GHB Use On The Rise In The LGBTQ+ Community

GHB, which stands for gamma-hydroxybutyrate, is a powerful drug that affects the central nervous system much like alcohol does. Often called “G,” “Liquid X,” or “Georgia Home Boy,” this substance typically appears as a clear, odorless liquid that can be easily mixed into drinks undetected. While GHB does have legitimate medical uses for treating narcolepsy, the version found at parties and clubs is usually made illegally.

The drug has gained particular attention in LGBTQ communities, especially among gay and bisexual men who frequent clubs and party scenes. Research shows that about 29% of club drug users in gay communities have used GHB recently, making it a growing concern for community safety. What makes GHB dangerous is that the difference between a dose that produces the wanted effects and one that can cause unconsciousness or death is very small, making overdoses disturbingly common.

Why Some LGBTQ People Use GHB

People in LGBTQ+ communities turn to GHB for several reasons, some of which go beyond simple recreational drug use. Many people say that GHB helps them feel more confident and social in party settings, allowing them to connect with others without the anxiety they normally feel. The drug creates feelings of euphoria and relaxation that can make social interactions feel easier and more enjoyable.

Sexual enhancement is another reason why people use GHB. The drug reduces inhibitions and can increase sexual desire, making it popular in what’s known as “chemsex” culture. This refers to the use of drugs to enhance sexual experiences, often organized through dating apps using code words like “parTy” or “pNp” (party and play). For some people, using GHB has become so connected to sexual activity that they find it difficult to enjoy sex without it.

How GHB Is Typically Used

GHB usually comes as a clear liquid that people measure out in small amounts using bottle caps, droppers, or tiny measuring spoons. It’s typically mixed into drinks like lemonade, water, or other beverages to mask any slight taste it might have. The liquid form makes it almost impossible to detect when mixed with other drinks. The amount people use can vary widely. GHB is often homemade or comes from unreliable sources, so people who use it never know exactly how strong their dose will be.

GHB is commonly used in club settings, at circuit parties, and in private homes during sexual encounters. It’s often combined with other substances, with nearly half mixing it with drugs such as methamphetamine, MDMA, or ketamine. People also drink alcohol while using GHB, which greatly increases the risk of serious issues. The drug’s effects typically last about one to three hours.

Mental And Physical Effects Of GHB Use

Below are some of the mental and physical effects of GHB drug use.

Mental Effects

When someone uses GHB, they often experience changes in their mental state, with many saying they feel extremely relaxed and euphoric, with many describing a sense of emotional openness and connection to others. This mental state can make social situations feel more comfortable and enjoyable

People also experience confusion, disorientation, and memory problems. They may have trouble making good decisions or recognizing dangerous situations. As the dose increases, people can become drowsy and lose consciousness entirely, leaving them vulnerable to harm. The drug can also cause unpredictable mood changes and behavior. Some people become overly talkative and friendly, while others might act erratically or aggressively. Memory loss is also common. Many people report that they are unable to remember parts of their experience while under the influence of GHB.

Physical Effects

GHB causes numerous physical changes in the body, some of which can be life-threatening. People often experience nausea and vomiting, especially when they’ve taken too much or mixed the drug with alcohol. Dizziness and loss of balance are common, making it easy for people to fall and injure themselves. Many users also report feeling weak and having trouble controlling their muscles. The drug significantly affects breathing and heart rate, which becomes more dangerous as the dose increases.

People may breathe more slowly and shallowly, which can lead to not getting enough oxygen. Some people develop fevers or feel overheated, while others might become cold. In severe cases, users may experience seizures or fall into a coma-like state where they cannot be awakened.

Risks And Dangers Of GHB Drug Use

While some people see GHB as a “safe” party drug, it carries serious risks that can affect every aspect of a person’s life. These dangers range from immediate threats like overdose to long-term problems including addiction and a number of health issues.

Dependency

Regular use will develop tolerance quickly, sometimes within just a few weeks, meaning they need larger amounts to get the same effects. Psychological addiction is especially common when GHB use becomes connected to social activities or sex, leading people to feel like they can’t have fun or enjoy intimate encounters without the drug.

Health Problems

People who abuse GHB develop chronic digestive issues, liver and kidney damage, increased anxiety and depression, and memory problems. Sleep disorders, concentration difficulties, and problems maintaining relationships are also common.

Overdose

GHB overdose is a serious risk that can happen to anyone using the drug, even experienced users. The difference between a dose that produces desired effects and one that causes overdose can be just a few extra drops of liquid, making every use potentially life-threatening. Signs of overdose include severe drowsiness, vomiting while unconscious, slow breathing, seizures, and complete loss of consciousness that can quickly lead to coma and death without immediate medical attention.

The risk increases dramatically when GHB is combined with alcohol or other depressant drugs, as both substances slow down the central nervous system and together can cause the body’s essential functions to shut down.

Signs And Symptoms Of GHB Withdrawal

GHB withdrawal can be both uncomfortable and potentially life threatening. Understanding these warning signs is important for anyone considering stopping GHB use or helping someone who is trying to quit.

Withdrawal symptoms include:

• anxiety and restlessness
• insomnia
• cravings for the drug
• irritability
• tremors and shaking
• excessive sweating
• irregular heart rate
• nausea and vomiting
• severe headaches
• high blood pressure
• elevated body temperature
• loss of consciousness
• breathing difficulties
• delirium and confusion

Withdrawal symptoms typically last between 10 and 14 days, though some effects may persist for weeks or months. Anyone trying to stop using GHB should seek medical supervision rather than attempting to quit alone.

Treating GHB Drug Addiction

The first step in treating GHB addiction is usually medical detox, where healthcare providers monitor the person’s withdrawal symptoms and provide medications to keep them comfortable. This process typically takes place in a hospital or detox facility. After detox, most people need therapy to maintain their recovery. Individual and group counseling can help people understand why they started using GHB and develop better ways to cope with stress, anxiety, and social situations.

Treatment programs that LGBTQ+ issues and culture tend to be the most effective. These programs recognize the unique challenges that LGBTQ+ people face, including discrimination, family rejection, and shame. Specialized LGBTQIA+ rehab programs are rare, but there are many organizations throughout the United States that can help people get on track to lasting sobriety.

Written by the Addiction Resource Editorial Staff