Harm Reduction

Ensure patients have access to, or are using, clean sharps.

That they are not contaminating or sharing ampoules

Where possible, IPED use should be minimal

Advising against very large doses

Challenging behaviours for which there is no evidence base

Checking injection technique is safe

Advising patients how to access healthcare if becoming unwell

Regular health monitoring

Signpost to needle exchanges or facilities where suspect IPEDs can be checked against databases or undergo testing

Careful discussions around reducing use or cessation following ECG changes or abnormal blood results

Exploring reasons for IPED use, such as occupational factors, image or sexual function.