Harm, Risks,
 and Accidental Overdose
                        If you are using meth, it is important to take steps to keep yourself as healthy and safe as possible.
If you are using meth, it is important to take steps to keep yourself as healthy and safe as possible.
From 2018-2019, more people died from meth overdoses than any other drug in LA County. And, meth is increasingly being found laced with fentanyl, a highly lethal opioid that significantly increases overdose risk. Knowing symptoms of overdose can save your life or your friend’s life. Scroll to learn what you need to know.
Anyone using meth, even someone using it the first time, can be at risk for overdose. It’s possible to overdose because of small amounts of meth or if you have meth built up in your body.
At first, a meth overdose can look like someone high on meth. However, there are small differences like the high is too intense or rapid and irregular heartbeat. Other signs are:
The Good Samaritan Law helps protect you from drug charges when you call for help.
                                    In-Person Harm Reduction Supplies and Overdose Prevention
                                    (e.g., naloxone distribution, needle exchange, fentanyl testing strips)
                                
                                    NAME: Bienestar Human Services
                                    
                                    PHONE: (866) 590-6411
                                    
                                    LOCATION: 5326 E. Beverly Blvd. Los Angeles, CA 90022
                                
                                    NAME: Homeless Health Care Los Angeles
                                    
                                    PHONE: (213) 617-8408
                                    
                                    LOCATION: 512 East 4th Street Los Angeles, CA 90013
                                
                                    NAME: Tarzana Treatment Center
                                    
                                    PHONE: (818) 342-5897
                                    
                                    LOCATION: 6800 Block of Eton St. Canoga Park, CA 91303
                                    
                                    LOCATION: 12178 San Fernando Rd. Sylmar, CA 91342
                                
                                    NAME: Asian American Drug Abuse Program, Inc.
                                    
                                    PHONE: (424) 331-5799
                                    
                                    LOCATION: BAART Lynwood Clinic 11682 Atlantic Ave. Lynwood, CA 90262
                                    
                                    LOCATION: 652 E. Manchester Blvd. Inglewood, CA 90301
                                    
                                    LOCATION: Lawndale Mental and Health Services 4023 Marine Ave. Lawndale, CA 90260                                
                                
                                    NAME: LA Community Health Project
                                    
                                    PHONE: (213) 483-536
                                    
                                    LOCATION: Mt. Olive Church 9401 Zamora Ave. Los Angeles, CA 90002
                                    
                                    LOCATION: Spectrum Clinic  1748 E. 120th Street. Watts, CA 90059
                                
                                    NAME: Venice Family Clinic
                                    
                                    PHONE: (310) 314-5480
                                    
                                    LOCATION: 622 Rose Ave. Venice, CA 90291
                                
                                    NAME: The Shower of Hope
                                    
                                    LINK: http://theshowerofhope.org/
                                
                                    LAODPrevention.org – OD Prevention Videos
                                    
                                    https://www.laodprevention.org/videos
                                
                                    California Department of Public Health – Naloxone Training Video
                                    
                                    https://www.youtube.com/watch?v=nurz9qPGKws&feature=youtu.be
                                
                                    National Harm Reduction Coalition
                                    
                                    https://harmreduction.org/our-work/training-capacity-building/online-training-institute/
                                
                                    GetNaloxoneNow.org
                                    
                                    https://www.getnaloxonenow.org/
                                
                                    NaloxoneTraining.com
                                    
                                    http://www.naloxonetraining.com/training
                                
                                    StopOverdose.org
                                    
                                    http://stopoverdose.org/section/take-the-online-training/
                                
                                    National Association of School Nurses – Naloxone in Schools Toolkit
                                    
                                    https://www.pathlms.com/nasn/courses/3353
                                
                                    www.APLA.org -- AIDS Project Los Angeles Fentanyl Strip Distribution
                                    
                                    https://aplahealth.org/fentanyl/
                                
                                    www.EndOverdose.net
                                    
                                    Theo Krzywicki (theo@endoverdose.net)
                                    Katie Krzywicki (katie@endoverdose.net)
                                
Meth can increase the chance of high-risk sexual behaviors such as:
Meth can make people do things they wouldn’t usually do. With fewer inhibitions, people may:
This increases the chances of exposure to HIV, sexually transmitted infections (STIs), unplanned pregnancy, and pregnancy outcomes such as low birth weight and neurodevelopmental problems.
Meth can lead to sex lasting too long, and that can lead to condom breaks and tears and bleeding of the genitals, anus, or mouth. All of which can increase the likelihood of transmission of HIV, hepatitis C, and other STIs.
Meth affects your memory, so people who use daily pre-exposure prophylaxis (PrEP) medication may forget to take it, which can make a person vulnerable to acquiring HIV if they are not using condoms.
Meth use may also cause a person to forget to take their daily HIV medication. That can increase their chance of going from HIV undetectable to detectable as well as possibly passing HIV onto their partners.
People who inject meth with needles, syringes, and other drug injection equipment or "works" (including cookers and cotton) that have been shared with others have increased risk of both HIV and hepatitis infection.
 If you plan on using methamphetamine, follow these tips 
to reduce the risks for you and your partner(s).
For males, use latex, polyisoprene, or polyurethane condoms and water-based lube. 
                                It is recommended to put on a new condom after 30 minutes of use, as they can break after 30 minutes.
For females, use a female condom for protection from HIV, STIs, viral hepatitis, and unplanned pregnancy. 
                                Don’t hesitate to carry your own condoms. Insist that your partner wear a condom.
If you are a commercial sex worker or having sex with multiple partners, anonymous partners, or partners whose HIV/STI status you are unsure about, get tested every 3–6 months for HIV and STIs. Free HIV/STI testing is available in LA County. HIV testing and treatment can make the virus undetectable in your body, so you won’t pass it to others through sex, although condom use is always recommended. Click here to find a free testing location near you.
If you are using meth in combination with sex, you may be at increased risk of HIV. Pre-Exposure Prophylaxis (PrEP) can greatly reduce the risk of acquiring HIV for all genders who use methamphetamine. For more information about PrEP, please visit getprepla.com.
If you think you may have recently been exposed to HIV, PEP may be an option for you. PEP is an emergency medication that can stop HIV. PEP must be started within 72 hours for it to be effective.
If you’re taking PrEP to prevent HIV or if you need to take HIV medication because you are living with HIV, use an alarm to ensure you are taking your pills at the right time.
                                    Sources:
                                    
                                    http://www.tradesexualhealth.com/sexual-health/sex-drugs/crystal-meth.html
                                    
                                    https://www.avert.org/sex-stis/safer-sex-hiv/chemsex-and-hiv
                                    
                                    https://www.acog.org/clinical/clinical-guidance