GHB
| Common names | Terms commonly used to refer to the substance:
|
|---|---|
| Classification | Depressant:
|
| Mechanism of action |
|
| Routes of administration |
|
Effects sought out by the user
- Loss of discomfort
- Euphoria (intense sense of well-being)
- Nonchalance
- Relaxation and calmness
Common adverse effects
- Altered attention, judgment and mood
- Short-term memory loss
- Confusion and disorientation
- Sexual problems
- Decreased heart rate
- Reduced blood pressure
- Lack of coordination
- Nausea, vomiting and diarrhea
- Sleepiness
- Muscle spasms
- Tremors
- Vertigo
- Blurred vision
Overdose effects
GHB overdoses are common. This drug is often blended with other substances, such as alcohol. In this case, the effects of both substances add up, increasing the risk of severe overdose.
The following symptoms could indicate a GHB overdose:
- Coma
- Hypothermia (drop in body temperature)
- Respiratory depression or respiratory arrest
- Decreased heart rate
- Convulsions
- Hallucinations
- Loss of consciousness
- Death
Tolerance (need to increase the dose to feel the same effect)
Yes
Addiction
Yes, physical.
Withdrawal
Yes, if discontinuation is abrupt and the user has taken repeated high doses. Withdrawal can last about 5 to 15 days or longer and can be extremely dangerous for the user (potentially fatal).
Here are the main withdrawal symptoms:
- Anxiety
- Sleep problems (e.g., insomnia)
- Tremors and muscle cramps
- Nausea, vomiting and diarrhea
- Altered heart rate (increased or decreased)
- Paranoia
- Agitation
- Hallucinations (visual and auditory)
- Hypertension
| Route of administration | Onset of action | Peak | Duration of action |
|---|---|---|---|
| Oral | 5 to 30 minutes | 30 to 60 minutes | 1 to 6 hours (usually 2 to 4 hours) |
Screening
- Blood: GHB is no longer detectable in the blood after 4 to 8 hours.
- Urine: GHB is no longer detectable in urine after 8 to 12 hours.
Intoxication management
- No antidote is available.
- Treatment is mainly symptomatic.
Other useful information
GHB is used as a party drug. However, it is also used to commit crimes, hence its nickname "date rape drug". It is often slipped into alcoholic drinks at social events. It takes effect quickly and causes memory loss, loss of sexual inhibitions and a state similar to drunkenness, which explains why it is sometimes associated with sexual assaults. Here are a few steps you can take to reduce the risk of being drugged with GHB:
- Watch your drink
- Surround yourself with trusted friends
- Only drink beverages that have been prepared in front of you