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B low, coke, Charlie, snow, candy, rock crack , powder cocaine. This helps harm reduction workers across the city know about current bad batches and get the word out to people who use drugs. Cocaine and Crack. All About Cocaine and Crack. Either drug can be injected or booty bumped into the ass by enema. The Buzz Induces feelings of exhilaration, excitement, alertness, hyperactivity and a mild euphoric rush Increases confidence and talkativeness Decreases hunger and numbs physical pain Feel more horny and more confident in propositioning people for sex Effects are felt within 1 minute and can last up to 30 minutes when snorted, and less than 30 minutes if smoked Overdose and other negative effects 4. Minuscule amounts of Fentanyl are fatal. Dozing off or feeling sleepy immediately after using cocaine is unusual and could be a sign of fentanyl -contaminated blow Never use cocaine alone, always have someone nearby who can respond with Nalxone when using cocaine. This can lead to using too much and too often. Increases body temperature, heart rate and blood pressure High doses of cocaine can cause chest pain, breathing difficulties, heart attacks and seizures Very high doses overdoses can lead to strokes or even death Can increase aggressiveness and agitation After-effects can include depression, irritability, anxiety and paranoia Repeated snorting damages nasal membranes and can deteriorate, and wear down holes in the septum; repeated smoking damages the lungs Signs of nasal damage include reoccurring nose bleeds. Causes cravings to use more. Tolerance builds up quickly, meaning you need more of the drug to have the same effect. It is easy to become addicted to cocaine. Cocaine has impurities mixed in with it, including baking soda, sugar, amphetamines, and toxic substance such as Levamisole see below. Sharing snorting paraphernalia has a risk of transmitting Hepatitis C. Use your own snorting paraphernalia, ideally an unused paper straw. Cocaethylene i ncreases of the negative effects of both cocaine and alcohol and can increase the risk of a cocaine overdose and liver damage. If you are taking HIV meds, you likely need less of both alcohol and cocaine to feel the effects of cocaethylene. Important consideration in preparing for anal sex. Coke Dick: temporary impotence is normal with cocaine, as it is with many other party drugs. Take this into consideration if any medication you take affect blood pressure. It is easy to forget to take your meds when on cocaine. Make sure you take them, or create a system to remind yourself before you start using Make sure you make a plan for eating, for HIV meds that need to be taken with food. Cocaine suppresses appetite and can make it easy to forget to eat. Contaminants in Cocaine and Crack Cocaine can have trace amounts of Fentanyl , Carfentanyl and its analogs. Fentanyl is in 4. Minuscule amounts of these substances are fatal. There is no safe way to dose with fentanyl and its analogs. Get trained in how to administer Naloxone , and get your own Naloxone kit , which you can get at your local pharmacy. Always have Naloxone nearby, and people with you at all times when you are using cocaine. Never use alone. Have people nearby who can respond with Naloxone. A small number of people have died in Toronto from fentanyl -contaminated cocaine, who had no idea fentanyl could be in their blow. This is especially a concern if you are living with HIV or hepatitis C. Seek medical help right away if you experience an onset or increase of the following symptoms after using cocaine: Fever: high, rapid onset, chills Flu-like symptoms: swollen glands, sore throat, shortness of breath, coughs Skin conditions: darkened skin patches and sores that look like dark bruising. Symptoms caused by levamisole can be misdiagnosed if medical practitioners do not know what they are treating. Levamisole poisoning can be treated if your healthcare provider knows what they are targeting.

In addition to recommending the decriminalization of possession of controlled drugs and substances for personal use, Toronto Public Health.

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Member Login. Order by: Date Title Type. Contact us Directions Privacy Policy Imprint. Find us on. Research Goal of the Program Publications.

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The Canada Border Services Agency (CBSA) is helping to keep our communities safe by disrupting the flow of illicit drugs into Canada. The CBSA.

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