Hi-Q Jan-June2026 Report Download
Hi-Q Summary Report | Overdoses & Unexpected Effects!
We’ve received multiple reports of unexpected and concerning effects from drugs sold as methamphetamine, cocaine and heroin, with some people describing opioid-like, ketamine-like or unusual psychedelic effects. Most concerning, all people who overdosed on opioids were experienced users who said the effects were much stronger than expected.
We lost three mothers.
We’ve also received reports of:
• Meth causing people to “go on the nod”, vomit, and experience headaches and tingling sensations.
• Suspected fentanyl contamination in crystal meth, causing sleepiness, nausea, migraines and vomiting.
• Cocaine producing effects more like ketamine.
• Unexpected psychedelic-like effects after using heroin.
• Severe adverse effects after using a substance purchased online.
Tolerance changes matter.
Two people who overdosed had recently returned to using opioids after a break. Even a short period without using can significantly reduce tolerance and increase overdose risk. Both people were alone. If you’re using:
• Avoid using alone if you can.
• Let someone you trust know you’ll be using.
• Carry naloxone and make sure people around you know how to use it.
• Start with a much smaller amount, especially after a break or when using a new supply.
• Test drugs where possible using reagent kits and fentanyl test strips.
Need support? The QuIVAA Peer Qnect phone line can help you create a safety plan so you don’t have to navigate things alone.
Know the signs of overdose. If someone is difficult to wake, not breathing normally, or unresponsive:
• Call 000 immediately.
• Start CPR if they’re not breathing.
• Administer naloxone if available.
With increasing reports of unexpected opioids in illicit drugs, people who use powders—not just opioids—should consider carrying naloxone. You can collect free naloxone and training from your local QuIHN Needle and Syringe Program.
QuIVAA Peer Qnect: 1800 175 889 Monday–Friday | 9:00am–4:00pm Please share this alert to help keep our communities informed and safe.