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Home » HIV/AIDS Program » Harm reduction and drug use » Cotton

HIV/AIDS Program
Cotton: Facts and Tips

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Haga click aquí para "Algodón: Hechos y recomendaciones" (en español)

Cotton logo

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Sharing cottons can spread HIV, hepatitis B and hepatitis C.

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Spores & bacteria grow in used cottons.

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Don't save used cottons for when you can't score.

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Save a tiny bit of dope instead.

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Use a fresh, clean cotton every time you shoot.

Cotton fever is probably not caused by cotton fibers. It's more likely caused by bacteria that live in the cotton. Cotton can grow a lot of bacteria, especially after it gets wet. Re-using cottons can put bacteria directly into your blood stream. Cotton fever is uncomfortable, but it's usually not serious.

Symptoms may include:

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Chills

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Headaches

gray bullet Fever gray bullet Nausea
gray bullet Hot flashes gray bullet Vomiting
gray bullet Shaking that you can't control gray bullet Shortness of breath

Symptoms usually show up right after injecting, but may take up to an hour. Taking a second hit will not make them go away. Instead, grab a blanket and let the infection take its course.

If symptoms last longer than 3 to 4 hours, or get worse, go to an emergency room. Don't ignore these symptoms, especially if they last. They can mean that you have a very serious infection or even a blood clot that could kill you.

  • Always use a fresh new cotton, a new cooker and a new sterile syringe.
  • Before you shoot, wash your hands and the injection site with lots of soap and hot water. Then wipe the site with an alcohol pad.

Get all the FREE cottons, cookers & alcohol wipes you need at the Needle Exchange.

Downtown Needle Exchange
1511 Second Avenue
(between Pike & Pine in downtown Seattle)
Monday - Friday 1 - 5:30pm,
Saturday 2 - 4 pm

  • Exchange used rigs for new, sterile ones.
  • Test for HIV, hepatitis & TB.
  • Get great advice and helpful hints from our vein care pros.
  • Get quality health care from the docs in our Medical Clinic (Monday - Friday, 1:30 - 4:30pm).

There are 7 needle exchange sites in King County. Call 206-205-7837 for hours and more info.

learn more

immunizations iconParticipating pharmacies selling syringes to users
A complete list of pharmacy locations throughout King County who sell syringes (needles) to users.

Don't share needles!The Point is the Point!

Exposed points are really dangerous. So are broken-off points. They are hard to see and can easily get lost in clothes, carpets, couches, wherever. Always use a new syringe everytime you inject.

All about abscessesWhat causes an abscess?
An abscess is a pocket of pus which means you have an infection. What causes an abscess? Drug shooters often get abscesses on their arms or legs at injection sites.

What are the muscling logoharms of muscling and skin-popping?

All injectors are at risk for infections related to using needles. Muscling and skin-popping allow germs to "sit" inside muscle and fat tissue or under the skin. These are great places for abscesses and other infections to brew.

Updated: Wednesday, January 02, 2008 at 12:43 PM

All information is general in nature and is not intended to be used as a substitute for appropriate professional advice. For more information please call (206) 296-4600 (voice) or TTY Relay: 711. Mailing address: ATTN: Communications Team, Public Health - Seattle & King County, 401 5th Ave., Suite 1300, Seattle, WA 98104 or click here to email us.

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