Self-reported effects of alkyl nitrite use: A qualitative study amongst targeted groups

This paper examines the self-reported effects of alkyl nitrite use. The aim of this research into the social contextual use of nitrites was to provide qualitative data to assist with policy-making decisions and to inform the development of preventative and harm minimisation interventions. A wide variety of short term adverse effects were described by the study participants. These included headaches, minor burns, respiratory problems, lack of co-ordination and balance, contact dermatitis, nausea, tachycardia, blurred vision and lethargy. No one had experienced any long term side effects. There was a general assumption amongst respondents that nitrites must have detrimental effects on health, but in general they felt ill-informed about potential side effects. A range of adverse effects on mood were described. These included: depression, short term memory loss, aggression, panic and dependence. Research has suggested a link between the use of alkyl nitrite and sexual activity, including high rates of use amongst gay men involved in casual and high risk sex. This raper looks at the link between alkyl nitirte use and sexual activity and behaviour in a variety of populations. There was evidence of differing patterns of nitrite use according to sexual orientation. Health care professionals, especially those working in genito-urinary clinics, need to be aware of the social and sexual contexts in which nitrites are used.