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  #1  
Old 08-02-2007, 12:15
Hlucn8 Hlucn8 is offline
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Injecting Heroin, Vein Problems & Safety Advice for new users

"When in doubt, get it checked out"...
That being said it does not sound very serious.
I was an EMT, trained and served as a combat medic, and am very skilled in venipuncture.
A few things to look out for:

Abscess-a hottish mass beneath the surface of the skin, looks like a goose egg at the injection site, forming over a few days. This is the most serious situation, because basically what has happened is you have introduced god-knows-what bacteria under the skin where it has grown a possibly deadly amount of colonies and toxins, and can affect all sorts of crap. If left untreated, it can infect the bone. This is the one that people loose their arms over. You could also go septic and die. Method of treatment is somewhat harsh; If the Dr. is nice, he will try to numb it, but abscesses are notoriously difficult to numb. Then the abscess is lanced, or cut or sliced, then vigorously squeezed like a zit until the blood coming out no longer is discolored or stinks. follow up with oral antibiotics.
P.S. This does not happen in the space of a few hours, but rather days. Perhaps the first signs might be there at T+24hrs.

Blown vein- This is where the needle goes all the way through the vein and pops out the other side spilling blood under the skin, or the vein rips open when punctured. Because of the increased pressure due to the tourniquet and the patients B/P, the vein can rip open and spill quite a little blood in a short time until the building pressure stops it or the vein clots up. Let go of the tourniquet and apply pressure immediately to minimize symptoms. If the pooling blood is close to a nerve, this can be quite a painful situation, and look real nasty. This is, however, a very common situation, embarrassing even the most skilled surgeons and Nurses. Other than the pain, unsightly bruise, and not being able to shoot in that arm for a while, ('bout 10 min.), it's harmless,(unless you're hemophiliac).

Thrombosis- This one can be a little more dangerous, (and unbelievable painful), especially in the case of DVT's, or "Deep Vein Thrombosis". This occurs when there is a blockage in the actual vein itself, sometimes clotted blood, sometimes crap in the rig. The danger with this one is if the clot or blockage forms in specific parts of the veins, it "THEORETICALLY" can break loose and float around in your circulatory system, lodge in the tiny veins or arteries servicing the heart or brain, stopping blood flow, causing strokes, embolism, Myo-Infarct. That being said, I was assured by a quite knowledgeable MD once that this could not happen when discussing thrombosis in the superficial veins in the arm. I've not read the research, so I don't know how reliable that info was. In order to avoid this one, simply boil a couple of coffee filters in a cup in the microwave. Mix up swiy H, (or X.Y.Z.), and run it through the filters. H hydrochloride is soluble in water. Larger, non-solubles will get trapped, protecting the veins. SWIYou can also, and swim recommends, purchasing Synge filters that will even strain bacteria. Just a side note, some substances will go into solution, then crash out after filtering, causing a nasty sludge in the rig, clogging veins.

Collapsed Vein-This is exactly what it sounds like. When someone sticks a frigging dull overused needle in the same vein at the same spot four times a day for a week straight because he is too lazy to rotate his sites and he happened upon a good one, the lining of the vein can become irritated and swell blocking the flow of blood, (sort of like our thrombosis), causing everything to "collapse" and the sides of the vein to stick together downstream of the blockage. It can also happen when one draws too hard on the plunger to check placement. Usually, if the cause clears up, circulation can and usually will be restored. If not, as in the case of our thrombosis, the damaged vein will be reabsorbed, and the blood pressure from the undamaged portion of the vein will prompt a new section of the vein to grow.

Skin Popping-This is actually a legit injection technique, but can be painful and somewhat wasteful if only a small amount of medicine is used. This occurs when the needle is beneath the skin and not in the vein. Plunger pushed down, fluid collects under the skin forming a bubble. This is called a sub-cutaneous injection. Usually one would choose this route because it allows one to take a large dose without stopping the heart or respiratory system, and with opiates it extends the euphoria sometimes by hours. Also, with skin popping, you could get abscesses, but very little risk of an infection around the heart, a systemic blood infection, and makes it easier to hide ones habit than holes and bruises on the arm. It does not give the orgasmic rush that hitting a vein does, but its advantages make it worthwhile. Use the fatty tissues high on the gluts do bang even up to 10cc, (a little ouch), a spot.

There are other things that can happen when one decides to go this route, ( least of which is a very easy O.D.), but I've covered the most common ones.
Look, here is the thing. I.V. can be a wonderful route of admin for many drugs, but one must understand the dangers and the risks, take precautions, and respect what it is swiy decided to do.

Your Biggest Risk-Infection is what kills I.V. junkies and makes them loose their limbs. Use new rigs when able, clean everything with bleach-water and lots of soap. Boil I.V. dilutant. Watch out for signs of infection, (persistent redness, soreness, change/increase in size, shape, color. or temperature), in the skin surrounding an injection site.

Post Quality Evaluations:
Useful information, shame they dont tell people this instead of just saying its bad for you. :)
Very good guide to diagnosis of vein problems, thanks for posting!
great info
thanks for helping keep people safe
very helpful
Really good information. It's a shame you've been gone so long, I suspect you'll never see this rep!
Very useful and clear info
Very informative and well written
Great harm reduction thread
Good harm reduction info for any substance not only heroin
Great harm reduction post
Great potentialy live saving info vey nice.
just what I needed to know. thanks.
Excellent post, very informative
Good information
great information. Thank you!
Thank you for this harm-reduction guide.
Thanks for such detailed and precise info. Agree with previous posters.
Great information! A simple yet informative post on ther dangers of Intravenous Injections. People jusr starting out should take note of this!!!
This was so great! They should tell people this instead that it is is bad to do it. Gooo Harm Reduction!!
Great info. Thanks
Excellent information for new users like kitty mat. Thank you!
Informative thanks :)
Wow! Just wow. One of the best posts i've ever read.
Thanks for taking the time to share what you know! Greatly appreciated!
  #2  
Old 11-02-2008, 18:30
Solinari Solinari is offline
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A Guide to Safer Injecting

Thanks to helpingaddicts.net for publishing this on the net, it isn't as good as the leaflet but it pretty much as all the information there that the leaflet had, i hope this is of some help. If there are any links in there that i have overlooked then please remove them, i had a look and they seem fine to me, most of them are linked to their own website helpingaddicts.net, i hope that isn't a problem.

Quote:
Firstly, remember that injecting drugs is always risky. Sharing, lending or borrowing injecting equipment can spread HIV (AIDS) and Hepatitis. Bad technique or dirty equipment can damage veins and cause blood poisoning and abscesses and put your life at risk. Dodgy drugs, different street purities or mixing drugs can cause an overdose. It is safer not to inject at all, but if you must, please read the following guide. This will help you think about what you do and reduce some of the risks.

The 5 rules of Safer Injecting are:
1. Use your own equipment, this includes:

  • Needle - if you are using syringes with detachable heads, always use a new needle for each hit.
  • Syringe - the only safe thing is to use a new syringe for every injection. You can get clean syringes from needle exchanges, hospitals or through chemists. You can safely stock up on syringes so that your not caught short, as you cannot be charged for possessing a clean syringe as long as it is still sealed in its wrapper.
  • Spoon - always use your own, clean spoon (Hepatitis & HIV can be caught from using a dirty spoon used by an infected user). Don't use silver spoons as they tarnish and it contains silver oxide which dissolves into your gear and can result in a dirty hit.
  • Filter - cigarette filters contain glass fibres which damage veins. Instead use a corner from an alcohol swab, cotton buds or a piece of tampon.
  • Water - if at all possible use sterile water. Otherwise flat mineral water or cooled boiled water. The water must always be fresh and clean. If using boiled water, use freshly boiled water not the stuff that has been sitting in the kettle all day.
  • Citric acid - or white (not brown) vinegar. Don't use lemon juice as it contains a fungus which when injected can settle around your eyes and eventually blind you. If possible try to always use citric acid, as vinegar can sometimes be contaminated with Hepatitis.
  • Tourniquet - elastic tourniquets will stop veins rolling. Stockings or tights make good makeshift tourniquets. Do not leave a tourniquet on for longer than 1 minute and always release it before injecting. If possible try not to use one as they can damage your veins. If you do use a tourniquet, always use your own as any blood that gets on it (even microscopic amounts) can be enough to transmit Hepatitis, HIV and other blood-borne viruses.
Check that the syringe and needle are new and straight from the packet. Only use them once. Don't even share with your boyfriend or girlfriend or best mate. If you don't have clean equipment, read the instructions further down on this page, on cleaning your equipment.

2. Use the smallest needle possible to inject.

3. Use the smallest amount of water and citric acid possible to dissolve your gear.

4. Don't inject drugs alone. Try to do it with others around.

5. Dispose of your used injecting equipment carefully.
Get a sharps safe box from your syringe-exchange scheme. Keep the box out of the reach of children.


Always clean your injecting Equipment
Read the Guide to Cleaning used works


INJECTING HEROIN – A Step by step Guide
Wash your hands
Wash your hands and the injecting site before you start.
You could be at risk of catching an infection, causing abscesses and other health problems.

Find a clean surface
Use a clean newspaper or magazine as a surface to prepare your hit. Dispose of it safely.
Using a surface where someone else has injected is risky. Viruses could be present in tiny amounts of blood.

Check the gear
What is the gear mixed with? Is it stronger than usual? Does it look different?
Look at the gear carefully, check with other users. If you are suspicious, have a toot (smoke on foil) first to test the strength.

Put the gear on the spoon
Has anyone used the spoon before?
Use your own spoons. Wash them carefully first in hot water and bleach. Rinse thoroughly. If you cant do this, wipe it with a sterile alcohol swab and rinse with clean cold water.

Crush with another spoon
Is this spoon clean?
Wash this spoon too. The heroin should be crushed as finely as possible because this will help it to dissolve when it is mixed with water.

Add water
Has anyone else used the water or flushed dirty equipment into it?
Use freshly boiled water. If this is not possible, use fresh, clean water. Don't share water.

Mix up & add citric acid/ vitamin C powder if necessary
An acid needs to be added to H3 brown heroin base, commonly found in the UK and Europe to help dissolve it. Use ascorbic (vitamin C) or citric acid powder, available from needle exchanges. All acids can damage your veins so use the smallest amount possible.
If the gear doesn’t clear, you will need to add some citric acid. Use the smallest amount possible. You can use vinegar or lemon juice but they contain germs and this is very dangerous. You can catch Hepatitis C by using these, as the liquid may be contaminated. Lemon juice can damage your eyes and cause blindness. Citric acid, lemon juice and vinegar all irritate the veins, be careful with how much you use.

Heat the spoon & cool
Don't heat the gear for a long time. Once it starts bubbling, it is burning the gear away.
Brown gear only needs to be heated for a short time – the more you heat, the more ‘crap’ you will dissolve and draw into your syringe.

Add filter
Is the filter clean? Has it been used before? Fibres from cotton wool or clothing can damage your veins. Even cigarette filters can cause problems.
Always use a new filter, there is no safe way to use a used one. Avoid storing up old filters as fungus can grow in the cotton resulting in dangerous infections. Make sure you wash your hands or if you are on the street use an alcohol swab if available. Cigarette filters contain glass fibers which can damage veins, so use a corner from an alcohol swab, cotton buds or a piece of tampon. Tear off a piece lengthways in a long strand and drop it into the spoon, do not roll into a ball as this can break into smaller fragments which you inject.
An alternative to using a filter is to tip the spoon carefully and keep the ‘crap’ at the opposite end to where you draw up. If you do use a filter, do not cut it - use the full filter so you don't loosen the fibres. If you feel that you have to trim the filter as they are quite large, cut it lengthways and place the cut side down. Then when you draw the liquid into the syringe, place the needle on the side of the filter and not on the cut section.

Draw up into the syringe
Is your equipment clean? Do you ever front load or back load? This means sharing a hit by injecting from one syringe into another. The other syringe may not be clean.
Always use your own new syringe and needle each time. HIV and Hepatitis have been spread by using dirty equipment to front load or back load – DON'T DO THIS.
ALWAYS USE CLEAN WORKS.

Tourniquet on arm (if necessary)
If the tourniquet is too tight, the veins will not fill with blood. Tourniquets ensure that the vein is full of blood. Do not leave tourniquets on for more than one minute. If you can't find a vein release the tourniquet and wait a moment before trying again. A hot bath or shower may help bring veins to the surface. Remember to release the tourniquet before you start injecting, as you can balloon the vein, causing scarring and bruising. Try not to use a tourniquet if possible, as they can cause damage to your veins. Use a tourniquet that is easy to release before injecting your gear.
Place the belt, band or tourniquet so that it slightly indents the skin. Place it 3 fingers width above the bend in the arm, at the elbow.

Find a vein (See 'Where to Inject' below)
Using the same vein every time will cause scarring and other problems. Veins need to rest!
Alternate injecting sites. Feel a vein – this increases the change of hitting it.

Eye of the needle facing upwards
Remember to use the smallest needle possible – an orange one (0.4 X 12mm, 1ml Insulin).
This ensures that the sharp point of the needle pierces the skin.

Go all the way into the vein
Don't ‘fish’ around. Repeated stabbing will cause scarring and bruising. Try to always put the needle into the hilt, otherwise it can end up moving, causing you to miss.
One clean stab increases the chance of hitting the identified vein.

Pull Back the Plunger to check for blood & Slowly Inject
Don't inject immediately. Pull back the plunger to make sure that your in the correct place. If you are - inject the liquid slowly.
If mainlining, you are looking for blood to show that your in a vein. If skin-popping or injecting into a muscle, your looking for there to be no blood. (see the Techniques for injecting below)

Release Tourniquet & Inject slowly
If you don't release the tourniquet or inject too quickly, this may cause a vein to pop. Some of the hit will be lost. Injecting too quickly can increase the chance of overdose.
This ensures that all the hit stays in the vein. The less bruising you have, the more chance you will have of finding that vein in the future. A small toot beforehand will steady your hand.

Withdraw the needle slowly
Withdrawing too quickly can cause the vein to collapse.
Make sure the tourniquet is released before removing the needle.

Put pressure on the site
Ideally use something 'blood proof' like a plaster to press on the site as bleeding causes bruising, making it more difficult to hit that vein next time.
This will stop bleeding and bruising.

Wash your hands
As soon as you are able to - wash your hands.
Blood on your hands can transfer to anything you touch. Don't bleed all over the place – protect your mates!

CLEAN YOUR SYRINGES PROPERLY OR AT LEAST FLUSH THEM OUT A COUPLE OF TIMES WITH WATER BEFORE DISPOSING OF THEM. DISPOSE OF THEM SAFELY IN A SHARPS BOX OR STORE THEM SAFELY, UNTIL SUCH TIME AS YOU CAN GET RID OF THEM. IF YOU CANT GET HOLD OF A SHARPS BOX, ALWAYS BREAK OFF THE NEEDLE AND PUT IT INSIDE THE BARREL OF THE SYRINGE, THEN REPLACE THE PLUNGER. THIS ENSURES THAT NO-ONE ELSE CAN PRICK THEMSELVES OR USE THE DIRTY SYRINGES.


Aseptic Injection
This refers to a way of injecting that significantly reduces your risk of getting an infection from shooting up. The basic principle is that no blood gets transmitted between one person and the next. This means not sharing syringes, filters, tourniquets, water, or swabs. Blood can get on the spoon, swab or tourniquet and in the water, that has been used by someone else and this is enough to transmit HIV, Hepatitis B or Hepatitis C.

The blood you can get on your hands is also a problem as it will get into everything you touch. The edge of the table, someone else's arm etc. Even though you may not see it, there is enough blood there to infect someone else if they were to get that blood on an open wound. The problem is that when you are injecting with a group of friends, peoples hands are going everywhere, helping find veins, holding their arm, passing the water etc. and there are plenty of opportunities for the virus to be passed on. If the blood from your hands on the edge of the table gets on the next persons hands which they then use to feel for the vein, then they could be at risk of catching the virus from you.
The basic principle of aseptic injection is :
NEW EQUIPMENT FOR EVERY HIT AND WASH YOUR HANDS
before touching anything or anyone else.


Where to inject
Far and away the safest choices are to go into:
A vein in your arm OR the thigh muscle.
MAKE SURE YOU KNOW THE
It is incredibly dangerous to inject into an artery - never do it. You could lose a lot of blood, even a limb! A rule for identifying the presence of arteries is if you can feel a pulse, an artery lies beneath it. Only inject into surface veins. For more information follow the link above.

A good vein for injecting is one that feels like a small rubber tube under a sheet. Veins are a one-way system. They take blood from the edges of your body back to your heart. If you inject against the flow, the vein will not last nearly as long.

If you cant find a good vein straight away then try the following:
  • Clenching and relaxing your fist
  • Gently rubbing the skin over the vein
  • Gently slapping the skin over the vein
  • Soak your arm in warm water
  • Wrap the area in a towel soaked with warm water
  • Squeeze your bicep with your hand
If all of these fail to bring up a vein you can see and/or feel, then:
  • Use a belt or something else as a tourniquet. But don’t pull it so tight that you stop blood getting into your arm – that will make it even harder to find the vein.
Remember, its better to spend time looking for a good vein than digging around for one with a needle! Be careful not to hit an artery! If in doubt - pull out!

Finding a good vein
TECHNIQUE
  • Clean the site
  • Position the limb so that you can inject without moving the limb about
  • Insert the needle, hole up, into the skin at a 45 degree angle and then up and into the vein
  • Pull back the plunger. If it pulls blood into the syringe, you’ve hit a vein. If it doesn’t, pull it out and try again
  • Remove any tourniquets
  • Inject slowly
  • Remove the needle as soon as you have finished injecting
  • Apply pressure to the site to help it recover for the next time



Intra-muscular injecting & skin-popping


Rotating sites
If you have lots of veins you can inject into a different site each time. The longer the veins rest between injections, the longer they will last.


Bruising and Swelling
If you regularly notice bruising, it may be that you are doing something wrong when you inject. If you notice a large lump or a red swollen area where you have injected, go to the syringe-exchange scheme or your local accident and emergency unit immediately. Early treatment will prevent dangerous complications later.


Infection
Symptoms of infection are:
  • Feeling hot – all over, in one limb, one vein or an injection site
  • A hard lump (Abscess) near an injection site
  • Pain in a vein or limb, or near an injection site
Infections nearly always get worse if you leave them, so seek medical attention. You can go to a sympathetic doctor or to casualty at your hospital. If you feel generally unwell for any length of time, make sure you see a doctor.


Muscles, Just under the skin & 'Missed Hits'
Injecting into muscles or just under the skin can cause very serious problems. Drugs are absorbed much more slowly if you inject in these ways, giving the heroin/acid mixture more time to cause damage at the injection site and to increase the chance of serious infection. 'Missed hits' can cause similar problems.

Heroin contaminated with extremely dangerous bacteria can cause infection, blood poisoning and death very quickly when injected into body tissues rather than veins. If you get swelling, redness or pain around an injection site, seek medical attention immediately.

If you regularly miss veins, inject into muscles or inject just under the skin, ask your drug service for advice about alternatives.


Groin Injecting (Femoral)
Injecting in the groin is very dangerous - there is an artery and a major nerve next to the veins. If you hit either of these you can do serious damage and may even lose your leg.

If you inject into the groin, go to your local syringe-exchange scheme or drug service. They will be able to advise and discuss alternatives with you – find out the facts.


Injecting into the neck, armpits and breasts
Don't do it! Injecting into these areas is very dangerous as there are often arteries and veins close by. The veins are often small and can be damaged easily. If you have to inject and you have no obvious veins, go to your syringe-exchange or drug service and ask them for their help – there are alternatives.


Mixing drugs
Using more than one ‘downer’ drug (alcohol, heroin, methadone, tranquillizers, sleeping tablets) at the same time greatly increases the chance of overdose. Injecting heroin (a downer) and cocaine (an upper) at the same time can be fatal. The cocaine will wear off quicker than the heroin and, if you have injected more heroin than you thought, you could overdose.


Injecting tablets
Tablets are manufactured to be swallowed and there is no completely safe way of injecting them. So whenever possible, try to avoid doing it.

If you have to inject them, prepare your tablets by crushing them as fine as talc between two clean spoons, mix with a small amount of water (tablets do not dissolve). Adding more water will not make any difference. Inject slowly and carefully.

Because of the way that they are made, it is particularly dangerous to inject Diconal and Tuinal. Many people have lost arms or legs after injecting these, and there is also an increased risk of abscess. The chalk content in tablets is a major cause of vein collapse and blockage. So if you can wait for the hit, swallow them instead and if you cant, try to make sure you don’t draw up any of the powder.

Read more about Injecting Tablets


Injecting Cocaine
Cocaine injecting can become compulsive and because pain is deadened around the injecting site (cocaine is a local anaesthetic) veins can become damaged very quickly.


Injecting Methadone mixture
Methadone mixture is not meant to be injected. It can cause many problems including abscesses. Don't do it!


Injecting Amphetamine (Speed)
Street speed (powder) is usually less than 3% pure. If speed is injected the impurities in it can cause a ‘bad hit’ – intense headaches, feeling hot, etc.


Condoms
Always use condoms for vaginal or anal sex, even with your closest sexual partner. They may have used dirty works or shared works with someone without you knowing. Its better to be safe than sorry.


What to do if someone Overdoses


TRACK MARKS
Over injecting in the same area can produce track (needle) marks. Like the pictures shown below:



Post Quality Evaluations:
useful
Good Harm reduction Info
Damn good harm reduction post
Great harm reduction work with this and the other thread
Excellent Harm Reduction information on injecting.
Excellent info, could save many people much pain.
excellent breakdown of the basics
very good find, thanks for posting
I had never heard of people using acids before.
Thanks for putting this together, made my 1st IV (today) safer.
FAB but need to know more about damage to leg thru injecting into groin femoral vein

Last edited by Solinari; 09-05-2012 at 12:04.
  #3  
Old 20-02-2008, 21:24
Solinari Solinari is offline
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Re: A Guide to Safer Injectiing

And, again thank you for the points, i now have 2 little green boxes which i am very happy about. I am glad my experience and some knowledge is useful to some of you, even if it were useful to just one single person then it would be worth it. It motivates me to continue trying to help others, keep them safe(r) and do things properly.

The other thing i want to do here in general is expel ridiculous myths, one that springs to mind was that "Versed (midazolam) is Valium and Demerol (diazpeam and pethidine/meperidine) mixed together" complete nonsense but not necessarily dangerous. I have seen some other silly things people are stating as fact and i hope to help keep those to a minimum even although the Admins/Mods and other members usually correct these things quickly anyway, i will still keep an eye out for such things.

Drug Forums for me is a place to go where people can understand my situation and where we can talk about these things and exchange idea's and information that would otherwise be unavailable. And as i mentioned, to keep misinformation being presented as fact to a minimum which can cause minor health problems at best, or be extremely dangerous and even fatal at worst.

Thanks again for the support on this thread. Oh , please feel free to move it to a better place or as you see fit, i wouldn't want the thread to disappear into forum oblivion


Post Quality Evaluations:
Such a well written, detailed post, adds to the expertise of DF.

Last edited by Solinari; 26-04-2010 at 12:59.
  #4  
Old 20-09-2008, 21:57
wopa wopa is offline
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Re: Vein Problems: Diagnoses and Prevention

Well done I hope people appreciate all the time and effort put in there dude .Remember people long term needle use on the same vain with blunt works will cause circulation probs in later life seen lots of addicts with purple reddish hands were veins have been hammered to the max and the circulation is non existent it pays to switch area also reduces the sign of track marks
  #5  
Old 22-06-2009, 03:41
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Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

SWIM realized that almost all the heroin safety information in this forum is spread about piecemeal, and that someone very new to injecting heroin would not know whether they had all the information. Although we can hope they would have basic knowledge from their social group, there is still a risk that they could be missing something – and there isn’t room for risks with such high stakes.

The goal of this thread is to compile a list of all the safety knowledge pertaining to heroin use and death, disease or significant bodily harm (not necessarily superficial usage tips). The information added by SWIM, and any additional brought to light by other members, will be updated to this first post, so that those new to heroin won’t have to dig around anymore.


The following is a list of basic heroin safety knowledge that everyone should have to avoid death, disease or severe injury:

(1) Don’t mix heroin with other depressant / “downer” drugs. Especially not alcohol or benzodiazepines (e.g. Xanax, Valium). A major percent of heroin related deaths occur when heroin is mixed with alcohol and/or benzos. This is because they all depress breathing, causing the user to suffocate to death when combined. Mixing heroin with any other drug is dangerous, even “uppers” such as cocaine, because of the effects the mixture can have on the heart and lungs.

(2) Don’t share needles with anyone. Don’t share water, cookers, cottons, or any object involved in injecting heroin with another heroin user. They all are likely to be contaminated with some amount of blood, and this is how HIV, Hepatitis and all kinds of other diseases are spread. It is highly recommended that you find a needle exchange near you, if there is one, for access to detailed safety information and free, clean, heroin injecting kits.

(3) Always test a small amount first after a heroin purchase. It is impossible to know the quality or purity of street heroin without a testing kit, which is not a realistic part of heroin users’ lives. After purchasing a new batch, or if offered heroin from another users supply, always do a smaller than usual amount to make sure it is not of unusually high potency. The potency of street heroin can vary widely, and it is also occasionally cut with other powerful opiates such as fentanyl. Your “standard dose” could very well be of overdose potency one day, which is why doing a small amount first is so important.

(4) Avoid using heroin alone. There is always a risk of overdose when you use heroin, and countless lives have been saved by a friend noticing their heroin-using friend turning blue. Using alone increases the chance of a fatal overdose many times over.

(5) Don’t do a large amount at once, do small amounts, with a break in between, to reach the desired high. Doing a large amount at once greatly increases the risk of overdose, especially if the potency is unknown. Whether smoking or snorting or injecting, using in small increments is the safest way to go.

(6) If possible, obtain a heroin overdose kit. Some needle exchanges, methadone clinics, and other sources give away free kits to revive someone who is overdosing on heroin. If not, it is worth it to purchase one.

(7) If a friend is overdosing, which is apparent if they begin turning blue and are breathing shallow, and/or will not wake up - call an ambulance! Do not try and resuscitate them yourself. Cold water, loud music – none of these will reverse a heroin overdose. They need medical attention immediately or they will die.

(8) Clean the area of injection with an alcohol pad. This can prevent infections, which can become serious if untreated.

(9) If an injection site becomes red, warm and painful, or if the mark grows in area, or especially begins to darken or turn black, go to a doctor immediately! Heroin users do lose limbs from untreated infections at injection sites.

(10) Always use sterile water for injection. It is extremely important to use sterilized water for injecting, as other types can be filled with viruses and bacteria.

(11) Draw your cooked heroin through a filter. You can purchase wheel filters and other high grade types which will filter out the highest amount of harmful particles. Most heroin users use cottons of some type (e.g. cotton balls, Q-Tips). Do not use cigarette filters, they can cause health problems in the long run.

(12) Don’t reuse your old cottons as filters, and don’t re-cook old ones to try for another shot. This can cause anything from blood poisoning, to severe infections requiring hospitalization.

(13) Go to a methadone clinic or needle exchange and get tested for the common heroin user diseases. At many places these tests are free. Many of these diseases can be treated effectively if they are caught early, and cause significantly more harm the longer they go undetected.

(14) Re-cap and dispose of your needles safely. You don’t want to accidentally get stabbed with an old needle, or have someone else get stabbed.

(15) Use fresh needles each time if possible. Needles become dull quickly, and dull needles cause significant vein damage, essentially ripping through them rather than cleanly sliding in. Old needles can also contain bacteria which can cause infection and blood poisoning. If you must use a very old needle, run a couple cycles of bleach and fresh water through it, making sure to wash it out the last time very thoroughly with fresh water.

(16) Rotate injection sites. This not only helps preserve your veins and prevent vein collapse, but also helps prevent infection. When rotating, one should shoot downstream (more towards the heart) from the previous site. This prevents pushing a blood clot (from congealed blood at an older injection site) down the vein into the heart.

(17) Drink a lot of water while on heroin. Heroin causes constipation, which over the long term is unhealthy for your intestines. Drinking lots of water helps.

(18) Do not inject into a "vein" that has a pulse. This is not a vein, it is an artery. Injecting into an artery is not only painful, but extremely unhealthy. You will know very quickly that you are in an artery by the pressure of the blood going into the syringe, the pain, and the immediate redness and swelling if you inject even a tiny bit of heroin. The two arteries that are most at risk for accidental injection are the wrist artery that is commonly used to take one's pulse, and an artery that runs on the inside of the bend of one's elbow. For those who inject in their legs, there is also the femoral artery to avoid.

(19) Smoking or snorting heroin is far safer than injecting. Injecting heroin is many times more dangerous than the other methods in terms of overdose and health issues. Not only that, but it brings with it dozens of additional dangers and issues compared with smoking or snorting. It is also almost universally attested that the addictiveness and life-hampering psychological effects of heroin are greatly magnified by IV use. Many heroin users, including SWIM, found that the point where they switched to the needle was when everything spiraled out of control. If you are new to heroin, and/or if you can help it, it is best not to inject.

If you are new to using heroin and found your way to this site, it is highly recommended that you read over the sticky threads, as well as all the other health related threads for more specific information. Each of these was intended as a guideline to make you aware of the issue, and should be researched thoroughly before risking the dangers involved in heroin use.



DF Members, please add anything you think is missing, and also any updates or amendments to the list you think would be appropriate.

Thank you everyone!

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Great advice, very informative, thank you
Brilliant harm prevention and a very informative post
Very useful information!! Great post:)
Awesome harm reduction post.
Excellent information given and a great idea for a contributory collaborative thread.
Excellent compilation. Good thinking.
Great thread.. very informative.
Lots of rep for a very valuable harm reduction contibution.
Great for harm reduction. Great information
Excellent thread and advice
Amazing...lots of thoughts and considerations for a new user! Thanks!
excellent work for OP on behalf of DF.extremely informative.thank-you
Thank you for compiling all of this in one post. I wish I had found this years ago.
That bit about cold water and overdoses hits home with me as one of my close friends died because of idiots.

Last edited by dyingtomorrow; 22-09-2009 at 20:15.
  #6  
Old 22-06-2009, 09:03
Arthur Dent Arthur Dent is offline
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

Amazing post, dyingtomorrow, very valuable.

Quote:
Originally Posted by dyingtomorrow View Post
(16) Rotate injection sites. This not only helps preserve your veins and prevent vein collapse, but also helps prevent infection.
Might also be worth mentioning that, when rotating, one should shoot downstream (more towards the heart) from the previous site. This prevents pushing a blood clot (from congealed blood at an older injection site) down the vein into the heart.

That's documented in the Harm Reduction PDF, called Rotate Your Spot. I can't post links yet, so maybe someone else could add the link. It's available on harmreduction . org under Home -> Harm Reduction -> Safer Use.

Here's a graphic from that PDF to demonstrate:



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helpful addition to the thread, thanks!
Good point to make.
  #7  
Old 22-06-2009, 14:41
Rightnow289 Rightnow289 is offline
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

Thought that I would add this picture just to show people not to reuse their needles if possible



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picture says alot about vein care
awsome visual for why not to reuse needles
Pics explain this so much better, no misunderstandings, in your face advice.
Boy, thats scary. Pictures are worth a thousand words, thanks for postiong.
Brilliant Images. Thanks for sharing.
WOW! That is awesome! Who would ever thought this happens!
The images offer a certain level of realism. This will definitely keep me from reusing old rigs. Thank you.
Im gonna post these at my local needle exchange :)
Pics were the only info that has gotten my attention!!
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File Type: jpg needle-deterioration.jpg (66.2 KB, 5711 views)
  #8  
Old 23-08-2009, 22:46
EyesOfTheWorld EyesOfTheWorld is offline
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

If snorting, use your own straw. It's impossible to spread HIV through sharing straws, but not so with hepatitis and many other infections.

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Very good information to add to this. Many people don't think of Hep C and sharing straws, rolled bills, etc. It's a real risk and worth pointing out.
Good harm-reduction advice.
  #9  
Old 24-08-2009, 15:08
missparkles missparkles is offline
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

Sparkles thinks adding the threads that have specific info on heroin prep and injecting would also be useful. Brilliant topic dying tomorrow, keeping others safe is all we can do, nice one love.
Sparkles.
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Old 24-08-2009, 16:07
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

just straight up go to a random doc and tell em you want Naloxone, they will give it....and they can't tell b/c of breach of confidentiality. tell them the old man/lady has a problem (unless you happen to have pupils the size of pin holes, then be honest) this is an important thing to have around the house. swim found boyfriend dead in the bathroom in june 2006. swim doesn't know if anything could have been done in a timely manner---but wishes naloxone had been available at an arms reach.

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This is a vital item to have, especially if using IV. These can be a lifesaver and help determine if one lives or dies when an overdose is happening
  #11  
Old 24-08-2009, 17:24
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

Quote:
Originally Posted by missparkles View Post
Sparkles thinks adding the threads that have specific info on heroin prep and injecting would also be useful. Brilliant topic dying tomorrow, keeping others safe is all we can do, nice one love.
Sparkles.
SWIM is lazy, but will just copy and paste this well received writeup he did of it:

RE: Back of the hand vein

As MsMogadon said it is a very good vein. SWIM would highly recommend rotating it with at least 3-4 other veins though to preserve it. The veins on the back of the hands are generally the easiest to hit, very resilient, and have good "flow."

SWIM recommends, first of all, not filling the needle up totally to 1 CC. If you use an amount of water such that it fills up to .7 or .8 CC, that will give you a lot more leverage an maneuverability with the needle if that is a problem for you.

What SWIM does, is first lines the needle up with the vein. Then he sticks a small amount of the needle in, just enough to "seal" the tip. Then SWIM pulls back slightly on the plunger, that way it will register immediately when it hits. SWIM never understood people who dig the needle around first to their estimated spot, then pull it, typically get nothing, then move it around more, then pull, trying to find a vein. He's seen a lot of them. If you pull it gently when you first insert it, and then after that get your hand into the ideal injection position as you slide the needle further in, it will give you much better control.

Then, after it registers, SWIM is very careful to not move the needle any further. He always gently lowers the needle and presses the "top" or "base" part where the needle meets the barrel, to his skin with slight force, to keep the needle from sliding around and to give stability. SWIM always figured this might have the effect of pulling the vein up a bit, but it's never been a problem, and makes it so SWIM never has the problem of slipping, and having the needle either pull out or push through the vein, thus blowing the shot and ruining the vein.

SWIM always starts injecting very slowly. You will feel the sting immediately if you have missed and are making a bubble. Even if you register, sometimes you aren't always in a usable vein, and if you jam the plunger down this will blow your rush and waste some of the IV potential of however much you injected.

SWIM especially recommends hand veins for beginners. The ones that pop up can roll and be difficult to hit, but if you aim for places where your skin is flat (not pushed up from the vein), but you can see the blue down in there, those are the best spots. The vein is kind of held in place by your hand tissues, so you don't have to worry about rolling. Also, you can try injecting above or below the spot where your "popped up" veins appear. The "flat" blue veins you can see in the top of you hand are good because they are held in place, and also because if you are not in properly, and you started injecting slowly, you will immediately feel the sting and see the bubble, and can pull out before ruining the vein. With fleshy parts of you arm, like your forearm and legs and groin area, unfortunately sometimes the veins not only roll, but also you can be really injecting the heroin into your flesh and not bloodstream, and not feel it until half your shot is gone (because of the "extra space" in those fleshy tissues). Also, when you do miss a significant part of a shot in fleshy tissues, it typically becomes a very severe bruise at best, or more likely a disgusting abscess or ulcer-type skin condition which can take a long time to heal and be very prominent. So hand veins are best for beginnings in SWIM's opinion.

Back to the steps - after you get the register and have pressed a little in to make sure you don't feel the sting or see the bubbling, you are going to press the syringe in. You don't want to press too hard or too fast, but generally speedy, but not where you are feeling too much resistence. The speed which you push the shot in depends a lot on the vein type. Those large wrist veins (which SWIM didn't recommend for inexperienced IVers), have the highest "flow" since they are large veins, and you can push the shot in relatively fast. There is a debate, but many believe the faster the push the better the rush, and the general consensus was that it is true.

Your top of the hand veins are the next size down. They can handle relatively fast flow, but you want to be very sensitive and in-tune with the "back-pressure" which you are feeling as you inject. If it gets too high and you are trying to jam it in too fast, you can explode the vein, and it will generally become irreversibly destroyed, or at least out of commission for a long time, and your shot will be blown.

If you are injecting the tiny blue veins in your fingers and palms, you have to inject very slowly. Generally these are the hardest to hit and adjust to using, so save them for when you have some experience. These blow up very easily. Injection speed should almost be .10 CC every 2-3 seconds. Also these are best hit using 31 gauge needles. Larger gauge requires even more skill and may not even be possible where the needle is larger than the vein. Again, it is not recommended to shoot fingers and knuckles for the beginner. While it becomes immediately apparent if you are missing the shot (as it is generally more painful to shoot them until you adjust); if you miss too much heroin in your finger you are going to be fucked for probably half a year. Both SWIM and his brother in acts of desperation ended up injecting about .5 CC of heroin into their pinky and their middle finger respectively. It creates a large, disgusting ulcer that doesn't even close up and stop oozing for 2-3 months. It has been about 7 months now since SWIM blew a shot in his pinky. It is still bent like an L, and he can't straighten it without exercising it first. The knuckle is very swollen, and still has about a 1 cm scabbed hole in the center of the knuckle. So be VERY careful shooting these. Never blow them.

After injecting, SWIM slides the needle out slow. Then he holds his arm up and massages the injection site lightly. He is not sure if this does anything, but he has an idea that it could marginally help the rush. SWIM also squirts the last bit of heroin-blood in his mouth from the needle. With really good dope you can taste it in your mouth, and SWIM artifically causes this phenomenon to happen, possibly creating a sort of placebo effect to increase the rush. He also likes the taste. Finally SWIM licks the injection site - but that is not recommended because of the bacteria in the mouth (human mouths have more bacteria in them than dog mouths) - you should use a alcohol pad afterwards too or some sanitary wipe. SWIM just likes the blood taste again.

Voila!

Anything missing DF peoples? Any more questions?

P.S. MMMMMmmmm SWIM wants to shoot up now after talking about it!
  #12  
Old 24-08-2009, 20:09
cnajob cnajob is offline
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

you may be able to get it at a methadone clinic. swim lives in the states and swim works in an ER...a doctor here will give an Rx for naloxone to a junkie. some docs are dickheads and won't. however, a lot of instruction must be given to the person who will administer the drug--as death is a major side effect.
  #13  
Old 25-08-2009, 04:34
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AW: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

1.
Smoking Heroin is always safer than Injecting,
(even a CtD.-Syndrom is nothing compare to Hep. C and HIV.)
if swiny get a new unknown substances it`s better to check it out
via a Alu-Foil than injecting.

2.
Spend more Time and doing Research in this Forum if you are a "New User"!

3.
Injecting into the Palms is sooooo Pseudo, there is absolute no Reason to do that in the beginning.
Imo. it`s like People with a Kiss-mark (here look what i have done, i am soooo "in"!).

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Pointing out safety of smoking compared to IV use.
Good advice.
  #14  
Old 29-08-2009, 14:32
Helene Gold member Helene is offline
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Re: Vein pains...

Quote:
Originally Posted by Hlucn8 View Post

Abscess-...Method of treatment is somewhat harsh; If the Dr. is nice, he will try to numb it, but abscesses are notoriously difficult to numb. Then the abscess is lanced, or cut or sliced, then vigorously squeezed like a zit until the blood coming out no longer is discolored or stinks. follow up with oral antibiotics.
This isn't strictly true in all circumstances - a few people who swim knows have been into hospital with abcsesses. They were all given a general anaesthetic before any lancing was done, and this was only after they had been given a good few days IV antibiotics, to reduce the risk of any further infection. They were given more IV antibiotics afterwards, and then an oral antibiotic script. So don't be afraid of going to the doc if you're worried about something, they're not out to cause unnecessary pain!

If you have an abscess (or an infected miss - pretty much the same thing) and you start to display symptons of a fever (high temperature, shivering, aching all over, headache) this could mean that the infection has spread, and you have septicemia (blood poisoning). In which case you need to go to the hospital straight away.

If left untreated, abscesses can cause necrosis of the surrounding tissues, cellulitis, septicemia, toxic shock, and even death.
Quote:
Originally Posted by Hlucn8 View Post
Thrombosis- This one can be a little more dangerous, (and unbelievable painful), especially in the case of DVT's, or "Deep Vein Thrombosis". This occurs when there is a blockage in the actual vein itself, sometimes clotted blood, sometimes crap in the rig. The danger with this one is if the clot or blockage forms in specific parts of the veins, it "THEORETICALLY" can break loose and float around in your circulatory system, lodge in the tiny veins or arteries servicing the heart or brain, stopping blood flow, causing strokes, embolism, Myo-Infarct. That being said, I was assured by a quite knowledgeable MD once that this could not happen when discussing thrombosis in the superficial veins in the arm. I've not read the research, so I don't know how reliable that info was.
Just thought I'd bring attention to the underlined phrase above. Although extremely rare in the case of a DVT in an arm, DVTs in legs can, and sadly quite often do break off and end up in the heart or brain, causing strokes, brain haemorages etc.

The most common reason an IV drug user would end up in this situation is if he has been injecting in his groin. In shallow, superficial veins, a clot is not life threatening. This is because there are alternate routes for the blood to take back to the heart, and so little pressure is put on the clot, and it is unlikely to be moved.

On the other hand, a clot in a deep vein, such as the veins in your leg that lead up to the femoral (groin) vein are so deep, and such big veins, that if this is blocked, a piece of the clot could quite feasably be broken off and pushed further up your body. Bearing in mind that most IV users who are using their groin are doing so because they have exhasted all alternatives, and you get an idea of how much blood flow is reliant on your deeper veins.

Swim has known two friends who have died from a blood clot in their brain, as a result of a DVT.

Quote:
Originally Posted by Hlucn8 View Post

Skin Popping-This is actually a legit injection technique, but can be painful and somewhat wasteful if only a small amount of medicine is used. This occurs when the needle is beneath the skin and not in the vein. Plunger pushed down, fluid collects under the skin forming a bubble. This is called a sub-cutaneous injection. Usually one would choose this route because it allows one to take a large dose without stopping the heart or respiratory system, and with opiates it extends the euphoria sometimes by hours. Also, with skin popping, you could get abscesses, but very little risk of an infection around the heart, a systemic blood infection, and makes it easier to hide ones habit than holes and bruises on the arm.
Meds designed for subcutaneous use dissolve leaving nothing left. Heroin does not do this - we all know how much crap is mixed in with even the "purest" heroin.

When you inject heroin into a vein, the solution you inject is taken away from the injection site by the blood flow of the vein. All the crap in the cut that has ended up in your hit is filtered by your liver and kidneys. Fair enough, it doesn't do them much good, but it's better than the alternative.

With skin-popping, everything you inject is just sitting there, under the skin, not going anywhere. All the soluble stuff will be absorbed into you bloodstream eventually, but all the insoluble stuff will just sit there, waiting to get infected. Swim disagrees that this method would cause less visable marks than IV, as with each hit you would be risking developing a serious abscessed infection.

Seriously weigh up the risks before starting any method of IV use, and again when you get to the point where you've lost so many veins that you're considering moving onto your groin, or onto skin-popping. This might be a good point to consider alternative methods of administration. Swim understands how difficult it is to even consider going back to smoking/ snorting after a period of IV use, but when injecting has done so much damage to your body that in order to continue, you're forced to up the risks associated with it by partaking in less safe injecting practices, it's a good time to seriously think about stopping.

H
  #15  
Old 29-08-2009, 15:00
missparkles missparkles is offline
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Re: Vein Problems: Diagnoses and Prevention

Depending on the size and length of time an abscess has been forming it's common practice to provide antibiotics and Magnesium Sulphate ointment (not to be applied to broken skin) which is applied to the area and covered with gauze and a dressing, roughly every 4 hours. Once the abscess bursts cleaning with an antiseptic, keeping it dressed (to avoid infection) is the most common treatment.
Usually abscesses are so painful, the skin is so tight, that lancing (just a tiny prick with a scalpel) isn't usually felt. By the time an abscess can be lanced it's usually a relief when the skin is broken as it relieves the pressure
If there's a chance of septicemia, the abscess is in a difficult location, or the persons is exceptionally "vulnerable" (they have an underlying health reason the abscess can't be left) they will be hospitalised for treatment. But this is quite rare.
Take care.
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  #16  
Old 22-09-2009, 20:19
dyingtomorrow dyingtomorrow is offline
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

Quote:
Originally Posted by Spucky View Post
1.
Smoking Heroin is always safer than Injecting,
(even a CtD.-Syndrom is nothing compare to Hep. C and HIV.)
if swiny get a new unknown substances it`s better to check it out
via a Alu-Foil than injecting.

2.
Spend more Time and doing Research in this Forum if you are a "New User"!

3.
Injecting into the Palms is sooooo Pseudo, there is absolute no Reason to do that in the beginning.
Imo. it`s like People with a Kiss-mark (here look what i have done, i am soooo "in"!).
Ugh, sorry it took me so long to notice this. I updated the list with your info.

Thanks Spucky!
Quote:
Originally Posted by Dionne View Post
Thank you for posting. Swim is new to IV and does not have one single person to talk about these sort of things. Swim uses alone and it is a big secret of hers x
Thank you in return ... it is very nice to know that this info is being used. There are lots of friendly people here all with the same issues who you can talk to if you ever need to, as EyesOfTheWorld was kind to offer, and myself included.

Be safe and have fun
  #17  
Old 24-09-2009, 13:11
g666d g666d is offline
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

So this backpacker i traveled with had a few tips i carry with me to this day...
Store in sterile place.
If possible, get someone else to inject (for new users)
Salt water instead of alcohol pad? maybe. Some guy he knew used to use mouthwash when nothing else available.
Boiled water is sterile, and should have slightly less contaminants (not much less though, just a bit of scale should drop out) dH2O is better (no-one he knew did this though...) Boil it just prior to use.
Get from good source. This backpacker said all his gear used to dissolve without heat, was a good sign.
Always ask source how much they use, ie if strong/weak. Then as you say test small amount first.
Double agreed about safe disposal. If fit pack not available, gatorade bottle makes good place to store before dropping off at exchange. If no exchange, then dunno, hospital? Don't leave on footpath...
Can remember someone saying something about asorbic acid/citric acid, can't remember what... don't use lemon juice though.
List doesn't say cook H, maybe it should? not sure, this guy i keep talking about generally just cooked the water...
Clean spoon beforehand, use boiling water or alcohol swab. Possibly can squeeze alcohol onto H to sterilize, if worried about heat destroying it (just guessing here)
Avoid scratching spoon with needle, sit it on top of cotton/filter.
...thats all he told me
  #18  
Old 03-10-2009, 19:23
bananaskin bananaskin is offline
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

I found this on the 'net and thought it could be useful here.
It is interesting to see that there are arteries in the fingers and toes, which could explain why these areas can be so painful to inject into.

Principal arteries of the human body:

1 internal carotid artery,
2 external carotid artery,
3 common carotid artery,
4 arch of the aorta,
5 descending aorta,
6 pulmonary vein,
7 left coronary artery,
8 celiac artery,
9 splenic artery,
10 left gastric artery,
11 inferior mesenteric artery,
12 abdominal aorta,
13 common iliac artery,
14 internal iliac artery,
15 external iliac artery,
16 femoral artery,
17 deep femoral artery,
18 popliteal artery,
19 dorsalis pedis,
20 posterior tibial artery,
21 peroneal artery,
22 anterior tibial artery,
23 digital artery,
24 superficial palmar arch,
25 deep palmar arch,
26 ulnar artery,
27 radial artery,
28 common interosseous artery,
29 superior mesenteric artery,
30 right gastric artery,
31 hepatic artery,
32 right coronary artery,
33 brachial artery,
34 ascending aorta,
35 brachiocephalic artery,
36 axillary artery,
37 anterior humeral circumflex artery,
38 subclavian artery

Post Quality Evaluations:
great addition to the thread
Excellent post. Informative.
good research!
Attached Images
File Type: gif artery.gif (83.5 KB, 160 views)

Last edited by bananaskin; 03-10-2009 at 19:28. Reason: Spelling and shrinkage.
  #19  
Old 09-10-2009, 23:31
mickey_bee Gold member mickey_bee is offline
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Re: Comprehensive List: Heroin Safety Issues/Tips for New Heroin Users

Swim posted this a fair few months ago in this forum, but feels it's actually a little too important to simply let slip into the archives. It's about what water to use for injections, and the dangers of certain sources of water....

So here it is:

Found this !interactive! poster on the exchange supplies website. I was pretty amazed to learn that cold kitchen tap water is actually safer to use for injections than bottled water....

http://www.exchangesupplies.org/drug...ks_poster.html

check it out, it's good info!

Post Quality Evaluations:
a very good and important link, Newbies should use all kind of informations!
  #20  
Old 21-04-2010, 08:15
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Re: Injecting Heroin, Vein Problems & Safety Advice for new users

i have a few questions and i am not sure if this is where i should ask them but here goes..

my friend has one specific vein the she uses and after being used it seems to be cartelized(sp) and when tryin to inject there, it seems to be very hard and only get blood in one very small part of the vein.. y is that?..its almost like the vein has healed and is almost completely blocked and the blood flow(when checking to see if hit) is very slow and seems thick(if u understand what i am meaning, not sure if i'm being very good at explaining)...

also after injecting she gets blotches or blemishes not at the injection site but in ramdom spots on her arm..almost like bee stings but much bigger. they are like she missed(but didnt) and turn white when she rubs her hand over them, like a bee stings do, there are always more than one spot and can be very big and also small.. but it is not b/c of missing...

and just the other day she shot up and instantly felt a pain in her thumb,(like a maybe my tendon) and the thumb pad got very hot, red and itchy and kind of numb and also had the blotches all over her arm.. , on thumb pad on the back of the hand and multiple spots on the forearm...(many) this was the worste that it had every done... and i have asked a few people why it does that and have yet to get an answer.. but it also happens to someof the people i have asked
she does use about 3-5 times a week and this usually always happens but is usually just one spot. but the one time it was much worse

the blotches usually go away within like 5-10 mins if even that long.. but the one time it lasted a little longer than normal

i have googled this and have yet to find anything helpful yet.
anyone with some helpful advise?
  #21  
Old 24-04-2010, 23:24
MyLadyMorphine MyLadyMorphine is offline
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Re: Injecting Heroin, Vein Problems & Safety Advice for new users

Could SWIM inject heroin/morphine/pethidine/oxycodone in the veins in his wrist? Like, the ones people cut when they kill themselves?
  #22  
Old 25-04-2010, 14:59
kailey_elise Gold member kailey_elise is offline
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Re: Injecting Heroin, Vein Problems & Safety Advice for new users

Quote:
Originally Posted by MyLadyMorphine View Post
Could SWIM inject heroin/morphine/pethidine/oxycodone in the veins in his wrist? Like, the ones people cut when they kill themselves?
Those ones, being very thin & small, would be hard to hit, and more likely to blow up.

Better is the 2 good ones on the other side of the wrist. Using new needles (one use per needle) vastly decreases the look of "track marks" - basically, one's left with a small dot (that only the user would notice anyway) that goes away after a day or two, so long as one uses new needles EVERY TIME.

~Kailey
  #23  
Old 06-05-2010, 11:09
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Re: Injecting Heroin, Vein Problems & Safety Advice for new users

Quote:
Originally Posted by MyLadyMorphine View Post
Could SWIM inject heroin/morphine/pethidine/oxycodone in the veins in his wrist? Like, the ones people cut when they kill themselves?
If i understood correctly (maybe i'm wrong), you can feel the pulse on those, so they should actually be arteries. Better stay off of those.
  #24  
Old 06-05-2010, 11:19
Spucky Spucky is offline
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AW: Injecting Heroin, Vein Problems & Safety Advice for new users

Two short questions about the Blood-Circulation,
afaik. and afair. there are 2 main circulations,
the one in the Pelvic and one above the Heart.

1. question: how many % of the Blood get exchanged each Time?
2. question: are there more than this 2 major one?
  #25  
Old 06-05-2010, 17:28
RaverHippie Gold member RaverHippie is offline
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Re: Injecting Heroin, Vein Problems & Safety Advice for new users

All of your arteries, besides the pulmonary arteries which go to the lungs carrying oxygen-depleted blood, will exit the heart from the same point. After the Left Ventrical's Aortic valve, there is a vessel called the aortic arch. This vessel is the point from which all the major arteries diverge (brachiocephallic, subclavian, and aorta).

Wherever the hit registers, it will make it to your heart, then to your brain and the rest of the body within ten seconds. And it takes about one minute for all of you blood to circulate through out the body one time. Your heart pumps about 60-70mL per beat and your heart beats, at rest, 60-70 times per minute (on average).

Hoped some of this helps. It was done from memory so there are probably more vessels diverging from the aortic arch.

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