Resources Created by NEXT Distro
The majority of these resources were developed by NEXT Distro with the editing support of NEXT's Medical Advisory Board, harm reductionists, and community partners.
We are constantly striving to improve. If you have edits to these resources, please let us know by emailing content@nextdistro.org
Getting Started With Safe Injection
In English + Spanish
Developed by Jeremy Levit for NEXT Distro with the support of NEXT's Medical Advisory Board, harm reductionists, and community partners. This resource will explore how to learn how to inject, drug, set, and setting, routes of administration, adulterants, cuts, or contaminants, and aftercare.
Wound & Abscess Care for People Who Use Drugs
In English + Spanish
In this resource, we discuss how to prevent and care for injection-related injuries. We cover information on how to prevent wounds, caring for abscesses, and injection-related complications that need medical attention.
Hot Rails
In English + Spanish
In this resource, we talk about what are hot rails, why do them, how to do them, and general harm reduction tips about hot rails.
Adjusting the Length of a Syringe Tip
This resource is a text/illustrated version of a video created by Virginia Harm Reduction Coalition. Thank you to VHRC for allowing us to further promote this technique.
Tapering Management from Benzos at Home
In English + Spanish
This guide goes over how to manage tapering from benzos at home. It includes information about tapering, cold turkey, what to expect from withdrawals, essentials for tapering at home, optional OTC drugs or supplements to help with symptoms, and emergencies.
How to Identify the Signs of Fake or Counterfeit Pills
IN ENGLISH + SPANISH
In this resource, we discuss the signs of fake or counterfeit pills, how to look up what real prescription pills look like, and how to find pictures for comparisons.
Tianeptine Quick Guide for People Who Use Drugs
In English + Spanish
Tianeptine Quick Guide for People Who Use Drugs
Withdrawal Management from Opioids at Home
In English + Spanish
This guide discusses withdrawal from opioids including cold turkey, tapering, what to expect, essentials, detox, OTC medications and supplements, and aftercare.
Transitioning Routes of Administration
In English + Spanish
This guide talks about routes of administration or the ways one can use drugs including injection, booty bumping, plugging or boofing, snorting, eating, and smoking.
Overamping: Stimulant Overdose
In English + Spanish
Overstimulation known as "overamping" is the name used when we are talking about a stimulant overdose. In this resource, we talk about what to do when you are experiencing a stimulant overdose, how to recognize what is happening, and when it is a medical emergency.
Withdrawal Management from Stimulants at Home
In English + Spanish
This guide discusses withdrawal from stimulants including cold turkey, tapering, what to expect, essentials, detox, OTC medications and supplements, and aftercare.
Rectal Administration: aka Booty Bumping, Boofing, or Plugging
In English + Spanish
In this resource, we discuss how to rectal administration aka booty bumping, boofing, or plugging. Rectal administration uses the rectum (butthole, anus) as a route of administration or way of taking drugs.
Cooking Down Crack for Injection
In English + Spanish
In this resource, we discuss how to cook down crack for injection using pure citric acid, pure ascorbic acid, or 100% vitamin C powder. There is also a 1/4 page bilingual version helpful for including with ascorbic acid supply distribution.
Xylazine Quick Guide for People Who Use Drugs
In English
This guide talks about what is xylazine and how it works including effects, side effects, dose, route of administration and withdrawal.
How to Prepare Nasal Sprays for Drug Use
In English + Spanish
In this resource, we discuss how to use a nasal spray to accurately dose or use drugs including materials needed, a calculator to help with measurements, and reason to use a nasal spray.
How to Prepare Nasal Sprays for Drug Use
In English + Spanish
In this video, we provide a demonstration of how to use a nasal spray to accurately dose or use drugs. Make sure to check out the guide and calculator in the text-based pdf above.