How Should Wait to Shoot Coke Again After Shooting

Getting Fix: Preparing Yourself & Your Equipment

This chapter covers:

• Setting, Environment & Mood
• Choosing Your Materials
• Preparing Your Shot

Preparing for and planning your injection drug employ (or any drug use) is 1 of the near important things y'all can practise to achieve your desired results and to prevent potentially harmful mistakes from occurring in the process. Drug injection is a rather complex activity. There are many steps along the way where something tin can get wrong, only equally as many places where you can make the process safer. Before injecting, you should (1) assess the safety of your setting and evaluate your state of listen; (2) make sure you take the all-time materials you tin can get, and enough of them; and (3) prepare your drugs in the most sanitary way possible

Setting, Environs & Mood

Unfortunately, we don't always have complete control over how we're feeling when we want or need to get high or the circumstances nether which we use. While we may not ever be enlightened of information technology, where nosotros utilize, who we utilise with (if anyone), and our land of mind when we're getting high can all have an touch on injection safety.

WHERE YOU Use

Some places are safer for injecting than others, and you should always choose from among your options the safest one possible. The ideal location for injecting is i that is relatively clean, dry, warm, and well-lit, and where:

• your chances of getting caught by the police are minimal
• you feel comfortable that there will be no surprise interruptions or unwanted observers
• yous tin take as much time as you lot need
• y'all have adequate space for yourself and your equipment
• you take access to a sink or other source of clean water
• you are sheltered from the air current and conditions.

All of these factors should exist weighed against each other when choosing a place to become off. It is articulate, so, that using in your own home (if you lot're fortunate plenty to accept ane) or the home of a friend is safer than using in a public bathroom. Nonetheless, a public bathroom—peculiarly if it'south a unmarried room with a door that locks—is usually safer than injecting in a identify such as a public park or the stairwell of an apartment edifice. In general, but not ever, indoor locations are safer than outdoor ones, and definitely preferable in terms of wind and weather.

If you're injecting in a relatively public place, like a toilet stall in a public bathroom, try to make it look similar you're irresolute your clothes or freshening upwards. If you know y'all'll accept to exist getting off in a location similar this where there is no direct admission to a sink, bring along a small canteen of water to mix your shot with (it's probably a expert idea in any case to make water a permanent part of the works y'all comport). Most chiefly, always try to stay equally calm as possible no matter where you're injecting. While it tin can be nervus-wracking getting off in a pub lic or semi-public place or somewhere else where you're afraid of getting caught, it's of import to keep your wits about you then that yous don't end upwards knocking over your shot, spilling your drugs, being unable to go a striking because you're so nervous, or getting claret all over.

And so, use common sense and planning when choosing a location to inject. If at all possible, look to get off until y'all've found a place where you feel relatively comfortable and can minimize the risk of getting arrested. Make sure yous have all the materials y'all need before you begin, and don't assume you'll always have access to water. Finally, be considerate of others—no ane likes coming across a used needle and syringe in their apartment building or seeing bloody tissue in a public toilet, and there's no reason they should have to.

WHO YOU Use WITH

Although it is not always (and for some people ever) desirable or possible to inject with someone else present, having another person effectually when you get loftier can be a prophylactic net, peculiarly in terms of surviving overdose. For those who live alone, notwithstanding, having someone else present every time yous inject may be unrealistic; and some people simply adopt using past themselves. Another complexity is that many of us use in secret for fright that we'll be rejected or judged by those we come up out to. It is important to try to put together a support system of people who know you use and who you can rely on for support or in instance of an emergency. This may be easier said than done, however, and even though injecting drugs may have go a mundane activeness for you, it is frequently shocking for non-users to learn that someone they know engages in this activity. Disclosing your use to the incorrect person could add untold stress to your life, and then make this decision carefully.

Try to brand yourself bachelor to other people who utilize drugs who may need support. If you lot're worried that a friend may overdose, for instance, have them check in with you by phone after they get loftier to make sure everything is okay. And finally, avert using with people you don't similar or who couldn't care less most what happens to you if y'all were to overdose.

ASSESSING YOUR MOOD

The quality of any drug experience is determined not only by the drug itself (including factors similar potency and purity), but also depends on how the drug is administered, the environment in which it is taken, and the mood or mindset of the individual at the time they take the drug. Information technology is therefore important for anyone who is going to accept a drug to appraise their mood and mindset before they get high. You should ever exist aware of how you're feeling prior to altering your consciousness.

Feeling relaxed, confident, and at-home will help ensure that you volition have your fourth dimension to inject hygienically and properly. If you're in withdrawal, panicked about getting high in a public bathroom, or otherwise anxious and upset, the chances of something going wrong increment. Have a few deep breaths and try to gain some composure earlier you brainstorm to fix and inject your drugs in order to prevent accidents and make certain you get a hitting without harming yourself in any way.

CHOOSING YOUR MATERIALS

There are a lot of materials needed to inject drugs—what those of u.s. who apply refer to as our "works." Ideally, the type of equipment someone uses to inject will exist appropriately matched to the drug they're using, where they plan to inject it, the condition of their veins (if they're mainlining), and other factors. Unfortunately, people who inject do not e'er have regular, legal access to the materials they need and are frequently forced to make practice with what they can get. This department of the transmission discusses what materials are all-time for injecting drugs and how to usethem safely; and offers suggestions for second-best options when the safest equipment is for some reason unavailable.

NEEDLES AND SYRINGES

The needle and syringe is arguably the most of import slice of equipment needed to inject drugs. Due to legal restrictions on possession and over-the-counter sale, information technology can also exist the most difficult slice of equipment to obtain.

Needles and syringes are not all the same. It is important to notice a needle and syringe that yous feel comfy with, so if you lot have the opportunity, experiment with different types, sizes, and brands of injection equipment until you've found the i that works for you. Or yous may find that you'll utilise different equipment at dissimilar times depending on what and where you're injecting. Among the things you should consider when choosing a needle and syringe are:

NEEDLE Estimate, which refers to the size of the bore or hole in the needle. With needles it is of import to remember that the higher the gauge, the thinner the needle (and the smaller the hole). A 28 gauge needle (abbreviated 28G) is therefore thinner than a 25 gauge needle, which is in turn thinner than an 18 gauge needle. About intravenous injectors utilize either a standard insulin fix which typically has a 27G or 28G needle (and an orange cap), or a standard tuberculin set with a 25G needle (ofttimes referred to equally a blue tip because of its color, but they can vary in color).

The smaller estimate needle you use, the smaller the puncture wound, and therefore the less opportunity for infection to occur. Using a smaller guess needle is too likely to result in less bleeding. Intramuscular injections must be given with larger judge needles (frequently 21G or 23G), and certain substances such as injectable steroids and hormones tin merely exist administered intramuscularly. Intravenous injectors typically employ needles no larger than 25G, and whenever possible, needle approximate should be matched to the size of the vein into which you're injecting. If y'all're using small-scale, delicate veins like those in the hands, for instance, a thinner needle such as a 28G is the safest choice.

Drugs that are cutting with a lot of impurities, like white pulverisation or tar heroin, may clog the point of the syringe. The higher the gauge (therefore the thinner the needle and the smaller the hole), the more than likely it is that the point may get clogged. This is especially true with brown tar heroin.

NEEDLE LENGTH. Insulin needles are typically 1⁄2 inch in length and tuberculin needles are typically 5⁄eight of an inch in length— lengths that most people who inject intravenously find adequate if not ideal. A needle that is too short may miss your vein, and one that is too long may become correct through it or be difficult to properly position. Longer needles are often advisable for intramuscular injections. As inscribed on packaging, needle length appears after the judge number: 28G1⁄2 refers to a 28 gauge needle that is 1⁄2 inch long.

Make. Virtually people who inject find that, if given the opportunity to try out different brands of needles and syringes, they will find one that they prefer over all others. Different manufacturers create needles and syringes of varying quality. Some brands of needles are more comfy to inject with than others, and the plungers on some brands of syringes are easier to manipulate than on others.

I-Piece SETS VERSUS Ii-PIECE, DETACHABLE SETS. With some types of injection equipment, the needle detaches from the syringe, resulting in two separate pieces. Standard insulin injection equipment is typically one slice, while tuberculin needles and syringes are often detachable. Detachable, two-piece equipment often has a larger reservoir above the needle in which a lot of blood can collect. If you're using a 2 piece prepare, make absolutely certain the needle is securely fastened to the syringe then that it doesn't detach while y'all're injecting, causing y'all to lose your shot. Lastly, you might find that using a butterfly fix—often used for drawing claret in hospitals —is helpful when getting off in the easily or feet, but this type of set tin be difficult to obtain. (Ask your local exchange if they have whatsoever.)

SYRINGE SIZE. Standard insulin and tuberculin syringes are typically 1cc in size and are calibrated past .10 cc's along the butt of the syringe. Well-nigh people who inject observe this size platonic and would rarely need use of a larger syringe, although some drug injectors similar to apply 1⁄two cc syringes. Syringes other than 1cc in size may exist difficult to obtain.

STANDARD, DETACHABLE, TWO – PIECE NEEDLE AND SYRINGE

Guidelines for Safer Injecting

As important as choosing an appropriate needle and syringe is how you employ them. Below are some very important guidelines you should follow in club to make the procedure of injecting equally safe as possible.

I SHOT= ONE NEW NEEDLE AND SYRINGE

In the same mode that hospitals will utilize a needle and syringe only in one case and then dispose of it, this is the aureate standard that anyone who injects drugs should likewise strive for. Needles slow quickly, fifty-fifty after merely a few uses. Using dull needles causes unnecessary trauma to the veins and surrounding tissue, results in a larger puncture wound and increased haemorrhage, and is merely not as comfortable as using a new, precipitous needle every fourth dimension. Attempting to sharpen a needle (on a matchbook, for instance) is dangerous because it can create a burr on the needle that can cause meaning damage to the veins, or weaken the point and crusade information technology to break off in your vein.

Also, new needles and syringes are sterile as opposed to simply make clean, which ways they're free of all biological matter that, if nowadays, can cause infection. Using a new, sharp, sterile needle and syringe for every injection and and then disposing of it is only the safest possible way to go.

Avert SHARING NEEDLES, SYRINGES OR OTHER DRUG INJECTION EQUIPMENT.

Blood or other affair that remains in a needle and syringe after someone has used it tin can be passed on to anyone else who uses that same injection equipment. The aforementioned applies to cookers, cottons and spoons. In this way, life-threatening viruses such equally hepatitis C and HIV can exist transmitted from one person injecting to some other. The just definite manner to avoid disease transmission of this sort is to never share needles, syringes, or other injection equipment.

Information technology is therefore extremely of import for every person who injects to take their own set of works, and an aplenty supply of needles and syringes so that they never have to share or re-use their own—but especially others'—injection equipment.

IF Y'all Absolutely MUST SHARE NEEDLES, SYRINGES, OR OTHER DRUG INJECTION EQUIPMENT , BE Sure TO Clean Information technology THOROUGHLY BEFORE RE-Utilise.

If yous find yourself in a situation where you must use someone else's injection equipment or they must use yours, follow the cleaning instructions of this manual to reduce the likelihood of transmitting a blood-borne illness. Sharing injection equipment even subsequently it has been cleaned is definitely a 2d-all-time choice considering blood and other matter can remain in a needle or syringe even after cleaning with bleach. Cleaning needles and syringes is a complicated process that, even if done according to the all-time scientific advice currently available, is not a 100% fool-proof method of avoiding harmful bacteria, viruses, and other blood-borne pathogens.

Flush YOUR NEEDLE AND SYRINGE WITH H2o SEVERAL TIMES After USE IF Yous Plan TO RE-USE I T AT A LATER TIME.

While it is safest to utilise a new needle and syringe for every injection, if you know that yous'll have to re-utilise your injection equipment at some later fourth dimension, be sure to flush it several times with cold or room-temperature water so that it doesn't go clogged with blood or other matter. (see cleaning instructions on following folio)

HOW TO CLEAN A NEEDLE & Due south Y R I N G E

Every bit already mentioned, the just sure way for people who inject to avoid contracting blood-borne infections and diseases similar hepatitis and HIV is to never employ someone else's works (including needles and syringes, cookers, cottons, or water) or let someone else use yours. Even though injection equipment might look clean to the naked eye, tiny amounts of blood tin can remain in the works which can issue in infection.

If you find yourself in a state of affairs where you lot absolutely must employ someone else's works or they must apply yours, you tin can reduce the likelihood of disease manual past carefully cleaning the equipment earlier it is used . Follow these instructions carefully:

1. Set out three cups or cookers, fill the kickoff with cold water (hot h2o will cause whatsoever claret in the syringe or needle to clot, making it harder to remove), the second with undiluted household bleach (do non employ splashless bleach, it is too thick and volition not work properly) the third with cold water.
2. Draw up h2o from the get-go cup and rinse the needle and syringe with cold h2o. If you're using a detachable needle and syringe, y'all might want to accept the equipment apart to clean it more thoroughly. Be certain to discard the water y'all use to rinse the equipment.
3. Flush the needle and syringe with bleach from the second cup. Be sure to fill the syringe all the style up. Go along the bleach in the syringe for a full two minutes while shaking it. Discard the bleach.
4. Thoroughly rinse the needle and syringe with clean, cold water from the third cup to remove whatever remaining bleach. Discard the water.

If yous do not have bleach, you lot tin substitute hydrogen peroxide, a solution of dishwashing liquid and h2o, or rubbing booze. Use high- proof drinking alcohol, such as vodka or rum, if it's all y'all've got.

Exercise not use soap or dishwashing liquid that has not been mixed with h2o — they are too thick and will get stuck in the syringe.

Important: In order for bleach to kill hepatitis B that might be in the syringe and/or cooker, you must go out the bleach in the syringe and cooker for a full 2 minutes. Information technology is unclear whether bleach kills hepatitis C, fifty-fifty after two minutes. This should also impale any HIV that might exist in the equipment. (thirty seconds is believed to do this.)

Be sure to clean the cooker with bleach if it's going to be shared. Launder your easily and split whatsoever cotton you have in two before yous use it–information technology'southward about impossible to clean such a filter. And retrieve that sharing h2o is one of the virtually efficient ways to pass on or contract a virus or other infection-causing organism.

Rinse your equipment with cold water later you lot've used it in society to forestall whatever residual claret from clotting, especially if yous plan to re-employ it later.

If y'all purchase needles and syringes on the street, clean them before you utilize them: sometimes used equipment is re-packaged and sold as new. Do not clean equipment that is sterile; something that is sterile is as clean every bit you can go it, and "cleaning" information technology could really contaminate it.

COOKERS AND SPOONS

Cookers and spoons are used to dissolve (cook up) powdered and solid drugs for injection.

• If using a spoon, endeavor to observe one that is rounder and deeper than an boilerplate teaspoon or tablespoon—closer to the shape of a ladle—to decrease your chances of spilling your drugs. You might want to bend the handle to prevent the spoon from rocking or tipping over.
• If using a bottle meridian or something like, be sure you've removed any plastic or paper lining without scratching the cap'south terminate.
• Yous may desire to fashion a handle for your cooker with a bobby pin, paper clip, bag twist tie, or something similar so that you don't burn your fingers when cooking your drugs. Be sure the handle is securely fastened to the cooker so it doesn't fall off, causing you to lose your shot.
• Always brand certain that your spoon or cooker is as make clean as possible; like needles and syringes, information technology should never be shared with anyone else because doing and then tin can transmit viruses and infections from one person to another.
• E'er place your spoon or cooker on a level surface and maneuver it carefully and then that you don't spill your shot.

COTTONS (FILTERS)

Most injectors depict their drug solution from a cooker or spoon into a syringe through some type of filter—most ofttimes a piece of cotton fiber or other absorbent material. The filter acts to keep out particulate thing and other foreign objects you don't want in your shot, and enables you to get just nearly every drop of the drug solution into your syringe so that none of it is wasted.

• Brand certain your fingers are as clean as possible before you tear off and curlicue up your cotton.
• Make clean, 100% cotton wool from a Q-Tip or cotton ball is the safest thing you can use to filter your drug solution. A small piece of tampon is non a recommended safe culling because they incorporate chemicals that are not recommended for injecting.
• Rayon and other synthetic fibers oft don't absorb liquid as well as cotton, and may forbid you from being able to fairly describe upward all of your drug solution.
• Cigarette filters are not safe to use since they contain tiny pieces of drinking glass, and, if from a cigarette that has already been smoked, substances from the smoke that tin can be harmful if injected.
• You might consider skipping the filter altogether if you take nothing safe to employ.
• Employ a fresh cotton every time yous shoot up, and as with needles, syringes, and cookers, never use someone else's cotton fiber or let them use yours; infections, bacteria, and viruses can all be transmitted through sharing cottons.
• Many of us cook up our old cottons to squeeze what nosotros tin out of them when we have no more money for drugs. Some people may take heard that "cotton fever" is caused by a piece of cotton entering the bloodstream,just it is actually acquired by fungi and bacteria that can live and grow in old cottons (which, because they are moist later on use, provide ideal environments for microbes) when re-used at a later time. Cotton fiber fever is an infection characterized by chills, sweating, fever, and other flu-like symptoms. It may go away on its own or, if it persists or worsens, crave medical attending.

MIXING AND RINSE WATER

You'll need water in which to dissolve your drugs and to affluent out your needle and syringe after you lot've gotten off. It is particularly important for people with HIV, AIDS, or other serious wellness weather condition to use the cleanest water you tin find. Remember, y'all're putting the stuff direct into your bloodstream!

• Using sterile h2o to dissolve (cook) your drugs is your safest option. You lot can buy it at any drug shop or chemist's shop. This may too be available at your syringe service plan in small ampules. DON'T purchase sterile saline (salt water) because your drugs may not dissolve in it.
• Later on sterile h2o, your side by side best option is using water that y'all boiled for at least ten minutes and stored in a sealed jar. (Don't employ water that you lot boiled several days agone which has been sitting in a pot or kettle.)
• If sterile or boiled h2o are not viable options for you, fresh, common cold tap water or bottled h2o are the adjacent all-time choices.
• If you're getting off in a location without a sink or other fresh water source, try to find a toilet and utilize the h2o from the tank (never use water from the basin).
• Using water from a stagnant (non- moving) source like a puddle or onetime tire can cause serious infections; instead, use water from a burn down hydrant, stream, or other moving body of h2o (even h2o flowing in a gutter is safer than a pool) if this is all you can find. THIS Water Tin STILL GIVE YOU VERY SERIOUS INFECTIONS.
• Be sure the glass or whatever you take your water in is clean. Don't contaminate your entire h2o source by sticking a used syringe in it. Cascade some water into another container if you want to rinse your syringe out, and always be sure to discard the water you use to flush your injection equipment so no 1 else accidentally uses it.
• Sharing contaminated water tin can transmit viruses and bacteria. Brand sure everyone'southward got their own.
• Finally, as mentioned above, you might want to get into the habit of conveying a little bottle of water as function of your works in case you need to become off in a place where there's not a sink or other clean water supply.

TOURNIQUETS (TIES)

People injecting Intravenously usually need something to " tie off " with that will restrict blood flow and crusade the veins to burl out, making them more attainable for injection.

• Elastic tourniquets (similar the kind that are used in hospitals) or stockings are kinder to your skin than leather belts or like ties. They're likewise better at securing rolling veins similar the ones in your forearm. Neckties, lubricated condoms, and socks are other items that, considering they're softer and more pliable than leather, make better tourniquets than a belt.
• Use a slip-knot when tying up so that you lot can remove the tourniquet speedily if necessary (see illustration). Never exit the tie on for too long to prevent your circulation from getting cutting off. If you lose sensation in your limb or notice it turning blue, remove the tourniquet immediately! If you've already tied upwardly but need to re-cook your shot or transfer it to some other syringe, have the tourniquet off and re-tie it only earlier y'all're ready to inject. (See analogy on preceding page.)
• Ideally, one should register, and then upon seeing blood in their syringe, remove the necktie and inject. Some people like to inject and then remove the tourniquet because this causes a more than intense blitz. This could exist dangerous because if you fall out, y'all will be unable to remove the tourniquet.

LIGHTER OR MATCHES

If you're using tar heroin or crack, you'll need something to heat your drug solution with in lodge to arrive dissolve.

• A gas stove works fine if you lot have access to ane, although carrying your spoon or cooker to the stove after yous've filled it may result in a spilled shot, then prepare everything at the (hopefully reasonably clean) stove.
• Lighters produce a larger, hotter, easier-to-command flame than matches exercise, and can exist ignited using only ane paw. Besides, a lighter won't give off a sulfur olfactory property like matches do, which could give yous away if you lot're getting off in a public bath.

OTHER HELPFUL MATERIALS

While the needle, syringe, cooker or spoon, cotton fiber, tourniquet, and a lighter or matches are all necessary for preparing and injecting drugs, there are a few other materials it'due south helpful to accept if you can get access to them:

• Alcohol pads are extremely helpful for cleaning an injection site prior to getting off to prevent leaner and clay on the pare from entering your bloodstream.
• Antiseptic wipes are helpful for cleaning the injection site after getting off, since alcohol is as well harsh for afterwards and slows downward healing.
• To prevent blood from getting all over your shirt sleeves or apparel—a situation that volition require a lot of explaining if you're at piece of work or visiting a friend who doesn't know you use—carry tissues or gauze with y'all and maybe even a Band-Aid to employ later y'all've gotten off.

PREPARING YOUR SHOT

Preparing your shot as sanitarily and hygienically every bit possible can aid you lot avert many illnesses and infections, some of which can be quite serious and require hospitalization (see affiliate iii). Every time you lot inject, you lot're creating the means past which bacteria and other infection-causing microbes can directly enter the body, and, if you lot mainline, the bloodstream itself. The peel is the body's offset immune system component, and we open up ourselves up to potential infection every time we break it. That's why information technology's so important that the equipment and the process nosotros use to shoot upward is as make clean and safe as possible.

Beginning STEPS

There are a few common sense things yous should do earlier preparing and injecting your drugs.

• First, if at all possible, thoroughly wash your hands with soap and water. Any bacteria or germs you take on your easily can contaminate anything you touch when preparing your drugs. At the least, rinse your hands with water, wipe them with an alcohol pad, or otherwise try to become your hands as clean as possible.
• Inject your drugs in as clean a place as you lot tin can find and always try to use a level surface so you don't tip anything over and lose your shot.
• If they're not brand new, make sure all of your materials are thoroughly cleaned, and don't unwrap or uncap your needle and syringe—particularly if it'south sterile—until y'all're going to utilise it.
• If y'all're getting off with someone else, make sure each person's equipment is clearly dissever from yours then that accidental mix-ups and sharing don't occur: needles, syringes, and water glasses all look the same!
• Finally, calm yourself down if you're upset for some reason. Consider whether smoking or sniffing a piddling bit of your drug volition help you relax if you're in withdrawal or otherwise freaking out.

COOKING YOUR SHOT

Powdered drugs must be dissolved into a liquid form earlier they can be injected—a process known as "cooking." Different drugs deliquesce differently. If you're using something like injectable morphine or hormones that are already in liquid class, cooking is completely unnecessary. Some drugs will dissolve in h2o without being heated; some people cook their cocaine, for case, while many more practice not because information technology can clot when heated, mess upwards your shot, and clog your needle.

Though brown heroin will dissolve without an acid, heating information technology along with an acid like powdered vitamin C volition aid deliquesce it more than easily. DON'T USE LEMON JUICE considering it can cause fungal infections that can damage the eyeball. Finally, pills must exist crushed upward or pulverized as finely as possible before beingness dissolved for injection. Many drug manufacturers at present formulate their pills so that they're not able to be dissolved in water at all, just just sort of dodder up when you lot oestrus them. If you're going to try to inject a pill, dissolve a small corner of it offset so that yous don't waste the entire affair. And inject pills merely as a last resort; injecting the particles from a pill can cause all sorts of problems, specially abscesses. For this reason, you lot should avert muscle-popping or skin-popping pills if possible . (come across pages 41 and 44)

Ideally, your drug solution will be articulate and particle-gratis. If it's not, you may want to attempt to re-cook it, although sometimes street drugs contain cuts that volition not deliquesce no matter what you practise. In this case, utilize your cotton wool to filter out as much of the cut as you can. Lastly, don't re-cook a shot with a lot of blood in information technology as the blood can coagulate and clog your needle.

After you've cooked upwardly your drugs, draw the solution into your syringe through your cotton. Tap out all the air bubbles and push the liquid to the tip of the needle.

DIVIDING DRUGS

If yous've bought drugs with someone else, you demand to ensure that everyone gets their fair share in a safe style. At that place are several ways this tin be done:

• The safest way to divide drugs is to split the powder or tar and have each person cook up their own drugs with their own materials.
• If this start selection is for some reason not acceptable, the drugs can exist cooked up first (using sterile equipment!) then divided (using sterile syringes!) after they're in liquid class.
• Backloading (Piggybacking): A unmarried, sterile syringe tin can exist used to draw upwardly equal amounts of the liquid which can then be carefully squirted into the back of each person's sterile syringe after the plunger has been removed. (See illustration on following page.)
• Frontloading: The drug is carefully squirted into the front of each person'southward syringe that still has the plunger in it but from which the detachable needle has been removed. (See illustration on following page.)
• Always be sure whatsoever equipment you use to cook upwards and split drugs is new (preferably sterile) or, as a 2nd- best option, properly cleaned.

BACKLOADING ( PIGGYBACKING)

Remove the plungers from 2 syringes.

Using a third syringe, draw upwardly the hit and empty half into each of the syringes.

Carefully replace both plungers.

FRONTLOADING

Photo: Jean Paul Grund and Rene Overbeek from "Drug Sharing and HIV Transmission Risks: The Practice of Frontloading in the Dutch Injecting Drug User Population" (Journal of Psychoactive Drugs, Vol. 23(1), Jan.-Mar. 1991).

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Source: https://harmreduction.org/issues/safer-drug-use/injection-safety-manual/preparing-equipment/

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