However, the effects of doses of GBL are greater than equivalent doses of GHB, which further heightens the risk of overdosing. BD/GBL are precursors to GHB, which means that our bodies will metabolise them into GHB once ingested. To complicate matters more, there has also been an increase in 1,4-butanediol (BD) and gamma-butyrolactone (GBL) use. For instance, those who experience regular GHB-induced comas have 63% more stress and 23% more anxiety than non-users. Studies (2018) show that these comas can lead to cardiac arrest, cognitive damage and worsen emotion management. When an individual exceeds that minimal safety margin, they often collapse and go into a GHB- coma. Appearing to be asleep but cannot be woken.But, the difference between this euphoric high and an overdose is a matter of milligrams. The drug - a clear liquid often dispensed with a pipette - produces a euphoric high, a sense of tranquillity and enhances libido. Gamma Hydroxybutyrate (GHB), otherwise known as G or liquid ecstasy, is a CNS depressant with both a stimulant and sedative effect. As a result, it remains highly stigmatised, which prevents users from gaining access to education or support. In large part, this is because GHB first appeared on the publicвЂ™s radar as the infamous вЂdate-rape,вЂ™ drug. In comparison, GHB users tend to be unaware of the risks involved. This is because while crystal meth may pose more risks to our health, users are more aware of how dangerous and addictive it is. As a result, it remains highly stigmatised, which prevents users from gaining access to education or support.Д®xperts note that GHB seems to be the most prolific and problematic drug arising out of chemsex circles. GHB first appeared on the publicвЂ™s radar as the infamous вЂdate-rape,вЂ™ drug. Worryingly, this means that people who never had any urge to consume drugs are becoming addicted to some of the most dangerous substances available.

Stuart emphasises that how gay men today relate to the trauma of the HIV/AIDs epidemic, and changing attitudes towards homosexuality also played a role in its evolution.Д¬hemsex has become so prolific young gay men are now discovering their sexual identities in an environment synonymous with substance abuse. Its popularity grew in tandem with the rise of hook-up apps such as Grindr. Specifically, it refers to the use of crystal methamphetamine, mephedrone and GHB/GBL for the purpose of sexual intercourse. Instead, the term was coined by David Stuart to depict a uniquely gay cultural phenomenon, also known as вЂParty вЂn PlayвЂ™ (PnP) or вЂHigh & HornyвЂ™ (H&H). To the unknowing ear, chemsex sounds like a new-age word for a timeless act consuming drugs in a sexual context. Overdoses can result in respiratory arrest or coma, which to the unknowing eye can appear as though the person has just fallen asleep.

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