Sexual consent is about having the ability and freedom to agree to sexual activity. This is something that must be clearly established between two people before any kind of sexual act or behavior, and you can change your mind at any time.

Unfortunately, your judgment can be dramatically impaired while you’re under influence of drugs. Before letting anyone come to your place (if you’re hosting) or before coming to a session hosted by other people, establish a set of boundaries, particularly about what you and other people are and aren’t prepared to do sexually.

Remember: sex without consent is rape, and rape and sexual assault is a crime.

If you don’t know how to tell the other person, you could show this song as a message of you not willing to have sexual intercourse.

If you’re hosting, it’s your responsibility to ensure that no one in your session is being forced to do something that he does not want to.

Meth can be smoked, injected (blasted, slammed), swallowed, snorted or shafted up the ass (booty bumping).
– When meth is smoked the effects can be felt in 3 to 7 seconds. Smoking is usually done through a glass pipe and the smoke or vapour is inhaled into the lungs.
– When meth is blasted the effects can be felt in 3 to 7 seconds. Blasting is done by using a needle and syringe and injecting into veins. This method should be done with clean injecting equipment and requires quite a bit of know how.
– When swallowed it can take 15 to 30 minutes to feel the effects.
– When snorted it can take 3 to 5 minutes to feel the effects.
– When shafted it can take 15 to 30 minutes to feel the effects. If you are having anal sex and shafting, give it at least 15-30 minutes after you’ve shafted before you engage in any anal sex. Let the meth dissolve in this timeframe before you start having anal sex because during sex you can sometimes cause tears to the anus. Don’t share injecting equipment! It increases the risk of transmission of blood borne viruses like Hepatitis B, Hepatitis C, Tetanus and HIV.

There is no such thing as a SAFE level of drug use. Substance use carries risk. It’s important to be careful when taking any form of drug, especially those that have been manufactured illegally. If blasted, the effects of meth can be felt almost immediately. Smoking, shafting, snorting or swallowing the drug may vary the length of time it takes for the effects to be felt. Meth may affect people differently based on:
– A person’s body weight
– General state of health
– Regular use of substance
– If taken in combination with other drugs including prescription medication
– The amount that is consumed
– Quality of the drug (this varies from batch to batch for most illicit drugs)
We can’t really tell you how long your high will last, because it all depends on the strength of the batch, how much you have taken, your tolerance to it and how you’ve taken it. Just be careful not to get too impatient and then double up your dose before the 1st one hits.

In the short term use of meth is likely to result in the following:
– Increased confidence and motivation
– Feelings of euphoria
– Reduced inhibitions
– Dilated pupils
– A dry or pasty mouth
– Increase in heart rate
– A reduced appetite
– Excess sweating
– Increase in libido Snorting meth can damage the nasal passage and cause nose bleeds. Ouch!

Like any substance, regular use of meth may result in the following effects to your health:
– A reduced appetite
– Extreme weight loss
– Restless sleep patterns
– Ongoing dental problems
– Difficulty concentrating
– Respiratory issues
– Muscle stiffness
METH PSYCHOSIS
Baby needs to get some sleep! High doses and frequent heavy use of meth may cause meth psychosis. It’s not fun and it’s consists of things like paranoid delusions, hallucinations and potentially, aggressive and violent behaviour. Symptoms will usually disappear a few days after use of the drug has ceased.

Coming down off Meth can be pretty hard. It’s quite the low, but what goes up must come down. You’ll be feeling all sorts of feelings while coming down, don’t go thinking it’s all over, your mental health is going through a come down and the feelings pass in time. Comedown feelings might include:
– feeling restless, irritable and anxious
– paranoia
– depression
– radical mood swings
– lethargy
– exhaustion
– increased sleep
– anger Your body has probably been through quite a bit as well, so what can you do to look after yourself?
Here are a few tips:
– Firstly make sure you eat heaps before you use. It really helps. Keep eating too! 
– Make sure your fridge is stocked before you use, so you can easily make food when you are partying as well as coming down. Nutrition is really important. Store soft food like yogurt. smoothies, protein shake and instant soup because you may find difficulties of chewing.
– Keep hydrated, drink plenty of water.
– If you are on any HIV meds or PrEP or PEP, put a reminder in your phone so you don’t forget to take them. Take a few days worth of meds out with you if you are having a big weekend. Also check out the section below on drug interactions for people living with HIV.
– Pamper yourself and do the things that make you feel safe and comfy. Hot shower, bath time, hanging out with friends, sleeping and watching trashy TV.
– Relax with some chilled music, this is a good playlist: LISTEN HERE
– Or check out this really nice relaxation video below. https://youtu.be/wp43OdtAAkM

The safest thing you can do is to not do any drugs, m’kay? But let’s be realistic, people use drugs. Some people really enjoy it, but for others it can become really problematic either for their health and wellbeing, their relationships, their jobs, their financial security or all of the above. Not only this, but some people can also develop a dependance and this can lead further problems if it isn’t addressed early or easily managed. If you are going to use drugs, it’s best to be safe about it. It’s your choice to determine what you put in your body, but whatever you do remember to be safe and responsible with yourself and with others.
We’ve got some helpful tips to consider.
– Set limits for yourself, and stick to them.
– Don’t let other people pressure you into doing drugs.
– Try to avoid mixing drugs with other drugs or be informed about the risks.
– Try to be aware of exactly what you are taking and how much you are taking.
– Eat before you party and stay hydrated with water.
– If you are going out for a big night, leave your bank cards at home and set a cash limit for yourself, leaving enough to get home by taxi.
– Tell some trusted friends what you’re planning to do.
– Don’t drive your car/motorcycle if you’re planning to get drunk/high on a night out –
 If you’re already too drunk and you have your car with you, leave the car and get home with taxi/grabcar and get your car back when you’re fully sober the next day(s), or use YouDrinkIDrive app  to get you a designated sober driver for your ride home.
– Put your close friend’s phone number on speed dial so that he/she can pick you up in case you’re too drunk/high and left alone. Apple’s iPhone has a feature where you can quickly and easily call for help and alert your emergency contacts  – take an advantage of that feature if you’re an iPhone user.

Large doses or a strong batch of amphetamine may result in overdose. Drugs that are manufactured illicitly and sold on the street vary in strength. They are also likely to be cut or diluted with other substances that are otherwise considered harmful to the body. If you, or someone you know is feeling any irregular or racing heart beat, convulsions, hypertension, difficult breathing, passing out, or having a stroke, call for an ambulance immediately.
You do this simply by Emergency calls:
Bangkok Medical Emergency 1646
Nationwide Medical Emergency 1669
Ambulance officers are not obliged to involve the police.

When you combine Meth with sex, you may get the urge to unlock sexual desires which you might ordinarily not consider doing when not getting high on Meth. This means people can end up doing things they never thought they would do and may or may not have wanted to do. For example, when fully sober, Tong will know a limit on how long he can get fucked. While high on meth, however, Tong often lost track of time and have a long fucking session – much longer than the usual, which will easily give him higher risk of bleeding ass and contraction with STI and HIV.
Meth may also give you a higher sense of intimacy with the one you’re having sex with. But that feeling is not real. For many people, combining meth and sex too regularly will make them have difficulties to disassociate sex and the use of drugs. This means that they are trapped in a desire to always get high on meth while having sex, or to have sex while taking meth – not “just sex” or “just Meth.”

If you often engage in chemsex with no condoms on, you must consider taking PrEP, which may prevent you from getting infected with HIV. Find out more about PrEP here.

The effect of taking amphetamines in combination with other drugs including over-the-counter or prescribed medication is unpredictable and dangerous.
Amphetamines + Antidepressants or Alcohol/Cannabis/Benzos:
Woah! Because amphetamine speeds up the body when it’s combined with depressants it may increase your risk of heart attack or stroke. Use of uppers and downers at the same time places the body under a high degree of stress. As your body attempts to deal with the conflicting chemical messages produced by different drugs, you significantly increase the negative side effects and this could result in overdose

If you are on PrEP and have a protease inhibitor (PI) as part of your treatment regime, in combination with Meth, these drugs have potential interation that effects your health. You may need close monitoring, changes of drug dosage or timing of administration from your doctor. If you’re talking with doctor from TestBKK’s clinic partners, we guarantee that you will not be in trouble if you open up about your illicit drugs consumption.

If you are on PEP and have a protease inhibitor (PI) as part of your treatment regime, in combination with Meth, these drugs have potential interation that effects your health. You may need close monitoring, changes of drug dosage or timing of administration from your doctor. If you’re talking with doctor from TestBKK’s clinic partners, we guarantee that you will not be in trouble if you open up about your illicit drugs consumption.

Living with HIV and taking a protease inhibitor? Your HIV treatment schedule combined with crystal or any other amphetamine may lead to elevated amounts of the drug pushing through your system. This significantly increases the chance of negative side effects with potentially fatal results. If you’re living with HIV and a recreational user, it’s important to check in regularly with your doctor. If you’re talking with doctor from TestBKK’s clinic partners, we guarantee that you will not be in trouble if you open up about your illicit drugs consumption.

Been going a little too hard lately? If your meth use has begun to have a negative impact on your overall health or your relationships with family and friends, your ability to focus on work or study or perhaps even the bottom line on your bank account – it’s time to get support with somebody who can help. There are a number of treatment options and support services available for you, for your family or friends if they need it. Whatever your recovery goals are, if it is to control, reduce or stop meth use, reach out for some support.

Giving up after using amphetamines for a long time is a challenging task. The body needs to adjust to a life of functioning without it. Functioning without stimulants after such a long period is hard. It may take a week or more to get through the symptoms and from that point on ‘til the end of one month you may experience any of the following:
– Drug cravings
– An increased appetite
– Confusion and irritability
– Body aches and pain
– Exhaustion
– Restless sleep and nightmares
– Anxiety, depression and paranoia

testBKK have gathered all the information of help, support, rehabilitation center and consultation for alcohol and drug usage in Bangkok metropolitan. 

Mental health and drug user hotline

If you have mental health or drug abuse, don’t keep it to yourself, talk to someone about it. It could be anything, ranging from mental health issues like suicide thoughts or stress to consultation on your personal health. These hotlines are free and will be confidential.

 To find information on mental health and drug abuse

Harm reduction centers

Harm reduction center, provides harm reduction from drug related health issue services like providing sterile needles. If you have a plan to reduce or stop using drugs and want to build capacity, these centers could help you. You will be safe and receive friendly service and supporting voices from the staff.

 To find more information on harm reduction centers

Rehabilitation center for drug users

If you are looking to rehabilitate, there are many facilities that are ready to support you on reducing and quitting using drugs. There are both OPD and IPD options, and the service ranges from drug withdrawal, rehabilitation and follow-up.

 To find more information on rehabilitation center for drug users

If you want to find more information on alcohol and drugs click here

And if you want to get your blood test, you could reserve your appointment online with our partnered clinic here

The information given on this page is not medical advice and should not be relied upon in that way. Individuals wanting medical advice about Meth should consult a health professional.

http://touchbase.org.au/alcohol-and-drugs/meth