Sexual consent means that we can freely decide to participate in sexual activities. This consent must be clearly agreed upon between both parties before starting any activity related to sex, and must be able to change our minds at any time.

However, the effects of drugs can impair your ability to judge and make decisions. Therefore, before letting someone join your hi-fun or before you join someone else’s hi-fun, everyone who joins should set boundaries on sexual activities, especially what can and cannot be done during sex.

Remember, sex without the other person’s consent is rape, and rape and sexual assault are crimes.

If you don’t know how to tell your partner, listen to this song by Milli before the hi-fun.

If you are the one who organizes the hi-fun, you are responsible for making sure that no one is forced to join the hi-fun without their consent.

Cocaine is most commonly taken by snorting a powder into the nose (powder), but it can also be injected, rubbed into the gums, or mixed into food or water.

Freebase or crack cocaine is most commonly taken by smoking.

There is no safe level of drug or substance use. All substances carry risks, so caution must always be exercised when using them. Illegal drugs, in particular, take effect almost immediately if injected. If smoked, snorted or swallowed, the effects will be slower. The effects of cocaine on each individual depend on several factors, including:

– The user’s weight

– The user’s physical and mental health

– Frequency of use

– Use with other drugs or substances, such as prescription drugs

– Amount used

– The purity of the drug (illegal drugs often do not have standards)

Short-term effects of cocaine use include:

– Increased self-confidence and enthusiasm

– A feeling of happiness

– Reduced inhibitions

– Dilated pupils

– Pale, dry lips

– Rapid heart rate

– Reduced appetite

– Excessive sweating

– High sexual drive

If inhaled through the nose, it can cause nosebleeds, nasal mucosa infections, perforations of the nasal septum, and long-term damage to the nasal cavity.

Regular use of large amounts of cocaine can cause psychotic symptoms. Users may experience delusions, paranoia, hallucinations, aggression, or mania, which usually disappear after a period of cessation of cocaine use.

When cocaine starts to wear off, you’ll feel pretty bad, but don’t think it’s over. Your mind is just on a “downward slope” and the bad feelings will gradually fade over time.

When cocaine wears off, you may experience:

– Feeling restless, irritable, and anxious
– Paranoid
– Depressed
– Mood swings, sometimes good, sometimes bad
– Lethargy
– Fatigue
– Sleeping more
– Irritability, anger

Your body is going through a tough time too, so you should take care of yourself. Here are some suggestions:

– Eat a full meal before taking the drug, and eat something to fill your stomach.
– Make sure to stock up on food in the fridge for parties or when the drug starts to wear off. Stock up on soft foods, such as yogurt, smoothies, protein shakes, or instant soup, because you may have a hard time chewing food after taking the drug.
– Don’t let your body get dehydrated. Make sure you’re drinking enough water.
– If you’re taking antiretroviral drugs or are on PrEP or PEP, make sure to set a timer on your phone to take your pills so you don’t forget. And if you’re going out partying for days, make sure you have all your meds.
– Take care of yourself, stay comfortable and safe. Take a hot bath, hang out with friends, take a nap or watch a comedy on TV.
– Relax with some soothing music. This playlist sounds great, give it a listen.

– Or take a walk in the rain, relax as the cool raindrops hit you. The ultimate MV hero.

If you want to be safe, don’t use drugs at all, okay? But let’s be honest, many people use drugs. Some people use them for fun, but many people use them and have problems with their physical and mental health, relationships, careers, finances, or all of the above. If left untreated, it will have a greater impact on their health. If you plan to use drugs or substances, use them safely. It is your choice what substances you put into your body, but whatever you choose, make sure they are safe and have the least impact on yourself and others.

Here are some suggestions for you:

– Set boundaries for yourself and stick to them.

– Don’t let others force you to use drugs.

– Avoid mixing or combining drugs, or if you really want to do it, do your research first.

– Always remind yourself of what drugs you are taking and how much.

– Eat before you party, and always drink enough water.

– If you are going to go out on a special night, leave your ATM card at home, set a spending limit, and don’t forget to save money for transportation home.

– Tell a close friend what you are going to do.

– Don’t drive your own car or motorcycle if you think you will be high that night.

– If you feel high but drive your own car Leave your car at the shop and take a taxi or GrabCar home, then come back to get it the next day when you’re sober. Or you can use the YouDrinkIDrive app, which will send a driver to drive you home.

– Set up a close friend’s number as an emergency number, just in case you need to contact them to pick you up when you’re high and alone. Apple phones allow you to set up emergency dialing to emergency numbers immediately. If you have an iPhone, make sure to use it to its full potential.

If you decide to use injection, make sure that the equipment you are using is clean. Do not share needles or injection equipment with others, as this can increase the risk of contracting blood-borne diseases such as hepatitis B, C, and HIV. You may not be able to see blood in the needle or syringe, but it may be on your skin, hands, or even on the table. So, just because you can’t see blood doesn’t mean it won’t come out. Always wash your hands and disinfect the injection site before injecting.

Sharing injection equipment and injection equipment can put you at risk of:

– Damaged blood vessels and permanent scarring

– Infection with hepatitis B, hepatitis C, tetanus, and HIV

– Blood clots, which can cause paralysis, organ damage, stroke, and even death

If you reuse needles, learn how to clean them at Minimize risk: Cleaning injection equipment [www.testbkk.org/clean-injection]

Using large or strong doses of cocaine can lead to an overdose. Drugs produced illegally and sold on the black market vary in purity, but are often mixed or diluted with substances that are harmful to the body. If you or someone you know experiences any of the following symptoms, call an ambulance immediately:

– Fast, irregular heartbeat

– Severe shaking

– High blood pressure, shortness of breath

– Chest pain

– Severe restlessness or anxiety

– Loss of consciousness

– Symptoms of heart disease and stroke

Emergency numbers

Emergency medical unit Bangkok 1646

Emergency medical unit nationwide 1669

If you use cocaine in conjunction with sex, you may be able to unleash your sexual drive and do things you never would have thought of doing when you weren’t on the drug, or things you really didn’t want to do. For example, Ohm, when he was sober, would always make sure that any man he wanted to have sex with wore a condom. But when he was on the drug, Ohm allowed someone to penetrate him and ejaculate inside him without protection, putting Ohm at risk of contracting STDs and HIV.

If you regularly attend HiFun and don’t wear condoms, you may want to consider taking PrEP, which can help prevent HIV infection. Find out more about PrEP here.

Cocaine + alcohol will increase the stimulant effect of cocaine, causing the heart to work very hard, leading to immediate death.

Cocaine + other stimulants (ecstasy, methamphetamine, and crystal methamphetamine) cause the heart to contract very hard, increasing the risk of overdose.

Cocaine + antidepressants can cause serotonin syndrome, such as insomnia, restlessness, seizures, rapid heartbeat, muscle twitching, etc., which must be treated immediately by medical treatment.

If you take PrEP containing PI (Protease Inhibitors) and NNRTIs Efavirenz (EFV), Etravirine (ETV) and Nevirapine (NVP) together with cocaine, it may cause a drug reaction and have adverse effects on your health. Also, if you take Saquinavir (SQV) in the PI group, do not use cocaine.

You should consult a specialist doctor to closely monitor your symptoms and adjust the dosage and duration of use. If you go to a clinic that is affiliated with TestBKK, we assure you that you will not face any problems from disclosing your drug history.

If you take Pep with PI (Protease Inhibitors) and NNRTIs Efavirenz (EFV), Etravirine (ETV) and Nevirapine (NVP) together with cocaine, it may cause a drug reaction and have adverse effects on your health. In addition, if you take Saquinavir, a PI, do not use cocaine.

You should consult a specialist doctor to closely monitor your symptoms and adjust the dosage and duration of use. If you go to a clinic that is affiliated with TestBKK, we assure you that you will not face any problems from disclosing your drug history.

If you are positive and taking PI (Protease Inhibitors) and NNRTIs Efavirenz (EFV), Etravirine (ETV) and Nevirapine (NVP) together with cocaine use, these drugs will increase the amount of cocaine in the body, causing overdose and affecting the body. Also, if you take PI Saquinavir (SQV), do not use cocaine at all.

If you are living with HIV and use drugs, you should consult and have regular health check-ups with a specialist doctor. If you go to a clinic that is affiliated with TestBKK, we assure you that you will not face any problems from disclosing your drug history.

Take it easy guys! If your cocaine use is affecting your physical health, relationships with friends and family, ability to work or study, or even your pocketbook, it may be time to reach out to someone who can help. There are many treatment options and organizations that are ready to help you and those around you. Whether your goal is to control, reduce, or quit using drugs, there is always someone to help.

If you are concerned about your drug addiction or have a mental health problem related to your substance use, don’t keep it to yourself. Talk to a professional. Whether you are calling for psychological counseling, suicidal thoughts or stress, or just want to find out more about the right health services for you, it is free and your information will be kept confidential.

Find a hotline for information and advice

Drop-in centers offer services that can help reduce the health risks associated with drug use, such as clean syringes. If you have a goal to reduce your drug use, these drop-in centers can help. You can be sure that you will receive services in a safe space with friendly and supportive staff.

Find a drug use reduction service

If you are looking for treatment and rehabilitation services, there are many clinics that can help you achieve your drug reduction and cessation goals. They offer both inpatient and outpatient services, from preparation to detoxification, rehabilitation and follow-up.

Find a treatment and rehabilitation clinic

Regular blood and STD testing, at least every three months, is important for your health. If you visit a clinic that is affiliated with testBKK, we can assure you that you will not face any problems in disclosing your drug use history. You can also book a blood test in advance, which will help you avoid waiting in line. Get a quick, confidential and anonymous test.

Book an appointment with a clinic that is affiliated with testBKK.

Cocaine withdrawal after long-term use is difficult. It takes time for an addicted body to adjust to not using cocaine. You should seek advice from a health care provider. Withdrawal symptoms usually occur 1 to 2 days after your last use and can last up to 10 weeks. Days 4 to 7 are the most severe.

There are three stages of cocaine withdrawal:

Stage 1: The wear-off stage. Early on, you will experience intense restlessness, depression, anxiety, hunger, drug cravings, trouble sleeping, and exhaustion.

Stage 2: The withdrawal stage. You will experience cocaine cravings, lack of energy, anxiety, extreme mood swings, and a lack of pleasure in doing the things you enjoy. These symptoms can last up to 10 weeks after your last use.

Stage 3: The fade-out stage. During this stage, you may still experience drug cravings.

The information on the testBKK website is for general information only and is not medical advice. If you need more information or advice about cocaine, you should consult a medical professional.