GHB Use Spreads Beyond London Gay Clubs

GHB, a drug historically associated with gay clubs and chemsex, is increasingly being used in London's wider nightlife. Its appeal lies in its affordability, short-lived euphoric effects, and the claim of no significant hangover, differentiating it from other substances like ketamine.

Narrow Margin for Error

The drug's popularity is partly attributed to its euphoric high, described as a blend of alcohol's joy and MDMA's rapture, without the subsequent day's impairment. It is also noted for its aphrodisiac qualities. Professor Fiona Measham, chair in criminology at the University of Liverpool and chair of harm reduction charity The Loop, stated that GHB may be filling a void left by other drugs. Ignacio Labayen de Inza, who runs the London chemsex support organisation Controlling Chemsex, confirmed its spread beyond the gay community, noting it is cheaper than alcohol.

However, the effective recreational dose of GHB, or its precursor GBL, is very small. Experts warn that the margin between a dose that induces euphoria and one that causes an overdose is perilously narrow. Simon Doherty, a drugs expert, noted that the dose for an optimal sexual experience is not far from a fatal one. This narrow window has led some venues and festivals to ban the drug, as even a slight increase in dosage can lead to blackouts or extreme behaviour.

Supply and Risk

London has been a significant centre for GHB use. In April, the Metropolitan police seized over 2,000 litres of GBL, a precursor to GHB, in one of the force's largest confiscations. Medics at festivals have reported an increase in overdoses linked to the drug. The drug's properties, such as not containing sugar or calories and offering no hangover, may also appeal to a health-conscious generation.

GHB has a history of being used in drug-facilitated sexual assaults, leading to its reclassification as a Class B drug in 2022. Despite this, it has also been used within the gay community as a drug to enhance consensual sexual experiences. However, its properties can also lead to rapid dependence, with some users requiring round-the-clock dosing to function.

The drug can interact dangerously with other substances, particularly depressants like alcohol. A Saudi prince died in London last year after mixing GHB with alcohol. One occasional user, who wished to remain anonymous, described the intense, perilous energy associated with carrying the drug, acknowledging that for many, the perceived benefits outweigh the risks.

What Happens Next

The Metropolitan police continue to monitor and act on drug supply. Harm reduction charities like The Loop provide drug testing at festivals, offering information on purity and contamination. Public health campaigns and support organisations like Controlling Chemsex aim to address the risks associated with GHB use and dependence.