Keeping safe from the risks of multiple (poly) drug use

Multiple (poly) drug use refers to the use of two or more substances in a combination that is intended to achieve a particular effect. It is common amongst problem drug users to have, or to develop, multiple dependencies.

• DO always try to leave a reasonable period of time between taking additional substances, this will reduce the chances of cross intoxication, therefore, reducing the possibility of an overdose.
• DO try to consume drugs orally or by smoking, this will reduce the risk of accidental overdose. This may also help to reduce damage to your veins and the risk of transmission of a Blood Borne Virus and/or bacterial infections.
• DO remember that the majority of drug related deaths occur when depressant, or sedative drugs, and alcohol are combined. Follow the guidance provided with your medication, it is there for a reason.
• DO remember that over the counter painkillers can contain large amounts of Paracetamol, taking more than the recommended dose can cause damage to your liver and/or kidneys.

• DO NOT mix multiple depressant drugs such as opiates, benzodiazepines, methadone or alcohol together, doing this will increase your risk of an accidental overdose.
• DO NOT use stimulant drugs such as cocaine or amphetamines with opiates or benzodiazepines, these combinations can increase the risk of cross intoxication or overdose.
• DO NOT place yourself, or others, at risk of aggressive or violent behaviour. Do not consume stimulants, benzodiazepines and alcohol together, they can seriously affect your mood and behaviour.
• DO NOT forget that when your behaviour is influenced by one or more substances, there is a risk of increased sexual activity, you may be less cautious than normal and might take greater risks.

• Drug Service
• Safer Injecting Service
• Pharmacy Exchanges
• Overdose
• Multiple (poly) drug use
• Relapse

• Alcohol

• Drugs

• Young People

• Sex

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