GHB/GBL

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G is the name given to the drugs GHB (Gamma hydroxybutyrate) and GBL (gamma butyrolactone). Sometimes they are also known as Liquid ectasy, Liquid E, Gina, or simply:G.

It is an oily, yet odorless liquid which, when taken, has a slightly salty taste. Most commonly, it is sold in small bottles and capsules. When taken, the effects come on within around fifteen to twenty minutes and can last up to three, or even four, hours.

GHB is an odorless, oily liquid, with a slightly salty taste, usually sold in small bottles or capsules. The effects usually occur within 15-20 minutes and last up to 3-4 hours. Essentially, it is a chemical liquid with both a chemical smell and taste. GBL is what is known as a precursor to GBH, meaning that if GBL is taken, it is converted into GBH after swallowing it. GBL works quicker, is far more potent so less needs to be taken to have the same effect.

G is normally swallowed in liquid form so is commonly taken in a drink. It can also be injected, snorted or inhaled. Mixing it with alcohol is particularly dangerous.

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The Risks

Sadly, it is incredibly easy to overdose on G. This is because there is very little difference (less than one millionth of a litre) between a dose that enables someone to feel high and one that makes them sedated which can lead to death. When mixed with alcohol, the risk of becoming unconscious increases and the time it takes for G to take effect increases, making it incredibly difficult to calculate safe dosing intervals. A number of deaths have been caused by G, either from overdose or from withdrawal.

GHB / GBL

Mixing G

Mixing G with other drugs, especially those which are also Central Nervous System:

Using G with other depressant drugs, such as alcohol, benzodiazepines and ketamine can increase the risk of going under and stopping breathing. In some cases, people might be hospitalized after using G.

G is addictive and dependence can develop quickly. Dependence mean people will develop withdrawal symptoms on stopping use, which can be severe and life-threatening.

The sedative properties of G can leave a person incoherent or comatose. People around you may take advantage of this to have sex with you without your consent.

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Concept of pouring GHB into a glass with powder from a capsule

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How can someone dependent on G be helped in rehab?

As with all those seeking treatment in rehab, the 1st step is a thorough assessment with a medical professional who can assess, diagnose and draw up a comprehensive treatment plan. In cases of GHB/GBL this will, ordinarily, use benzodiazepines and or adjunctive medications such as Baclofen. This is augmented with a 12 step or SMART based recovery programme and effective discharge planning and aftercare. ​ Attempting to stop, on your own, is never advisable. Sudden cessation of G can be fatal and is unnecessary. Admission to a CQC registered centre, with the appropriate medical and psychological intervention can give the user the bridge to abstinence they deserve. ​ Admission is available: Seven days a week: Sometimes the same day.

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