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This week, TheJournal.ie is taking a closer look at Ireland’s relationship with illegal substances. More people in Ireland are using drugs than ever before. We’ll look at why that is… and the possible consequences.
AT THE END of the day who wouldn’t like to fuck like a porn star, fuck for two or three days?
Genuinely this is the most difficult substance I’ve ever worked with in over 20 years of addiction treatment. The dynamics of the drug, what it does to you, what it takes from you – depression, anxiety, isolation – can be crippling.
Sex and drugs often go hand in hand – they have done for decades.
In recent years, one drug in particular keeps popping up in discussions about sexual activity: G.
GHB (gamma hydroxybutyrate) or GBL (gamma butyrolactone), both often shortened to G or Gina, are drugs used socially and for the purposes of chemsex.
Chemsex is the use of drugs such as G, crystal methamphetamine, ketamine and mephedrone to enhance sexual activity. The practice is usually associated with men who have sex with men (MSM), often involves multiple people and can lead to sexual encounters that last for hours or days.
Slamsex is the term used when the above drugs are injected for a more intense high.
GHB is a synthetic drug used as an anaesthetic. It comes in a clear liquid or powder form and its potency varies. GBL is sold as a substitute for GHB. It’s found in cleaning solvents and converts to GHB when you swallow it.
“Sex and drugs have been synonymous for a very, very, very long time,” Adam Shanley, outreach worker with the Gay Men’s Health Service and coordinator with rapid HIV testing service KnowNow, said.
Many of the people who engage in chemsex do so simply for pleasure. Drugs such as G reduce inhibitions and can create a euphoric effect.
Others take part in chemsex for more complex reasons, Shanley said, such as intimacy issues; internalised homophobia; and religious or cultural shame associated with sex, and gay sex in particular.
Like many substances, some people use G socially and don’t become addicted. However, others find themselves becoming dependent on it.
Chemsex partners often meet via dating apps such as Tinder and Grindr. Dangers associated with the practice include overdosing and an increased risk of contracting an STI or HIV if protection is not used.
The practice is gaining traction in Ireland but is more common in the UK – where a number of men have died as a result of overdosing. London, for example, has developed a reputation as the “chemsex capital“.
David Stuart, manager of the chemsex support programmes at a sexual health centre in Soho said, of the 7,000 to 8,000 gay men who come through the clinic’s doors each month “3,000 are using chems and are coming here with the consequences of chemsex”.
Lining up G with tea
Shanley first became concerned about chemsex in Ireland about three years ago.
“There was a direct connection to a friend of mine. We were out one night and I was there the next morning when he was getting ready for work. He was making a cup of tea and dosing out his G for the day.
“I had heard about it happening elsewhere, in London for example. But I didn’t realise that it was so under the radar here that I didn’t even notice my friend was doing it.
“Then I started to hear about friends passing out at parties and about non-consensual sex at parties – both through my own circle of friends and work,” he told TheJournal.ie.
Overdoses and deaths
Shanley noted that G is “a really, really addictive drug”, adding: “It’s not just used for chemsex, it’s a club drug too.
“Some people might have started to use it for chemsex but their dependency grew and it started to become something that they needed to take more often just to stave off any sort of come down.
Before they knew it they were falling into a proper addiction. I know some people who were waking up in the middle of the night to take it.
Shanley said he’s aware of a number of people who have died as a result of overdosing on G.
“It’s a very easy substance to overdose on. Unfortunately we know of a number of people over the last number of months and years who have died … Last year, three people that I know of died.”
Shanley said it’s difficult to quantify how many people have died as a result of this in Ireland because G usually only shows up in a person’s system for 12 hours and many toxicology tests don’t screen specifically for the drug.
“That skews the reality of problem,” he stated.
Shanley said some people overdose or become ill after taking G “due to naive drug use” or being unaware of the dangers of the drug.
The Gay Men’s Health Service and others are trying to make people aware that the potency of G can vary hugely, as can people’s reactions to the same amount.
“I might find 0.5ml euphoric, the same amount might be enough to send you into a coma,” Shanley said.
One in four men
A paper, compiled by Dublin-based researchers, published in the International Journal of Drug Policy last year assessed the prevalence of chemsex, associated behaviours and STIs among attendees at Ireland’s only MSM-specific sexual health clinic over a six-week period in 2016.
The response rate was 90% (510/568). One in four men (27%) reported engaging in chemsex within the previous 12 months, and half had taken two drugs during their last chemsex experience. One in five people (23%) reported that they or their partners had lost consciousness as a result of chemsex.
One in four men (25%) reported that chemsex was impacting negatively on their lives and almost one-third (31%) reported that they would like help or advice about chemsex.
Shanley said that, while the risks of chemsex must be highlighted, it’s important to note that, based on the snapshot provided in the survey, 75% of men who engage in chemsex said it didn’t impact negatively on their lives.
‘Fuck like a porn star’
“The gay scene, historically it’s a party scene,” Graham Ryall, Treatment Services Coordinator at the Rialto Community Drug Team, noted.
“At the end of the day who wouldn’t like to fuck like a porn star, fuck for two or three days? That is the effect that these drugs can have on someone.”
However, there is a darker side.
Genuinely, this is the most difficult substance I’ve ever worked with in over 20 years of addiction treatment. The dynamics of the drug, what it does to you, what it takes from you – depression, anxiety, isolation – can be crippling.
“If someone experiences loss, if someone has a medical diagnosis, loses a job etc – the effect of that on them … If there’s this tiny little bottle that you know will take away all the pain for two hours, you’ll continue to take that,” Ryall said.
He added that G is highly addictive and “can prey on very vulnerable people”.
Like heroin in Fatima Mansions in the 1980s, it can also destroy people.
Some people who use G at the weekend can have a terrible comedown on Monday morning, which leads to them starting to take the drug during the week.
“If you’re riddled with anxiety you might think, ‘One shot and I’ll be fine’, but then you need another one at 11am,” Ryall said.
He knows some people who “have to take G every 60-90 mins, 24-7″.
“That really does bring it home to you. You could be in a [counselling] session with people needing heroin – they would wait to take it afterwards.
“People needing G – they would start to shake, get convulsions, visually start to go. I’ll ask, ‘Can I get you a glass of water’ because they need another shot of G (then and there).”
Ryall has helped to secure a detox bed in Beaumont Hospital in Dublin for people who become addicted to G.
Numbing the pain
Ryall said G and meth have had a “far more detrimental effect” on the gay community in recent years than more ‘established’ drugs like cocaine and ecstasy.
Some club owners don’t want such drugs being taken on their premises so this “puts things underground”. Not everyone who uses G or meth engages in chemsex but an increasing number of people appear to be doing so.
Ryall said some people turn to drugs when they’re new to the gay clubbing scene – as a way to lose inhibitions and “heighten social ability”. Others use drugs to help numb the pain they’re feeling due to various personal issues.
“As soon as the (chemex) session starts off, the inhibition is gone, it’s all good again … When drugs become a problem, those issues can come to the fore,” he said.
Ryall said safety information about G and chemsex needs to be spread in pubs, clubs and colleges.
‘Going under’
Consent often comes up in discussions about chemsex. Ryall said there’s an issue with people “going under” or passing out post-G, adding:
People are at risk when they are gone under.
“I don’t want to put across that this is about gay boys being promiscuous. A person who has become addicted to G may have a very poor sleeping pattern, they could be up for two or three days and want to sleep so they take a little more than usual, go under – certainly they are vulnerable.”
Ryall said a “large number” of people have engaged with him about chemsex – ranging in age from early 20s to early 50s. Some don’t necessarily want to stop using drugs there and then. They might be seeking advice or information, or come back further down the line if they think they have a problem and need support.
Others are not willing to stop using certain drugs altogether but may want to reduce their use.
“I engage with individuals where they are at and where they want to be at. You can’t impose what you want – just say, ‘Stop taking drugs.’”
Ryall said giving up certain drugs can be particularly difficult for some people as it could mean changing habits they’ve had for years, as well as relationships.
“If they are part of a scene and everyone around them is perhaps part of that scene, it’s very difficult to come out of it.”
Rising HIV rates
More than 200 people in Ireland were diagnosed with HIV in the first five months of this year. A total of 504 people were newly diagnosed with HIV in 2017, on a par with the 503 new HIV diagnoses in 2016.
Of the new diagnoses in 2016, just over half (51%) were among MSM. According to the Health Protection Surveillance Centre, this was the largest number of diagnoses ever reported in MSM, who remain the group most affected by HIV in this country. According to provisional figures, 235 MSM were diagnosed with HIV last year.
Shanley said the increase in the number of MSM being diagnosed with HIV in recent years is multifaceted but that chemsex may have played a role.
“One of the desired effects (of using drugs like G) is disinhibition during sex so safer sex practices are perhaps less of a priority.”
G cards
Shanley said stakeholders from various organisation such as the HSE, HIV Ireland, the Ana Liffey Drug Project and the Gay Men’s Health Service (GMHS) have come together to discuss chemsex and how to best support those who need help.
As part of his work with the GMHS, Shanley provides training for healthcare professionals and others who work in relevant areas on how to best support people seeking help or advice about chemsex.
“We need to make sure that staff are asking the right questions and providing a supportive environment when people present. They need to be clued in with the language that is used [about chemsex] and the supports that are needed and available.
“People need to feel they can open up and have that conversation.
At a very basic level, we need to get information to those who need it. If we improve that cultural competence in regard to chemsex culture in our support services, people are more likely to present and seek help.
Shanley said one or two people a week could contact him about chemsex – in person and online.
The GMHS has a profile on Grindr, for example, and some men feel more comfortable seeking information from an anonymous source.
“When they’re behind a keyboard people are more comfortable to talk,” Shanley said.
As well as always encouraging condom-use, the GMHS urges G-users to carry a ‘G card’ (available at various service providers and sexual health clinics), so first responders will know what they’ve taken if they do end up in hospital.
By carrying the card, medical professionals know how to best proceed and “that definitely helps”, Shanley said. He noted that people are often reluctant to carry such a card due to the potential stigma of saying they use drugs.
“People are much more likely to carry the card when they have experienced a negative outcome in the past, such as a stint in A & E. Then they’re a lot more likely to see its benefit or worth,” he added.
Another piece of advice given to people who use liquid G is to add a food colourant to the drug, making it easily distinguishable from water.
“One guy ended up in A and E because he overdosed after he picked up a glass which he thought was water and knocked it back, actually it was a large dose of G,” Shanley told us. He said the man in question ended up in a coma but luckily pulled through.
How chemsex-use in Ireland will develop is unclear, as is the long-term impact of G.
Ryall said: “I worry for sure about the long-term effect. It’s a very serious chemical you’re putting into your body.
“We’re in the first five to seven years [of this scene] in Ireland … That’ll be an interesting study to have in a few years’ time. The long-term damage, we don’t fully know.”
Want to talk about G or chemsex? Here are some of the support services available:
The Ana Liffey Drugs Project is a hosting town hall event entitled ‘Towards a health-led approach to possession of drugs’ in Dublin tomorrow evening. Entry is free and you can find details here.
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P E R S O N A L
R E S P O N S I B I L I T Y
@Rob O’brien: no drugs..no overdose..simples
@BigNuts: Just smoke weed… Great sex, no overdose..
@Lad: you took the words right out of my mouth
@Lad: or just have great sex au natural without the use of any substance.
@Lad: absolutely agree with this
@Rob O’brien: It is, but people and organisations need to act now to stop it getting out of control.
You inform fat people when they have a heart attack on the same? Support/action has to be taken
@Barry Zuckerkorn: oh it must have been when you were kissing me !
@Darren Norris: Seeing as it wasn’t in the article, hopefully this comment won’t get lost –
There is a GHB Detoxification Clinic where people (heterosexual & homosexual) who are dependent on GHB/GBL can be referred in order to detox and come off it, as well as engage in counselling about the underlying circumstances that result in substance misuse. It’s affiliated with the HSE-National Drug Treatment Centre, on Pearse Street.
So, can straight guys take this drug, and ride for days like a porn star? Asking for a friend.
@Gulliver Foyle: How bout me, you and that friend of yours get together and find out?
@Luke Sharpish: Just asked the fella serving me in the petrol station. He’s game too.
@Gulliver Foyle: “asking for a friend” love it lol lol lol
@Gulliver Foyle: Yup, but your friend will have to get one of those inflatable girlfriends. No sane woman would like to be pounded for days.
I’ve heard of this mad drug, known on the street as B(ooze), that has been causing Irish people to have sex for centuries. Some scientists have even postulated the theory that the Irish race would have become extinct by 1953 without it
@Paul Devlin: Did ya know that beer was illegal in Iceland unti 1989?? WTF
@Paul Devlin: Gas
@Paul Devlin: I’ve heard of booze. Apparently it can make blokes go to bed with super models and wake up beside monsters!
We,as a race are f_#ked up.seriously.
@Dave Walsh: no…certain people are all f’d up…the smart ones aren’t.
@Dave Walsh: We are a race of lonely people who are too selfish and prideful to be happy, we think control will give us happiness but it only makes us angry trying to gain control, we look for quick short term happiness but doing that just burns us out and makes us feeling worse later on. Some look for happiness in all the wrong places because they don’t know why they are unhappy and some look for happiness in material things when they are lonely and others look for happiness in fantasies when its a spiritual loneliness. I think when people want to belong then they do as others do to fit in or to think that it will bring them happiness if they do what makes others happy? People will try anything new to look for happiness and trying stuff can make them addicted and addiction never brought anyone happiness but enslavement and more unhappiness? People aren’t F… up, they are just lonely in my book but I could be wrong?
@TamuMassif2019: far too intalegent and thought out an opinion for the comments section of the journal there pal….
@Peter Lewis Jnr: I like to observe life in order to work out what it all means and I think people are looking to belong, to love and be loved, to find control and meaning in their lives… Until then writing in the comment lines will be the bandaid used to cover up all these things with for now lol.
I just think people want to be happy, if not happy then not sad at any cost and most people don’t even know what they want and even more don’t know what they don’t want, so they try everything but at a cost?
Hay we get nowhere without questioning everything, it’s a bit of craic as well?
Just smoke weed
@Randy Fisher: or dont
@Randy Fisher: What should be smoked instead…. Kippers lol.
@TamuMassif2019: mickeys
@Seán Domhnall O’Sullivan: Sounds like a BDSM candle thing to me???
@Randy Fisher: nope G is better
A horrifying blight on particularly the gay community and I cant believe Im using it for a reference but… Coronation street did a pretty brave storyline this year for anyone who has watched. G is dangerous stuff
@Seán Domhnall O’Sullivan: Seeing as it wasn’t in the article, hopefully this comment won’t get lost –
There is a GHB Detoxification Clinic where people (heterosexual & homosexual) who are dependent on GHB/GBL can be referred in order to detox and come off it, as well as engage in counselling about the underlying circumstances that result in substance misuse. It’s affiliated with the HSE-National Drug Treatment Centre, on Pearse Street.
GHB has been about along time on the UK club scene. I remember reading an article on it in mixmag about 15 years ago & apparently it’s very easy to OD on it as the difference between a safe amount & a killer amount is very hard to regulate. Mixmag had advised everyone to stay clear of the drug as it was causing a large amountvodlf deaths among users.
@Mjhint: had to deal with s lot of GHB overdoses in Australia 18 years ago , Mad stuff. Surprised it took so long to get here , easy to produce ion clandestine labs .
@Mjhint: Seeing as it wasn’t in the article, hopefully this comment won’t get lost –
There is a GHB Detoxification Clinic where people (heterosexual & homosexual) who are dependent on GHB/GBL can be referred in order to detox and come off it, as well as engage in counselling about the underlying circumstances that result in substance misuse. It’s affiliated with the HSE-National Drug Treatment Centre, on Pearse Street.
Is there a “Fu2k” language and topic warning on this article?
This drug highlights the insecurity, loneliness and desperation of many – particularly gay men. The irrational focus on the physical is at the expense of the emotional. These drugs reduce people to treating themselves and others like pieces of meat. I hope the grim, dark excesses if the gay scenes in London and some other cities doesn’t make it to Dublin.
@Peter: well said.
@Peter: 100%
@Peter: Seeing as it wasn’t in the article, hopefully this comment won’t get lost –
There is a GHB Detoxification Clinic where people (heterosexual & homosexual) who are dependent on GHB/GBL can be referred in order to detox and come off it, as well as engage in counselling about the underlying circumstances that result in substance misuse. It’s affiliated with the HSE-National Drug Treatment Centre, on Pearse Street.
Excellent article
@TellingItAsItIs: Seeing as it wasn’t in the article, hopefully this comment won’t get lost –
There is a GHB Detoxification Clinic where people (heterosexual & homosexual) who are dependent on GHB/GBL can be referred in order to detox and come off it, as well as engage in counselling about the underlying circumstances that result in substance misuse. It’s affiliated with the HSE-National Drug Treatment Centre, on Pearse Street.
Now where did I leave my Mr Muscle?
What ever happened to a few pints and a good go at it that night and then again in the morning to help with the hangover? Sure you’d be right as rain then after the fry up.
Wait until meth goes wild here as it has in the US as the rate of unprotected sex with meth users is crazy…
After a while their teeth turn black…
@TamuMassif2019: ‘Breaking béal’
@Seán Domhnall O’Sullivan: From the writers of Fr. Ted?
Feckin Greeks
lolz
Sex and drugs go hand in hand in gay relationships. as well as the main reason for the rise in HIV, not heterosexual relationships.
@Nick Cassidy: a sweeping generalisation. Relationships involving men ,because there are two ,perhaps. But a few years back hiv was heading towards being more prevalent in straights in the west ,not a community long stigmatised with all blame for the illness.
@Nick Cassidy: did you read the article , 504 new cases of HIV last year , 236 were for men who have sex with men – you need pay attention to the risks of drugs and HIV in the heterosexual community too you know.
All the homophobes living lying in wait for articles like this just to come on and say “look at the filthy gays”. As if all heterosexual couples conform to sone type of universal normality when it comes to sex.
@Stephen Carroll: Perhaps. But then why not to go further and claim that that article was clearly written by a homophobe?
@Pat Patovic: because then he’d be out of his comfort zone. Paranoid Inaccurate sweeping generalisations is a lot safer.
Can we not just say “make love like a pornstar”?
@Jesus Christ: that would be the M&S way !!!
Seeing as it wasn’t in the article, hopefully this comment won’t get lost –
There is a GHB Detoxification Clinic where people (heterosexual & homosexual) who are dependent on GHB/GBL can be referred in order to detox and come off it. It’s affiliated with the HSE-National Drug Treatment Centre, on Pearse Street.
Go fcuk yourself with this shite…and i still have a great sex life @ 59.
@Tomas: with or without G !!
have your say