Safer administration
Harm reduction advice

Snorting (Insufflation)
  • Always use clean devices (snorter)
  • Use your own device
  • Don’t share devices; there may be traces of blood on your equipment.
  • Snort high up the nostril to avoid the most sensitive soft tissue.
  • Clean out nasal passages after use, with damp tissue or a ear bud.
  • Alternate nostrils to lessen damage to one side
  • If your nose is bleeding – give it a rest.
Smoking
  • Smoking equipment, e.g. pipes should not be shared
  • When chasing, use foil provided by Needle Exchanges if possible. If not, use tinfoil. Do not use foil from sweet packaging as it is often covered with contaminants
  • If you are smoking substances in cigarettes or joints – use unbleached card to make filters to avoid breathing in harmful substances from the card
  • Pipe users should switch from using plastic bottles or cans to using quality glass pipes to avoid inhaling ash, paint, dust, water and other particles into the lungs
Swallowing / Bombing
  • Stimulant drugs are caustic and can corrode soft tissues. This may result in damage to the lining of the throat, oesophagus and stomach. Ingest within a capsule/cigarette paper
Injecting
  • Don’t share any injecting equipment; this includes water, spoons and filters as well as needles and syringes. It is best practice to use a filer for drawing up
  • Ensure you have enough needles for repeat injecting
  • Rotate Sites
  • Ensure any wounds are treated as soon as possible
  • Heat and redness at injecting site – seek medical attention
  • Ensure that your equipment is correct for its intended use (http://www.kfx.org.uk/resources/NeedleSize1pp.pdf)
  • Dispose of used needles and syringes safely.
Steroid and Image Enhancing Drugs Injecting

Page last reviewed: 01/07/2025
Next review due: 31/07/2025