SPICE HARM REDUCTION BOOKLET

This harm-reduction booklet is about spice, a mixture of chemicals called synthetic cannabinoid receptor agonists (SCRAs) and chopped-up leaves and herbs.

It’s usually smoked and the effects mimic cannabis. There are hundreds of different SCRAs, and they vary in strength and toxicity.

The prevalence of spice is difficult to estimate, but spice-related visits to A&E suggest its use is increasing. In 2018, in England, there were over 30,000 visits to hospital related to synthetic cannabinoid use.

A study published in the journal ‘Addiction’ in 2017 found that people who used synthetic cannabinoids were more likely to have mental health problems and experience adverse health issues.

The effects of spice are felt in seconds, peaking in half an hour and lasting a few hours. Users can feel euphoric, relaxed and drowsy. Spice has several harmful effects too, including anxiety, paranoia, seizures, psychosis, and, in some cases, can result in overdose and death.

Research conducted by Middlesex University’s Drug and Alcohol Research Centre claims synthetic cannabinoids were involved in nearly half of male prisoner deaths in England and Wales between 2015 and 2020.

This resource includes the following information:

An introduction to spice:

• understand what spice is
• how it's made
• discover the wide variety of SCRAs
• strength and toxicity

Its effects and health issues:

• how spice makes you feel, including euphoric, relaxad, and drowsy
• the harmful effects of spice, such as anxiety, paranoia, seizures, psychosis, and the potential for overdose
• the link between synthetic cannabinoids and mental health

Unpredictable nature and risks:

• how to recognise the unpredictable nature of spice and its potential risks
• learn how to identify warning signs of overdose and addiction
• understand the symtoms of withdrawal and tolerance
• discover practical harm-reduction strategies that include dosage, using in the company of others, prioritising mental health, and seeking professional support

Emergency situations:

• how to respond to distressing behaviour
• recognise symptoms that require immediate medical attention

This resource is an important guide for people who use spice, consider using it, or have concerns about someone affected by spice. It provides clear and concise information about the associated risks and offers practical advice on reducing them.