Some questions you may have about Start Today
What is harm reduction?
Harm reduction refers to a set of practical strategies and ideas aimed at reducing the negative consequences associated with drug use. It recognizes that while some people may not be ready or able to stop using drugs, there are ways to minimize the risks involved. Harm reduction includes a spectrum of strategies, from safer use and managed use to abstinence. It also involves addressing conditions of use and the use itself.
Why is harm reduction important?
Harm reduction is crucial because it reduces the spread of infectious diseases (e.g., HIV, Hepatitis C) through needle exchange programs. It lowers the risk of overdose through education on safe usage and access to naloxone (an opioid overdose reversal drug). It provides a non-judgmental approach that respects the rights and choices of individuals who use drugs. It creates a bridge to healthcare services, treatment, and support networks.
What is Fentanyl?
Fentanyl is a potent synthetic opioid that is 50 to 100 times stronger than morphine. It is used medically to treat patients with severe pain, particularly after surgery or for chronic pain in those who are opioid-tolerant. However, illicitly manufactured fentanyl has been associated with a significant increase in overdose deaths due to its potency and the potential for contamination in the drug supply.
Why is Fentanyl dangerous?
Potency: Because fentanyl is extremely potent, even a small amount can lead to overdose and death, especially if users are unaware of its presence in the drugs they are using. Illicit Use: Illicitly manufactured fentanyl is often mixed with other drugs like heroin, cocaine, and methamphetamine without the user’s knowledge, significantly increasing the risk of overdose. Rapid Onset: Fentanyl acts quickly in the body, which increases the danger of rapid overdose, often leaving little time for intervention.
How Can People Reduce the Risks Associated with Fentanyl?
Test Drugs: Use fentanyl test strips to check substances for the presence of fentanyl. Never Use Alone: Avoid using alone, and if using with others, take turns so someone can respond in case of an overdose. Start Low, Go Slow: Start with a small amount to gauge the strength of the substance. Carry Naloxone: Always have naloxone available and ensure that people nearby know how to use it in case of an overdose. Avoid Mixing Substances: Mixing opioids with other substances, particularly depressants like alcohol or benzodiazepines, increases the risk of overdose.
What are Opioids and How Do They Affect the Body?
Opioids are a class of drugs that include prescription pain relievers (ex., oxycodone, hydrocodone), heroin, and synthetic opioids like fentanyl. They work by binding to opioid receptors in the brain, reducing pain and producing euphoria. However, they also depress the central nervous system, which can slow breathing, heart rate, and lead to overdose.
What Are the Signs of an Opioid Overdose?
Slow or No Breathing: Shallow/slow, or stopped breathing is a critical sign. Unresponsiveness: The person cannot wake up or respond to stimuli. Blue or Gray Skin: Particularly in the lips or fingernails due to lack of oxygen. Pinpoint Pupils: Very small pupils, although not always present. Choking or Gurgling Sounds: Indicating a blocked airway or difficulty breathing.
How Can an Opioid Overdose be Reversed?
Naloxone: A medication that can quickly reverse the effects of an opioid overdose if administered in time. It is available in injectable and nasal spray forms. Immediate Action: Call emergency services immediately. Administer naloxone if available and perform rescue breathing or CPR if needed until help arrives.
What Should I Do If I Need Help with Opiate Dependence?
Reach out to a healthcare provider, substance use counselor, or local support group. There are various treatment options available, including medication-assisted treatment (MAT) with medications like methadone, buprenorphine, and naltrexone, as well as counseling and support groups. Remember, seeking help is a vital step toward recovery and there are people and resources available to support you.
