While such dependency will not develop with infrequent users, anyone using GHB for a sustained period of time should seek expert drugs advice before discontinuing use abruptly . Regular and frequent use of GHB can lead to physical dependency, with severe withdrawal symptoms akin to those from Alcohol or Benzodiazepines. Those dependent on GHB and GBL usually suffer from cravings, anxiety, low mood, and have trouble sleeping if they do not re-dose every few hours . GBL is physically addictive and stopping it without medical supervision can be fatal; sudden withdrawal poses dangerous health risks and can require an in-patient detox.

This study defined a "plausible drink spiking case" in such a way that cases where (a) patients believed that their drink had been spiked, and (b) lab tests showed agents that patients said they had not ingested would still be ruled out as plausible if the patient did not also (c) exhibit "signs and symptoms" that were considered "consistent with agents detected by laboratory screening." The most common incapacitating agent for date rape is alcohol, administered either surreptitiously or consumed voluntarily, rendering the victim unable to make informed decisions or give consent. At the end of 2006, a campaign began to reduce the number of people using GBL in the areacitation needed. Gamma-butyrolactone is rapidly converted into GHB by lactamase enzymes found in the blood.
- There is no antidote for GBL overdose, but treatment can be provided to help manage severe symptoms.
- Seven showed severe symptoms, two were transported to a hospital in Frankfurt am Main, and a 30-year-old person was, for a time, in a critical state.
- However, when sold as Xyrem, it is considered Schedule III, one of several drugs that are listed in multiple schedules.
- Gamma-butyrolactone (GBL) is a chemical that is used in industrial products and as an alternative or precursor chemical to the illicit substance gamma-hydroxybutyric acid (GHB).
- Zolpidem (Ambien) is one of the most common date-rape drugs according to the U.S.
- GBL is not specifically listed as a controlled substance in the US, but it is considered a precursor chemical to GHB and is therefore regulated.
GBL Drug Overdose
- It can only be used legally by health professionals and for university research purposes.
- Calls to numbers marked with (I) symbols will be answered or returned by one of the treatment providers listed in our Terms and Conditions, each of which is a paid advertiser.
- Like these other "club drugs," GHB is taken because users feel that it enhances the experience of being in a club or at a party; small doses of GHB are thought to act as a stimulant and aphrodisiac.
- However cases of GHB being used as a date rape drug are quite rare, see the date rape drug article for more information.
Drugs GBL is mainly self-ingested, with an average recreational oral dose of 1 mL. It is a colorless, oily liquid with a bitter taste. It still has a reputation with younger people as being an alternative to ecstasy.

Negative Effects
If the user decides to try again at a later date, they appear to be able to enjoy the effects normally. In many this manifests as slow onset of effects, followed by headaches, semi-consciousness which is distinct from GBL sleep in normal users. Instead the salt is mixed with water to produce a clear liquid – often sold in small platic bottles. GBL is a liquid, available in some countries in the form of an industrial solvent for cleaning metal or removing spray paint from vandalised buildings . It is a naturally occurring substance found in the human central nervous system, as well as in wine, beef, small citrus fruits, and in small amounts in almost all animals. At room temperature GBL is a colourless, slightly oily liquid that is clear to semi-opaque.
Recently, analogs of GHB, such as 4-hydroxy-4-methylpentanoic acid (UMB68) have been synthesised and tested on animals, in order to gain a better understanding of GHB's mode of action. This explains the paradoxical mix of sedative and stimulatory properties of GHB, as well as the so-called "rebound" effect, experienced by individuals using GHB as a sleeping agent, wherein they awake suddenly after several hours of GHB-induced deep sleep. The role of the GHB receptor in the behavioural effects induced by GHB is more complex. The blood content of certain neutral amino-acids, including tryptophan, is also increased by peripheral GHB administration.
Classification

A newer synthetic drug, SCH-50911, which acts as a selective GABAB antagonist, quickly reverses GHB overdose in mice. Because of the faster and more complete absorption of GBL relative to GHB, its dose-response curve is steeper, and overdoses of GBL tend to be more dangerous and problematic than overdoses involving only GHB or 1,4-B. Overdose of GHB can sometimes be difficult to treat because of its multiple effects on the body. However, for two of the three cases, post-mortem GHB concentrations were 141 and 110 mg/L, which is within the expected range of concentrations for GHB after death, and the third case was a patient with a history of intentional drug overdose. One report has suggested that sodium oxybate overdose might be fatal, based on deaths of three patients who had been prescribed the drug.
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The drug has been identified as a date rape drug, much the same way as alcohol and potent benzodiazepines, often known colloquially as "Rohypnol", the trade name of a certain potent hypnotic benzodiazepine, flunitrazepam. When the laws "catch up" to certain drugs, clandestine chemists manufacture another drug, designed to affect the user in the same way as the now-banned drug. Since the 1970s club scene, club-goers have used a range of drugs to enhance their experience on the dance floor such as amyl nitrite "poppers" and cocaine.
Effects Of GHB/GBL
GHB can also be produced as different salts, some of which may not have a taste as distinctive as the sodium salt (e.g., magnesium oxybate), or much less commonly in the unstable free-acid form. However cases of GHB being used as a date rape drug are quite rare, see the date rape drug article for more information. GHB is sometimes referred to as liquid ecstasy, liquid X, or liquid E due to its tendency to produce euphoria and sociability and its use in the dance party scene. 1,4-B and GBL are normally found as pure liquids, although they may be mixed with other more harmful solvents when intended for industrial use, e.g., as paint stripper or varnish thinner. When used as a recreational drug, GHB may be found as the sodium or potassium salt, which is a white crystalline powder, or as GHB salt dissolved in water to form a clear solution. In January 2008, Jazz Pharmaceuticals completed enrollment in the second Phase III trial for a modified version of sodium oxybate, known as JZP-6, for use by people with fibromyalgia.
How Can GHB/GBL/1,4-BD Affect Your Daily Activities?
Anyone who supplies the substance without prescription can be fined HK$10,000. It can only be used legally by health professionals and for university research purposes. However, used in sodium oxybate under an IND or NDA from the US FDA, it is considered a Schedule III substance but with Schedule I trafficking penalties. GHB continued to be manufactured and sold illegally and it and analogs were adopted as a club drug and came to be used as a date rape drug, and the DEA made seizures and the FDA reissued warnings several times throughout the 1990s. Under normal physiological conditions, the concentration of GHB in the body is rather low, and the pathways would run in the reverse direction to what is shown here to produce endogenous GHB.
It is important to speak with a medical professional first if you are worried about withdrawing from these drugs. Noticing physical symptoms early can help prevent health problems from developing. Most people who use GHB, GBL or 1,4-BD will only use them from time to time and are unlikely to develop addiction or dependence to the drug. GHB, GBL and 1,4-BD can be very easy to overdose on because there is a small difference between a common dose and a dangerous dose. “It’s addictive, destructive, and extremely easy to overdose with.
GHB is usually taken as a liquid, shaken immediately before being taken to make sure it is evenly distributed. How much GHB do people usually take – swallowed (from psychonautwiki.org) The information below is from other websites about how much people commonly use overseas. It is important to know whether you have GHB, GBL, or 1,4-BD when deciding what dose to take.

GHB/GBL/1,4-BD can sometimes be used for sexual experiences. Saliva tests detect GHB and GBL for up to 6 hours but are mostly used as a secondary test after a urine sample. However, it is thought that GHB and GBL can be found for 12 hours in urine and 8 hours in blood – these are the most accurate tests. GHB and GBL testing windows can change depending on how much you have taken, how often and your individual body.
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SSA is further oxidized by succinic semialdehyde dehydrogenase (SSADH) to succinic acid, which enters the Krebs cycle and is ultimately converted into carbon dioxide and water. Only a minor portion (1–5%) of the administered GHB dose is excreted unchanged in the urine. Analogues of GHB such as 3-methyl-GHB, 4-methyl-GHB, and 4-phenyl-GHB have been shown to produce similar effects to GHB in some animal studies, but these compounds are even less well researched than GHB itself.
It can also be a good idea to colour liquid GHB/GBL/1,4-BD with blue food colouring. These methods can also cause damage and infection to your body. This is especially important for 1,4-BD as it might take longer to feel the effects than if you were taking GHB or GBL. GHB, GBL and 1,4-BD are most commonly mixed into a drink and swallowed, which releases them into your body slower than by snorting or injecting. Take care and wait at least two hours before re-dosing.
1,4-Butanediol, also called butane-1,4-diol (other names include 1,4-B, BD, BDO, and 1,4-BD), is a primary alcohol and an organic compound with the formula HOCH2CH2CH2CH2OH. In so far as gay men are more likely to have heard about ‘safer sex’ and ‘safer drug use’, ‘harm… They give pleasure, make us feel less inhibited, make us feel horny and more intimate sexually, and intensify feelings of… It is the only element of healthcare to see…