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    North Edinburgh Drug and Alcohol Centre

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    Complex and Multiple Needs Service

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Harm Reduction

What is Harm Reduction?


Harm reduction advice for substance use involves practical strategies and guidelines aimed at minimizing the negative consequences associated with drug or alcohol use. It recognizes that complete abstinence may not be immediately achievable for everyone, and instead, it focuses on realistic steps to reduce harm. Here are some common harm reduction principles and advice:

Know Your Substances:

  • Understand the substances you are using, including their effects, potential risks, and ways to minimize harm.
  • Be aware of the strength and purity of the substances to reduce the risk of overdose.

Safe Use Practices:

  • If injecting drugs, use clean needles and syringes to reduce the risk of infections like HIV and hepatitis. Needle exchange programs provide sterile equipment.
  • Avoid sharing needles, syringes, pipes, or any drug paraphernalia to prevent the spread of infections.
  • Avoid Mixing Substances:
  • Be cautious about combining different drugs, including alcohol, as interactions can be unpredictable and increase the risk of adverse effects.
  • Use in a Safe Environment:
  • Choose a safe and familiar environment for substance use.
  • If possible, use substances with friends who can provide support and assistance in case of emergencies.
  • Know the Signs of Overdose:
  • Learn the signs of overdose for the specific substances you use.
  • Always have access to Naloxone (if applicable) and know how to use it to reverse opioid overdoses.
  • Stay Hydrated and Nourished:
  • Maintain proper hydration and nutrition, especially if using substances that can dehydrate or suppress appetite.
  • Use Safer Alternatives:
  • Consider using safer alternatives or less harmful forms of substances.
  • For example, using vaporizers instead of smoking, or choosing substances with lower risks.
  • Set Limits:
  • Establish personal limits on substance use to avoid excessive consumption.
  • Monitor and reassess these limits regularly based on your health and well-being.
  • Regular Health Check-ups:
  • Schedule regular check-ups with healthcare professionals to monitor your overall health, including screenings for infectious diseases and mental health assessments.
  • Access Support Services:
  • Seek out support services such as counseling, therapy, or support groups to address underlying issues related to substance use.
  • Utilize harm reduction programs and services available in your community.
  • Plan for Safer Transport:
  • If using substances away from home, plan for safe transportation options to avoid driving under the influence.
  • Communicate Openly:
  • Be open and honest with healthcare professionals, friends, and family about your substance use.
  • Establish a support network that can help in times of need.

Harm reduction advice is tailored to individual circumstances, and the goal is to promote safety, well-being, and informed decision-making. It's important to remember that seeking professional advice and support is crucial for those struggling with substance use issues.


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