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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.

 
 

Xylazine Wound Care Guide: Healing with Dignity and Safety

In English

 
 
Image of Community-Created Resources
 

 Community-Created Resources

 

What Is Harm Reduction?

English & Spanish versions

by Jamie Harary

 

Skin care guide for People who use injection Drugs

English & Spanish Versions

by Kate Lacour

 
 

Joyeux Noir No. 1 & 2:
An Afro-futurist Harm Reduction Zine

by Mallory Culbert

 
 
 

What Is Harm Reduction?

English & Spanish versions

by Haley Matis-Uzzo

 
 

Postcard Series:

Greetings from Wasteland, USA!

by Mallory Culbert

Postcard Series:

The Evolution of Policing

by Mallory Culbert

Postcard Series:

Greetings from Stolen Land

by Mallory Culbert

Postcard Series:

Drugs in the Media

by Mallory Culbert

Postcard Series:

Cleanliness

by Mallory Culbert

 
 
 

Usando Tiras de Prueba de Fentanilo

Translation: How To Use Fentanyl Test Strips

Created by NEXT Distro and Bronx Móvil

Mensaje de organización: Todos los materiales de educación de promoción de salud deben ser lingüísticamente y culturalmente centrados. El desarrollo de dichos recursos es parte de nuestra tarea como activistas que movilizan para la salud de las personas que usamos drogas. Este video es una colaboración a seguir -- queremos que la reducción de daño, tanto el movimiento de justicia social y equidad como los instrumentos de salud pública sean activados para todxs, las 24 horas al día y los 7 días a la semana.

Bronx Móvil Statement: All health promotion education materials must be linguistically and culturally centered.That is part of our task as activists who mobilize for the health of people who use drugs. This video is a model of collaboration - we want harm reduction, both the social justice and equity movement and its public health instruments to be activated for everyone, 24 hours a day, 7 days a week.

 
 

Social Support Guide for People Who Use Drugs

https://nextdistro.org/socialsupport

It can be hard to find ways to talk through your thoughts and feelings around your drug use. This can be true whether you are a very social person or more of a loner. Support from others like you exists! 

This guide can help you tap into finding one (or more!) that works for you.

This is not a guide to finding professional helpers like therapists or doctors. Instead, it’s a way to find regular people who can offer ideas, support, or just a listening ear.

Written by Jess Williams with the support of NEXT Distro