Simple, accurate health tests for the home and the workplace.
A range of volatile substances is available directly over the counter. Those most commonly used fall into four categories:
| Adhesives and glues; |
| Aerosols; |
| Cleaning and de-greasing agents; |
| A miscellaneous group which includes fire extinguishers, gas lighter Fuels and petrol. |
| Alkyl nitrites |
| Street use | Vapours from volatile substances are usually inhaled directly from their containers or from polythene bags. |
| Drug effect | Vapours from volatile substances pass rapidly from the lungs to the brain causing depression of the central nervous system. Effects similar to acute alcoholic intoxication occur within two to three minutes. Feelings of euphoria are very common and some users report hallucinations. If inhalation (sniffing) continues there is further depression of the central nervous system which leads to loss of awareness, judgement and muscular coordination and eventual coma. The intoxicating effects last for 15-60 minutes after sniffing ceases. Sniffers often report a mild “hangover” for up to a day after use. |
| Dependency | Tolerance develops so that, over time, larger and larger quantities of volatile substance are required to produce the same effect. |
| Withdrawal | Occasional mild physical withdrawal symptoms, such as headaches have been noted. However, psychological rather than physical dependence is more common. |
| Long-term use | Following regular use of volatile substances, “sniffers rash”, memory impairment and loss of concentration have been reported. With chronic use, loss of muscular coordination, slurring of speech and vision impairment are common. However, these effects are usually reversible if sniffing stops. Long-term heavy use (ten years or more) may lead to permanent brain damage. A small number of cases involving permanent liver and kidney damage have also been reported. |
| Overdose risk | Every year there are over 100 deaths in the UK linked to sniffing. Deaths in Northern Ireland are far less frequent but do occur. Over half are linked directly to the toxic effects of substances inhaled. The remainder are caused by a combination of accidents, inhalation of vomit and suffocation caused by a plastic bag over the head. |
| Pregnancy risks | Volatile substances pass the placental barrier but there is little information about their effects on the foetus. |
| Legal status | In Scotland, the possession of solvents is not a crime, however the Solvent Abuse (Scotland) Act 1983 makes sniffing of volatile substances grounds for referral to the Children’s Panel. In Northern Ireland, England and Wales, the Intoxicating Substance Supply Act 1985, makes it an offence to knowingly supply solvents for inhalation to anyone under the age of 18 years. In Scotland, Common Law allows for a similar provision. Changes were made to the Consumer Protection Act making it an offence to sell cigarette lighter refills to anyone under 18 with effect from 1 October 1999. |
| SPECIAL NOTE | In 1997, of all deaths in the UK linked to volatile substances, 69.9% resulted from inhalation of gas fuels (56.2% of gas lighter refills), 13.7% from the inhalation of aerosols and 9.6% from the inhalation of solvent based adhesives.Following the Montreal Protocol of 1987, it was agreed that certain substances would be phased out of commercial products. These included CFCs, 1-1-1 trichloroethane and bromochlorodifluoromethane (BFC or Halon 12). |
| Products | Contact adhesives, glues, plastic cement, rubber solution adhesives. |
| Substances | Toluene N-hexane Xylene Trichloroethylene |
| Drug effect | Depressant |
| Street use | Usually inhaled from polythene bag |
| Dependency | Yes (mainly psychological) |
| Withdrawal | Tolerance develops within three months of regular sniffing sessions. Occasional minor physical withdrawal symptoms including headaches. |
| Long-term use | Chronic users may have “sniffers rash” (usually around mouth and nose) and show impaired performance on memory, intelligence and concentration tests. In most cases, functions return to normal once solvent use ceases.Toluene has been implicated in reversible impairment of the central nervous system and visual problems. However, in a small number of cases, loss of brain tissue has also been reported.
N-hexane has been linked to visual problems and limb dysfunction, while trichloroethylene has been associated with a small number of cases of liver/kidney damage. |
| Overdose risk | Thirteen per cent of volatile substance deaths in 1992 involved solvent based adhesives. Toluene is the most common solvent used in glues and adhesives. |
| Legal status | It is an offence to sell or supply solvents to anyone under 18 years if abuse is suspected. |
| Products | Perfume sprays, deodorants, paint sprays, fly sprays, pain-relieving sprays, air fresheners. |
| Substances | Propane Butane Chlorinated-fluorocarbons |
| Drug effect | Depressant |
| Street use | Volatile substances are inhaled directly from canister or sprayed into a plastic bag and then inhaled. |
| Dependency | Yes (mainly psychological) |
| Withdrawal | Tolerance develops with repeated use. Occasional physical withdrawal has been noted. |
| Long-term use | Aerosol propellants, particularly butane, are thought to sensitise the heart to excitement or exertion. This can cause cardiac failure if the user exerts him/herself during or immediately after use. |
| Overdose risk | Cooling effects of aerosol sprays on the larynx (back of throat) may make it swell and can cause death by suffocation. As noted, butane has also been linked to sudden death caused by heart failure. For this reason it is advised that sniffers are never startled or chased if they are discovered sniffing. |
| Legal status | It is an offence to sell or supply solvents to anyone under 18 years if abuse is suspected. |
| Products | Industrial and domestic dry cleaners, degreasing agents, typewriter corrector fluid and thinners, nail varnish remover. |
| Substances | 1,1,1-trichloroethane Tetrachloroethane Tetrachloroethylene Methylene chloride Carbon tetrachloride Acetone |
| Drug effect | Depressant |
| Street use | Inhaled directly from container or absorbent material soaked in agent. |
| Dependency | Yes (mainly psychological) |
| Withdrawal | Tolerance develops with repeated use. Occasional physical withdrawal has been noted. |
| Long-term use | Similar to long-term use of adhesives. Trichloro/tetrachloroethane and tetrachloroethylene have also been implicated in a few cases of liver/kidney damage. Carbon tetrachloride is highly toxic and causes liver and brain damage. |
| Overdose risk | This group of solvents (particularly those containing 1,1,1-trichloroethane) is associated with about one third of solvent-related deaths. |
| Legal status | It is an offence to sell or supply solvents to anyone under 18 years, if abuse is suspected. |
| Products | Gas lighter fuels, petrol, fire extinguishers | |
| Substances | Gas lighter fuel PetrolFire extinguishers |
– Butane – C6C9 hydrocarbons – Benzene – Tetraethyl-lead – Bromodichloro-fluoro methane |
| Drug effect | Depressant | |
| Street use | Usually inhaled directly from canister | |
| Dependency | Yes (mainly psychological) | |
| Withdrawal | Tolerance develops with repeated use. Occasional physical withdrawal has been noted. | |
| Long-term use | Similar to the long-term use of adhesives. Sniffing petrol has been linked to permanent brain damage. However, it is unclear whether this is due to the hydrocarbons or the tetraethyl-lead added to leaded petrol. Benzene is highly toxic and has been shown to cause bone marrow depression. | |
| Overdose risk | The inhalation of gas fuels (mainly butane) has been linked to about 25% of deaths. However since its use is less common than the inhalation of solvents from adhesives, it appears to be significantly more dangerous. The pressurized gas in both gas lighter fuels and fire extinguishers makes the inhalation of these products extremely dangerous – as with the inhalation of aerosols there is a significant risk of suffocation caused by swelling of the larynx (back of the throat). Butane is also thought to sensitise the heart to exertion which can lead to heart failure. | |
| Legal status | It is an offence to sell or supply solvents or gas lighter refills to anyone under 18 years, if abuse is suspected. | |
| Alkyl nitrites are related to nitrous oxide (laughing gas) and are clear yellow volatile liquids. They are available for sale at some retail outlets and by mail order. |
| Drugs include |
| Drug name | Brand name | Street name |
| Amyl nitrite | Rush | Poppers |
| Butyl nitrite | Poppers |
| Street use | Alkyl nitrites are used mainly by members of the male gay community who inhale volatile fumes to enhance sexual arousal and performance. However, recreational and experimental use has also been reported among other groups of young people. |
| Drug effect | Alkyl nitrites are vasodilators. They cause dilation of the blood vessels leading to the heart. This is accompanied by a drop in blood pressure and an increase in heart rate. Users report a “rush” and experience euphoria and dizziness. The effects following inhalation are virtually instantaneous and last from two to five minutes. Alkyl nitrites also increase sexual arousal and cause the rectal sphincter to relax, easing anal intercourse. |
| Dependency | Tolerance develops within two to three weeks if used on a daily basis. However, this is lost following a few days of abstinence. There have been no reports of withdrawal symptoms, either physical or psychological. Hence dependency does not appear to be a problem. |
| Long-term use | Alkyl nitrites are excreted rapidly from the body and there do not appear to be any serious consequences of long-term use among healthy adults. However, people with a history of heart problems and glaucoma may be at risk because of the increased strain on the cardio-vascular system. |
| Overdose risk | Excessive use can lead to lack of oxygen in the blood. Users become cyanosed which gives their skin and lips a blue colour. This is usually accompanied by severe vomiting and can lead to clinical shock and loss of consciousness. Deaths have occurred when nitrites have been swallowed. |
| Legal status | On 13 January 1997 amyl nitrite was reclassified as a prescription-only medicine. Butyl nitrite currently does not come under the Medicines Act. |
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