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GHB ABUSE
Gamma hydroxy butyrate or Gamma hydroxybutyric acid, Sodium Oxybate
Street terms for GHB are: "G" (most common), Gamma-OH, Liquid E, Fantasy,
Georgia Home Boy, Grievous Bodily Harm, Liquid X, Liquid Ecstasy (is not ecstasy),
Scoop, Water, Everclear, Great Hormones at Bedtime, GBH, Soap, Easy Lay, Salty
Water, G-Riffick, Cherry Meth, Organic Quaalude, and Jib.
GHB is a central nervous system depressant that can relax or sedate the body.
At higher doses it can slow breathing and heart rate to dangerous levels.
GHB is made from: gamma butyrolactone (GBL) and Sodium Hydroxide or Potassium
Hydroxide - basically it is degreasing solvent or floor stripper mixed with
drain cleaner. When GBL or BD or products containing them are ingested, GHB
is produced in the body.
Your body manufactures GHB for its normal metabolism. The only reason people
take GHB at a party is to get high, not for their health. People are kidding
themselves if they imagine they're taking a vitamin supplement or amino acid,
even though GHB has been marketed as such. Just because trace, minute amounts
of GHB are found in a human body doesn't make the lab-created form of it safe
to consume!
GHB can be produced in clear liquid, white powder, tablet, and capsule forms.
When in clear liquid form it looks just like water. It can be mistaken for water
because it is usually found in a small (30ml) clear plastic bottle, a water
bottle, or even Gatorade bottles, which contains several doses. One dosage is
usually a capful. There are approximately 9 hits per bottle, but this, too varies
depending on the concentration of the mix. GHB has become notorious for its
use in crimes, particularly rape. Colorless, odorless, and tasteless, it can
be slipped into drinks and ingested without the victim having any clue. It causes
sedation, often rendering the victim helpless. It also produces amnesia, making
it very difficult to arrest and convict a perpetrator.
The effects of GHB include: Intoxication, increased energy, happiness, talking,
desire to socialize, feeling affectionate and playful, sensuality, enhanced
sexual experience, muscle relaxation, loss of coordination due to loss of muscle
tone, nausea, difficulty concentrating, loss of gag reflex. GHB's intoxicating
effects begin 10 to 20 minutes after the drug is taken. The effects typically
last up to 4 hours, depending on the dosage.
The side effects of GHB use include: nausea, headaches, drowsiness, dizziness,
amnesia, vomiting, loss of muscle control, respiratory problems, loss of consciousness,
being conscious but unable to move, and death, sedation, desire to sleep, rambling
incoherent speech, giddiness, silliness, difficulty thinking, slurred speech,
passing out, and death. - Especially when combined with alcohol or other drugs.
An overdose of GHB can occur rather quickly. The signs are similar to those
of other sedatives: drowsiness, sleep, loss of consciousness, nausea, vomiting,
headache, loss of reflexes, impaired breathing, slowed heart rate, respiratory
depression, seizures, hypothermia, coma, blocked airway due to loss of gag reflex,
and ultimately death.
"GHB has several characteristics that increase the likelihood of toxicity,"
says Dr. Frankenheim. "A small increase in dose can push the sedative effects
to a lethal level. High doses of GHB overwhelm the body's ability to eliminate
the drug, and therefore lead to greater effects of longer duration than expected."
GHB's purity and strength are especially difficult to determine because the
drug can be made from a number of chemical formulas, which differ in the amount
of GHB produced when metabolized by the user's body.
The effects of withdrawal from GHB are: insomnia, anxiety, tremors, and sweating.
Because widespread use of GHB is relatively recent, the worst effects of this
drug are not known yet. There are indications, however, that the potential may
be significant. GHB users have reported that they need higher and higher doses
to get the effects that they want, and that when they try to quit, they can't.
GHB and two of its precursors, gamma butyrolactone (GBL) and 1,4 butanediol
(BD) have been involved in poisonings, overdoses, date rapes, and deaths. These
products, obtainable over the Internet and sometimes still sold in health food
stores, are also available at some gyms, raves, nightclubs, gay male parties,
college campuses, and the street. They are commonly mixed with alcohol (which
may cause unconsciousness), have a short duration of action, and are not easily
detectable on routine hospital toxicology screens.
GHB emergency room mentions increased from 55 in 1994 to 2,973 in 1999. In
1999, GHB accounted for 32 percent of illicit drug-related poison center calls
in Boston. In Chicago and San Francisco, GHB use is reportedly low compared
with MDMA, although GHB overdoses seem frequent compared with overdoses related
to other club drugs.
GHB (gamma hydroxy butyrate) use is a growing problem on college campuses.
GHB and its analogs are used for a variety of reasons: Partying. Raves. Date
or acquaintance rape.
The use of GHB on college campuses continues to be a growing problem. Accurate
information is so scarce about GHB that the majority of college students using
it have no knowledge that they are putting their lives in danger. The information
on most web sites is so misleading regarding GHB that some college students
actually believe the myth that GHB is a safe supplement. Many male students
are attracted to its use for its reputed reputation as a muscle enhancer, while
other students may find themselves using it as a sleep aid, especially in noisy
dorms.
The use of GHB for its euphoric effects continues to rise on many campuses.
GHB can easily be concealed in a college dorm room so its use can go unknown,
unlike the use of alcohol. Many universities and colleges have had so many problems
with the use of GHB on their campuses, that they are now faced with educating
their students on this dangerous and deadly drug.
In September of 1999, Glamour Magazine did a survey of over 200 female students
at more than 20 colleges and universities. The survey revealed that 19% of those
asked know someone who has been a victim of GHB.
For several years, NIDA monitoring systems have registered a nationwide pattern
of drug use centered on all-night party and "rave" dance clubs and
bars. The drugs reported in these scenes are extremely diverse and vary among
locales. Overall, they include drugs that have long been abused, such as marijuana
and cocaine, and drugs whose abuse is a more recent development, such as methamphetamine,
ecstasy, gamma-hydroxybutyrate (GHB), flunitrazepam (Rohypnol), and ketamine.
Some are stimulants, some depressants, and some hallucinogens. Some are prescription
drugs that are made in licensed factories using strict quality control, but
illegally diverted for abuse. Others have no legitimate medical uses and are
produced clandestinely.
Because of this diversity, "club drugs" is an ambiguous and flexible
term. However, it clearly applies to methamphetamine, ecstasy, GHB, and Rohypnol,
which have become widespread in the 1990s in tandem with contemporary club culture.
The novelty of many club drugs is undoubtedly one reason for the recent surge
in their use. Because these drugs are relatively new, some vulnerable individuals
may imagine that taking them is safe-that their reported adverse effects are
rare or exaggerated, and that such reactions could never affect them personally.
In contrast, few can harbor such misperceptions about older drugs. Cocaine,
for example, was widely used in dance clubs and elsewhere in the 1980s, but
its use has receded as its health and social costs have become well known.
Scientists still have much to learn about club drugs. However, they have already
shown that these substances can cause serious and perhaps permanent impairments
and sometimes death.
An additional challenge to scientists-and peril to users-is the fact that club
drugs are often taken in combination or with other intoxicants. GHB, for example,
is frequently consumed with alcohol, which is also a depressant. A significant
percentage of those who have died with GHB have also had alcohol in their blood.
In Seattle and Miami, ecstasy is sometimes taken mixed with LSD, psilocybin,
or heroin. It is very likely that such combinations will affect the body and
brain in ways that are more deleterious than either drug alone.