KEY MESSAGES

Remove Coating

Any coating on the outside of the pill needs to be removed before injecting.

Control Bacteria

Pills should never be put in the mouth to remove any coating. Bacteria in saliva (spit) will be passed to the pill and added to the drug solution.

Crushing Pills

Crushing pills to a fine powder and using plenty of sterile water can help them dissolve better.

Cook the Drugs

It’s important to cook drugs every time. Heating drugs to a boil will:

• Reduce bacteria/mould/yeast and fungi that may be on the drug or supplies

• Help separate fillers or binders from the drug

Avoid Reusing

Drug residue can remain on the cooker and filter after preparing the injection. Some people will add water to the used cooker or filter again (called a ‘wash’) to make an additional injection. It is recommended to never reuse or share used supplies. Always cook drugs every time, including washes to reduce infection and blood borne viruses.

Could Contain Fentanyl

Fentanyl can come in many forms. Sometimes opioids sold on the street can contain fentanyl.

Carry Naloxone

Encourage everyone to carry a naloxone kit. It is used to reverse opioid overdose only. It has no effect on overdoses caused by other drugs.

Avoid Using Alone

Remind people to avoid using alone and always have naloxone on hand. If possible, suggest they have a plan for a friend to check in on them.