We recognise that some ways of using crack cocaine carry less risk than others. This information can help you reduce harm.
Injecting crack cocaine can lead to serious vein damage. While using crack cocaine will always carry risk, you can reduce harm by smoking it (which is how it’s usually taken) or putting it up your bum.
Smoking crack is the most effective way to use it and it gives the most similar high to injecting.
You need a small, square piece of foil and a straw (tooter) to inhale the smoke through.
Foil is available free in some needle and syringe services.
Watch how to make a foil straw
Fold the foil in half then open it up again so that it’s V-shaped.
Put a small rock in the middle of the foil.
Hold the foil in one hand and, with the straw in your mouth, heat the rock from below with a lighter.
When the rock turns liquid, inhale the vapour through the straw.
Use your own straw to help prevent the spread of BBVs like hep B, hep C and HIV. You can get clean equipment from any substance use service and many pharmacies.
You’ll need a pipe, some steel or brass gauzes (screens) and a thin stick for poking the gauzes into the pipe.
A glass pipe is best for smoking crack because it doesn’t get too hot.
Watch how to make a safer crack pipe
Smoking crack will damage your lungs. Get medical advice if your breathing gets painful or difficult.
A straight glass pipe (A straight shooter) is best for smoking crack because it doesn’t get too hot.
Use your own straw to help prevent the spread of BBVs like hep B, hep C and HIV. You can get clean equipment from any substance use service and many pharmacies.
The inside of your bum (anus) has a good blood supply. That means anything you put up there gets into your bloodstream quickly.
To take crack via your bum:
Having a bathroom nearby may be helpful in case you need the toilet.
For more advice on less risky, safer ways to use cocaine or other drugs, you can visit our substance glossary, talk to us confidentially online or get in touch with one of our services in England and Scotland.