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5 Tips for Decreasing Drug-Related Harms

These five tips will decrease your chances of drug-related harms like overdose and death.
 
 
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Photo Credit: ToddHuffman via Flickr

 
 
 
 

Over the past 15 years, I have given thousands of doses of drugs like cocaine, marijuana and methamphetamine to people. I do this as part of my research to understand how the drug affects the brain, behavior and physiology.

Late one summer night, I picked up my 17-year-old son from a party, a graduation celebration for one of his friends. As he got in the car, I noticed that he was chewing a heavily mint-scented gum. It occurred to me that some of the partygoers might have brought drugs and that he might have indulged. Given what I know from the Monitoring the Future surveys and my own research, this shouldn’t have come as a surprise to me. It did. I was now faced with the horrifying thought that my little son (by the way, he’s taller than me) might have taken illegal drugs.

Alarmed, but attempting to appear cool, I asked, “How was the party?”

“It was wack,” he replied.

Meanwhile, I was secretly looking for signs of drug use. Apart from the obvious ones that occur following heavy drug use, which is rare, there are few, if any. So I decided to just ask if he or others had taken drugs at the party. He explained that he had not, but some others had drank alcohol and a few had gone to the park to smoke marijuana. As we drove home, I asked what he remembered from our talks about drugs over the years. I was so impressed by what he said I thought it might be helpful to share with others. Here are the five simple lessons that I have taught my own children about drug use and ways to decrease associated harms.

1. The police are a bigger threat to people who look like my son, than illegal drugs themselves. It is a well-documented fact that black people are more likely to be arrested for drugs than other groups, even though they don’t use or sell drugs at higher rates. As a result of an arrest and conviction, individuals may not only lose their freedom, but they may also lose many civil rights including the right to vote or serve as a juror; they may be ineligible for federal or state aid and certain types of employment; and some may be barred from obtaining state licenses or holding public office. In other words, those convicted of drug-related offenses can be legally discriminated against and people who share my son’s skin complexion are at greater risk. The fact is that black people are more likely to have their lives damaged by an arrest or conviction than they are to suffer serious drug-related consequences. So, if one must use illegal drugs, s/he should do so only in secure places; outdoor illegal drug use is simply unwise, especially if you’re black.

2. The adulterants (or cut) in some illegal drugs are far worse than the drug itself. There are few quality controls for manufacturing illegal drugs. As such, many street drugs contain other components, and in some cases, these chemicals can be more dangerous than the intended drug. One recent example of this is cocaine being cut with levamisole, a drug used to treat cancer and used to deworm animals. Taken in large doses, levamisole can reduce a person’s white blood cell count, making them more susceptible to infections. In severe cases, the drug can lead to death. Thus, it is critically important to know and trust the source of your supply; it can literally be a matter of life and death.

3. Inexperienced drug users should not model the behavior of experienced users. Experienced users tend to take drugs in ways that get them to the brain quickly. Smoking and intravenous injections are popular among this group. Not only do these routes produce the most intense high, but they also require less amounts of drug to produce desired effects. Given these appealing features, why should novices be discouraged from smoked and intravenous drug use, at least initially? Inexperienced users will not have developed tolerance. This means that smaller doses are likely to produce greater toxic effects, including overdose. Because smoking and shooting drugs intravenously produce more potent effects, the likelihood of harmful consequences is increased with these methods. 

 
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