Sharps containers are vital to safe syringe disposal. When regulation sharps containers are not available, please use another thick, rigid plastic container such as a detergent bottle, screw top beverage bottle, etc). If you're using a non-sharps container, clearly mark it “DANGER: SHARPS” or “BIOHAZARD”. This will protect municipal/sanitation workers from needlestick injury.
— If you are financially able to purchase syringes yourself we recommend OTC Wholesale. Shipments are quick and there is a huge selection.
— Below are all subject to availability. Skip below to list for information on “g” and “cc”.
Terumo 27g, 1/2 cc, 1/2 inch tip length
McKesson 27g, 1cc, 1/2 inch tip length
McKesson 28g, 1/2 cc, 1/2 inch tip length
BD 28g 1cc, 1/2 inch tip length
Easy Touch 30g, 1cc, 1/2 inch tip length
Easy Touch 31g 1/2 cc, 5/16 inch tip length
Easy Touch 30g 1 cc, 5/16 inch tip length
Needle Gauge: Refers to the size of the bore (hole) in the needle. With needles, the higher the gauge (g), the thinner the needle.
Syringe Barrel Size: Standard insulin and tuberculin syringes are typically 1cc or 1/2cc in size and calibrated by .10ccs along the barrel of the syringe.
Safer Injection Tips:
-- The smaller the needle gauge (=higher number), the smaller the puncture wound and therefore, less bleeding, less damage to the vein and less opportunity for infection; it will also be easier to find smaller veins.
-- A needle that is too short may miss the vein, and one that is too long may go through the vein or be difficult to position.
Alcohol pads are used to clean an injection site prior to injection to remove bacteria and germs that could be pushed into the skin during the injection process. Alcohol pads can also be used to clean one’s hands if there is no place to wash them prior to injection. Do not clean an injection site with an alcohol pad post-injection, it will prevent the blood from properly clotting.
BZK is short for benzalkonium chloride, an antiseptic for cleaning hands and other body parts when soap and water is not available.
Washing hands with soap and water before and after injection is an ideal safer injection practice.
“Cottons”, also called filters, are used to filter impurities in the drug mix when pulling it into the syringe. Filters should be 100% cotton (or a medically appropriate alternative) and usually come in the form of smaller and/or larger pellets. If you can, wash hands before choosing a piece for use, this will reduce the likelihood of bacteria being transferred to the filter.
Blood in used cottons can transmit HCV and other blood-borne injections if a contaminated cotton is used to fix drugs for injection. Cottons can easily grow/collect harmful bacteria when left over time and reused. Best practice is to use one new/clean cotton each time and never to share.
Please avoid using cigarette filters which contain tiny particles of plastic or glass.
Bottle caps aka "cookers" are used to dilute drugs. Please be aware that trace amounts of blood inside used cookers can transmit HCV and other blood-borne infections if a contaminated cooker is used to fix drugs for another's injection. Cookers can get blood in them in several ways – some examples include:
-If a contaminated syringe is used to put drugs into or pull drugs out of a cooker.
-A contaminated cotton or contaminated water is put into the cooker.
-If someone has had trouble finding a vein or has a problem with a syringe during injection, they may put drug mix that is mixed with blood back into a cooker and start again.
If possible, use a new or clean cooker, (or, at minimum your own) for every injection. If you often inject with others and have limited supplies, individuals can write their names (or a code name, or symbol) on the outside edge of the cooker with a sharpie to distinguish it.
A tourniquet will restrict blood flow and cause the vein you are trying to hit bulge out, making it more accessible for injection.
Elastic tourniquets (like the kind that are used in hospitals) or stockings are kinder to your skin than leather belts, shoe laces, or similar ties. They’re also better at securing rolling veins like the ones in your forearm.
Use a slip-knot when tying up so that you can remove the tourniquet quickly if necessary. Never leave the tie on for too long to prevent your circulation from getting cut off. If you lose sensation in your limb or notice it turning blue, remove the tourniquet immediately!
Fentanyl Test Strip
If you would like a large supply of Fentanyl Test Strips (more than 10) we kindly request that you provide a donation to cover the cost. We purchase them for $1 each.
Male Condoms, Internal Condoms, Lubricant
A note about naloxone provided by NEXT
NEXT runs off both donated supplies and supplies purchased with donated funds. Both are limited. The majority of the naloxone we have on hand is expired or near expired. We feel comfortable passing these resources on to you because research has found naloxone to be viable for years past its expiration.
"Greater than 90% of labeled naloxone concentrations persisted in expired samples [samples tested were from 1980-2016]. Accumulation of the potentially harmful opioid agonist noroxymorphone was trivial. Use of expired naloxone, even years after the expiration date, may be safe and efficacious. Further, it may still maintain United State Pharmacopeia-National Foundation (USP-NF) standards." - Meeting Demand for Naloxone: Stability of Expired Naloxone Solution (2018). Frey, et al.
Intranasal Naloxone (comes w/ atomizer)
Usually expired (during 2018)- but in unopened box.
Intramuscular Naloxone (comes w/ 3cc syringe)
This naloxone is NOT EXPIRED.