Se está experimentando con programas de reducción de daños centrados en estimulantes inhalados o fumados (crack/paco o pasta base de coca/bazuco). Al compartir pipas caseras, consumidores de crack pueden hacerse heridas en los labios y las encías, a través de las que se pueden contagiar enfermedades como herpes, tuberculosis, hepatitis y VIH/SIDA. El consumo de crack recuentemente implica un comportamiento sexual de riesgo. En Brasil, Canadá y los Estados Unidos dispensan 'kits para un consumo de crack más seguro', que incluye preservativos, pipas, boquillas de pipa, pañuelos, vaselina y bálsamo de labios para combatir infecciones y enfermedades transmitidas por contagio sexual, además de facilitar información sobre cómo evitar prácticas inseguras.

  • Randomized controlled trial of dexamphetamine maintenance for the treatment of methamphetamine dependence

    Marie Longo, Wendy Wickes, Matthew Smout, Sonia Harrison, Sharon Cahill & Jason M. White
    Addiction 105, pp. 146–154
    June 2009

    This study tested the impact of a long-acting form of amphetamine as medication to help control dependent use of the closely allied stimulant, methamphetamine. Prescribed usually for the treatment of pathological sleepiness or attention deficit/hyperactivity disorder, effects of the amphetamine tablets prescribed in the study take several hours longer to emerge than normal amphetamine and last three to six hours longer, giving it a 'smoothing' profile similar to methadone for heroin users; non-rapid onset make it less intensely pleasurable, and longer duration suits it to once-daily administration.

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  • Opportunities to learn and barriers to change

    Crack cocaine use in the Downtown Eastside of Vancouver
    Susan Boyd, Joy L. Johnson and Barbara Moffat
    Harm Reduction Journal 2008, 5:34
    November 17, 2008

    In 2004, a team comprised of researchers and service providers launched the Safer Crack Use, Outreach, Research and Education (SCORE) project in the Downtown Eastside of Vancouver, British Columbia, Canada. The project was aimed at developing a better understanding of the harms associated with crack cocaine smoking and determining the feasibility of introducing specific harm reduction strategies.

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  • Distributing safer crack use kits in Canada

    Questions & Answers
    Canadian HIV/AIDS Legal Network
    September 2008

    A number of public health departments and community organizations in Canada distribute safer crack use kits to people who use crack cocaine. The kits typically include mouthpieces, glass stems and screens, as well as condoms and referral information for other health and support services. This document outlines why such health programs are needed and answers a number of legal questions related to the distribution of safer crack use kits.

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  • Characterization of the crack cocaine culture in the city of São Paulo: a controlled pattern of use

    Lúcio Garcia de Oliveira and Solange Aparecida Nappo
    Revista Saúde Pública
    July 2008

    In the city of São Paulo, the culture of crack use has undergone considerable changes over these 11 years since it was first described. The sociodemographic profile of the users is practically the same and most use is still compulsive, with significant physical, moral and social impairment among them. Sole use of crack has overwhelmingly been replaced by associations between crack and other drugs, thus characterizing users in the city of São Paulo as multiple drug users.

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  • Lessons learned from the SCORE project

    A document to support outreach and education related to safer crack use
    Safer Crack Outreach, Research, and Education (SCORE)
    June 2008

    The aim of this report is to provide key findings related to the SCORE project. It is our hope that the insights that we have gained may be of benefit to others engaged in similar initiatives and to ultimately improve the health of individuals who use crack. The SCORE project (Safer Crack Outreach, Research, and Education) grew out of the vision and hard work of the Safer Crack Use Coalition of Vancouver. Before the SCORE Project was funded, this coalition devoted much energy into raising awareness regarding the insufficient resources aimed at preventing the harms related to crack use.

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  • El paco bajo la lupa

    El mercado de la pasta base de cocaína en el Cono Sur
    Transnational Institute (TNI)
    Drogas y Conflicto documentos de debate No. 14
    Octubre de 2006

    Este número de Drogas y Conflicto presenta dos investigaciones desarrolladas en en Buenos Aires y en Montevideo para buscar respuestas, aunque sean parciales, al origen y las características de la explosión en el consumo de pasta base de cocaína o "paco".

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  • Substitution therapy for amphetamine users

    James Shearer, John Sherman, Alex Wodak and Ingrid van Beek
    Drug and Alcohol Review (2002) 21, pp. 179•-185
    June 2002

    The illicit use of amphetamines continues to be a growing problem in many countries around the world, yet treatment responses remain in need of further development. This is particularly true with regards to pharmacotherapy for amphetamine dependence. In this Harm Reduction Digest four authors who bring together considerable research and clinical experience in this area describe the nature of amphetamine-related problems and consider the role of amphetamine agonists in substitution therapy for amphetamine dependence.

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  • Crack Heads and Roots Daughters

    The Therapeutic Use of Cannabis in Jamaica
    Melanie Dreher
    Journal of Cannabis Therapeutics, 2(3-4), 121-133

    An ethnographic study of women and drug use in inner city neighborhoods in Kingston, Jamaica, revealed that cannabis is commonly used in conjunction with crack cocaine to minimize the undesirable effects of crack pipe smoking, specifically paranoia and weight loss.

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  • Therapeutic Use of Cannabis by Crack Addicts in Brazil

    Eliseu Labigalini Jr, Lucio Ribeiro Rodrigues and Dartiu Xavier Da Silveira
    Journal of Psychoactive Drugs 31 (4)
    October-December 1999

    This study ensued from clinical observations based on spontaneous accounts by crack abusers undergoing their first psychiatric assessment, where they reported using cannabis in an attempt to ease their own withdrawal symptoms.

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