PUBLIC HEALTH · STANDALONE PORTAL
Temporary standalone public health resource. Evidence-based safety information with no marketplace links, no access mirrors, and no onion addresses.
Call 911 (US) / 999 (UK) / 112 (EU) immediately if someone is unresponsive or not breathing.
Never Use Alone hotline (US): 1-800-484-3731 — stay on the line. Naloxone reverses opioid overdose.
Use reagent kits and fentanyl test strips before any use. Contamination is documented across many drug categories.
Begin with 10–20% of your intended dose. Wait for full onset before considering more.
Have a trusted person present. If alone is unavoidable, call Never Use Alone: 1-800-484-3731.
Keep naloxone (Narcan) accessible. Available OTC at many pharmacies. Train anyone nearby how to use it.
Opioids + benzodiazepines + alcohol multiply respiratory depression risk. Check TripSit Combo Chart.
Opioids: slow/stopped breathing, blue lips, unresponsive. Stimulants: chest pain, seizures, extreme agitation. Call emergency services if unsure.
Dial 911 (US), 999 (UK), or 112 (EU) immediately. Good Samaritan laws protect callers in most US states.
Nasal spray: one spray per nostril. Repeat after 2–3 minutes if no response. Naloxone wears off in 30–90 minutes.
If not breathing: tilt head back, give one breath every 5 seconds until breathing resumes or EMS arrives.
Once breathing, place on side. Stay until paramedics arrive — re-overdose is possible as naloxone wears off.
Test with Marquis. Dose: 75–120mg. Hydrate (~500ml/hour if active). Never combine with MAOIs or SSRIs. Space use by 3+ months.
MODERATEExtreme overdose risk. Always use fentanyl test strips. Never use alone. Keep naloxone accessible. Never combine with alcohol or benzos.
EXTREMEHigh cardiac risk. Test for fentanyl contamination. Never mix cocaine with alcohol (creates cocaethylene).
HIGHLow physical toxicity. Edibles: delayed onset 1–3 hours — never redose early. Concentrates can trigger anxiety.
LOWLow physical toxicity. Primary risks are psychological. Have a trip sitter. Avoid if history of psychosis. Test LSD with Ehrlich.
LOW-MODBladder damage from chronic use. Do not combine with CNS depressants. Avoid driving. Use saline rinse if insufflating.
MODERATEA temporary standalone educational resource focused on reducing drug-related harms. It contains no marketplace links, access mirrors, or onion addresses.
No. Information is sourced from public health organizations for educational purposes. In an emergency, call your local emergency number immediately.
Naloxone (Narcan) is available without prescription at most US pharmacies and through local harm reduction programs. Visit nextdistro.org for mail-order options.
Dissolve a small sample in water, dip a fentanyl test strip for 15 seconds. One line = fentanyl detected. Two lines = not detected in this sample. Strips available from DanceSafe and harm reduction programs.