Mix with water and stir the crack, acid and water. Cocaine overdose is very common and very deadly, especially with IV administration. A single dose of crack contains multiple shots worth of Cocaine. Injecting an entire rock of unknown purity could be fatal, or result in very unpleasant symptoms (projectile vomiting, etc). Shooting crack is more fun, and less intelligent than shooting powder. Loksatta epaper pdf download. First, you can't SHOOT crack. You have to break it down with lemon juice or vinegar (I use vinegar.
- Shooting Crack With Lemon Juice
- Shooting Crack With Lemon Juice
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doi: 10.1136/bjo.2006.0108365
Shooting Crack With Lemon Juice
PMID: 17446520
This article has been cited by other articles in PMC.
The Centers for Disease Control and Prevention recently reported that a substantial number of drug misusers in the US are injecting crack‐cocaine instead of smoking it, owing to the decreased availability and increased cost of powdered cocaine. The use of lemon juice to dissolve crack‐cocaine has been shown to cause abscesses, permanent vein damage and infections. Furthermore, heroin dissolved in preserved lemon juice was documented to be a source of Candidaalbicans in multiple, small epidemics of fungal endophthalmitis in the 1980s in the UK and Australia., We report here two recent cases of fungal endophthalmitis in crack users who similarly disclose dissolving crack‐cocaine in lemon juice injection.
Shooting Crack With Lemon Juice
Case 1
A 34‐year‐old male intravenous drug user presented to his primary care physician with high fever and bilateral blurry vision for the past 20 days. Blood cultures and ECG were negative. The patient reported dissolving crack in preserved lemon juice.
Injecting Crack With Lemon Juice
His visual acuity was 20/40 OD and 20/70 OS. Dilated fundus examination revealed multiple condensations in the vitreous with choroidal and retinal foci in both eyes. A pars plana vitrectomy was performed OD with intravitreal injections of vancomycin (1 mg/0.1 ml), ceftazidime (2 mg/0.1 ml) and amphotericin B (7.5 μg/0.1 ml). Vitreous cultures grew Candida albicans, and the patient was treated with oral diflucan (200 mg daily). Best software to learn piano on mac. The patient received five intravitreal injections of amphotericin B (5 μg/0.1 ml) in the vitrectomised right eye and three in the non‐vitrectomised left eye over 3 weeks for persistent active lesions. At the most recent examination, 12 weeks after presentation, the patient's vision was 20/20 OD and 20/50 OS.
Case 2
A 37‐year‐old homeless male intravenous drug user reported a 3‐month history of decreased vision, eye pain and floaters in his right eye. His medical history was significant for HIV (recent CD4 count of 799 cells/mm3) and hepatitis C. The patient reported the use of preserved lemon juice to dissolve crack‐cocaine for injection.
His visual acuity was hand motions OD and 20/20 OS. Dilated fundus examination of the right eye was obscured by 3+ vitritis, but there appeared to be a large infiltrate in the macula. A vitreous aspiration was performed, with intravitreal injections of ceftazidime (2 mg/0.1 ml) and vancomycin (1 mg/0.1 ml) in the right eye. The vitreous aspire grew C albicans. Amphotericin B (5 mg/0.1 ml) was injected, and the patient was admitted for intervenous flucanozole (400 mg four times a day). Blood cultures and ECG were negative. A therapeutic vitrectomy with a lensectomy was performed. Ten days postoperatively, the patient's vision improved to 20/400 OD, with a decrease in inflammation and resolution of the infiltrate, whereas the left eye was unchanged. The patient was unfortunately lost to follow‐up.
Comment
Potential sources of infection in injecting drug users are the impure drug itself, poorly disinfected skin at the site of injection, unsterile preparation of the drug, and/or contaminated needles or syringes. This report raises the possibility that the lemon juice used to dissolve crack‐cocaine might be another risk factor for fungal infection. In treating injecting drug users, ophthalmologists should inquire about the use of preserved juices. Toyota prado 150 owners manual download. If used, this should raise the concern of fungal endophthalmitis. Furthermore, when an injecting drug user is infected with fungal endophthalmitis, it might be recommended to advise other users, who share the lemon juice, of the risk for endophthalmitis. Finally, public health efforts to decrease the morbidity of intervenous crack‐cocaine use should discourage users from dissolving crack‐cocaine in lemon juice. In fact, outreach programmes in certain inner cities are distributing packets of ascorbic acid to injecting drug users.
Footnotes
Inssider office crack. Sandisk rescuepro download. Funding: Unrestricted grant from Research to Prevent Blindness, New York, NewYork, USA RNK is a Heed Fellow and supported by the Heed Ophthalmic Foundation Download right here waiting for you.
Competing interests: None.
Injecting Crack With Vinegar
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Informed consent was obtained for publication of the persons details in this report. Dev c++ codes for calculator.
References
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How Do You Shoot Up Crack With Lemon Juice
Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group