turning blue at the extremities & feeling cold (vasoconstriction)
  • Pains in the chest, throat and nose
  • Nosebleeds when snorted, especially with prolonged or frequent use

The more you use, the more the side effects become apparent and the initial pleasant effects diminish. Also, significant evidence is coming forward suggesting circulation issues are not just vasoconstriction, but something more serious – autoimmune vasculitis, where the immune system attacks your own body. This would seem to account for some of the odd and infrequent side effects, such as bruising or turning blue at the joints. Current reports suggest that this isn’t an issue of a dodgy supply for some people compared with the rest, but rather a small percentage of the population are at risk, probably because of some genetic differences. If you’ve noticed this, stop taking mephedrone! This condition will only get worse the more you consume. Add to that the usual stimulant-induced vasoconstriction, and you could find yourself with some serious problems.

Warning

Mephedrone can be addictive!

  • It’s easy to have several large sessions per week because of the cheapness and lack of comedown. Several people have reported taking over 20g per month.
  • It’s easy to keep taking it, especially when snorted, so a single line can turn into 5g session easily if you lack self control. There have been a few reports of people taking 5-7g over a 48 hour long single session.
  • Tolerance can also develop, so more is required for the same effect.

Safe Usage Tips

Mephedrone is not 100% safe, but then again, nothing is. To make sure you’re as safe as possible, here are a few tips:

  • Don’t buy it in bulk – 80% of people won’t be able to resist the charms of a massive bag of the stuff. Sure, you may save a few quid on the gram, but if your consumption sky-rockets, you’re not saving anything.
  • If you do buy in bulk, limit yourself – it’s all too easy to “just have one more line”, so perhaps let your friend look after your supply for you, or if you’re going out, take a predetermined quantity out with you and stick to it.
  • Don’t snort it if you think there’s any chance you will become addicted to it – this route of administration makes you want to keep on taking it much more than an oral dose, despite the snotty nose and watering eyes.
  • Eat healthily before and after – your body needs a good supply of nutrients, vitamins, etc to stay healthy and replenish your neurotransmitters. Forcing yourself to eat, especially during long binges, is essential. At least munch some vitamin tablets or something.
  • Take some magnesium supplements – this helps relax your muscles and stop all the jaw clenching and chewing that goes with most stimulants.
  • If you’re going to snort it, blow your nose soon after to clear out any powder – drugs aren’t  absorbed from your nostrils, so you want to get rid of it. I’d also suggest giving your nose a wash with either a spray bottle and some water, or by cramming some wet tissue up there with your head tilted back.