Methamphetamine

Amphetamines provide various effects including alertness, increased confidence and energy, as well as a reduced appetite.

• Unwanted effects include increased irritability, anxiety, insomnia and aggression.

• Amphetamine is usually an off-white or pinkish powder. It is mostly sold by weight in small rectangular wraps of paper.
• The base form of speed is usually purer and looks like a grey paste, similar in consistency to putty.
• Methamphetamine comes in various forms including a white powder, clear crystals, or in tablet form.

• Amphetamine in powder form can be snorted in lines or dabbed onto the gums. It may also be wrapped in paper and swallowed, (known as ‘bombing’), or injected.
• Methamphetamine is usually smoked, although some people choose to inject it.
• Base speed is usually swallowed or can be smoked.

• An Amphetamine overdose is potentially fatal.
• You increase the risk to yourself if you combine alcohol with amphetamines or other substances that cause a high.
• Chest pains, irregular heartbeat and other serious heart problems.
• Amphetamine use can cause anxiety, depression, aggression and paranoia.
• Heavy use may induce a psychotic state with symptoms similar to some forms of schizophrenia.
• The comedown sometimes lasts for days after and can often make people feel depressed and run down.
• Long-term use can lead to poor nutrition and sleep disturbances.
• Sharing injecting or snorting equipment risks infection with Hepatitis C and B viruses, as well as HIV.
• Snorting amphetamines can cause nasal damage.
• Injecting is particularly dangerous as it is much easier to overdose.

• If you choose to use amphetamines, then use in a safe environment and in the company of someone you trust. Ideally, this person will not have used the substance themselves and will be in a position to get help if things go wrong.
• Take small amounts first to test strength and effects; start low and go slow.
• The use of amphetamines with alcohol or other substances should be avoided.
• Amphetamines can be psychologically addictive and tolerance can quickly build up. Don’t use too frequently and take regular breaks.
• Avoid using if you have a history of depression, heart or breathing problems.
• Avoid using other drugs to deal with the comedown. Stay healthy by eating regular meals, sleeping well and getting plenty of rest.
• Do not share injecting or snorting equipment. If you choose to inject then get safer injecting advice either from us, your local drug agency or nearest needle exchange.
• If snorting, alternate nostrils and clean your nostrils with warm water to minimise damage.

• Playing & partying, for some, is fun and exciting for others it can be about risky sexual encounters with extreme highs and lows.
• Take care of yourself by testing substances before use, knowing appropriate dosing and potential consequences physically and emotionally in the hours and days after using.
• Terrence Higgins Trust offer a great resource man who engage in chemsex.