Poppers, or amyl nitrite, are a liquid that produces vapors inhaled for a brief sense of euphoria and heightened sexual pleasure. Commonly used as a party drug, poppers can be unsafe and lead to harmful side effects, especially with excessive or prolonged use.
This page outlines the increasing popularity and controversy surrounding poppers over the last decade, as well as their associated risks.
What Are Poppers?
Poppers are liquid drugs made from chemicals called alkyl nitrites. These chemicals include amyl nitrite, isobutyl nitrite, and several others. They’re made by mixing alcohol with nitrous acid.
The term “poppers” comes from the small glass containers in which the liquid was initially stored. People would “pop” these containers open to inhale the vapors.
When someone inhales poppers, they feel a rush of euphoria that lasts about 3 minutes and starts within 30 seconds. Because the effect is so short, people often use them repeatedly, which can lead to dependency [1]
How Do People Use Poppers?
People inhale the vapor directly from the container or sniff a cloth soaked in the liquid. The liquid itself is never consumed or ingested because this is dangerous and can be deadly.
Once the vapors reach the lungs, they enter the bloodstream and cause blood vessels throughout the body to expand. This sudden change causes a rapid drop in blood pressure, resulting in dizziness, warmth, and a brief, intense sensation.
People use poppers for the following:
- For the feeling of euphoria and relaxation
- To enhance sexual experiences (the relaxation of smooth muscles, especially in the anus and vagina, can reduce discomfort and intensify sensations during sex)
- In club and party settings for their rapid, pleasurable effects
Are Poppers Illegal?
Yes, poppers are illegal for human use. While they’re not controlled substances like cocaine or heroin, federal laws, including the Crime Control Act of 1990 and the Anti-Drug Abuse Act of 1988, prohibit selling poppers for people to consume.
However, poppers can still be found in some stores, sold under names such as “room fresheners,” “cleaners,” or “polish removers” to avoid legal ramifications. These versions are often more dangerous because they’re made by unregulated manufacturers [2].
The FDA has issued multiple warnings about poppers, highlighting risks like dangerous drops in blood pressure, vision loss, and sudden loss of consciousness. Despite these warnings, poppers remain popular, especially in LGBTQ+ communities [3].
What are Poppers Used For?
Today, poppers are used recreationally for their mind-altering effects. Initially, they were developed in the 1860s as medicine for chest pain by French chemist Antoine Jérôme Balard [4].
The drug was designed to treat angina, a type of chest pain caused by poor blood flow to the heart. Over time, its use shifted from medical to recreational, particularly in the LGBTQ+ community, for enhancing sexual experiences [5].
Common Settings Where Poppers Are Used Today:
- Sexual Encounters
- Nightlife and Clubs
- Private Use (Reducing inhibition and boosting mood)
- Adult Spaces and Venues
Poppers Side Effects
Unregulated Poppers can cause both short-term and long-term side effects. Damage can range from common mild discomforts to rare medical emergencies.
Common Side Effects
- Fast Heartbeat: When blood pressure drops, the heart beats rapidly to compensate for the decrease. This causes sweating, a racing pulse, and flushed skin.
- Dizziness or Fainting: The sudden blood pressure changes can cause loss of balance and fainting.
- Nausea and Irritation: The chemical fumes irritate the lungs and stomach, causing nausea, vomiting, and other gastrointestinal symptoms.
- Confusion: Users may experience impaired coordination, slurred speech, and confusion that lasts longer than the high.
- Weakened Immune System: Poppers damage white blood cells, making it harder for your body to fight infections for up to 72 hours [6].
Rare Side Effects
- Methemoglobinemia: A deadly blood condition that prevents oxygen from reaching body tissues [7].
- Nose and Throat Damage: Chemical irritation can cause inflammation, scarring, and loss of smell.
- Chronic Coughing: Repeated use can cause permanent lung damage, especially in people with asthma.
- Seizures: Sudden drops in blood pressure can reduce blood flow to the brain, causing seizures.
- Vision Loss: Certain types of poppers can cause severe eye damage and permanent vision loss.
Are Poppers Dangerous?
Yes, Poppers are dangerous. Human consumption is banned by the federal government and the FDA. Regardless of your frequency of use as an inhalant, it will eventually pose serious health issues for the user. However, if ingestion occurs, emergency care is needed immediately.
Popper’s toxicity will cause:-
- Death
- Blindness
- Brain damage
- Organ failure
Additionally, there is evidence that users might develop cancer, though the claim is not proven yet. [8]
Harm Reduction Strategies For Poppers
While there isn’t a guaranteed method to use poppers safely, you can take the following steps to reduce the likelihood of experiencing harmful effects:
- Avoid use if you have heart, blood, or eye conditions or are pregnant.
- Never mix poppers with medications like sildenafil (Viagra), as this can cause dangerous drops in blood pressure.
- Use in well-ventilated areas to reduce inhalation risks.
- Keep poppers away from heat and open flames due to flammability.
- Do not ingest or allow contact with skin or eyes.
What is Poppers Tolerance?
Using poppers frequently can lead to tolerance, which means users may need to take more or use them more often to feel the same effects. This can increase the risk of harmful health effects.
The euphoric sensation from alkyl nitrites only lasts for three minutes, prompting most users to repeatedly use the substance in a single session. Over a long period, a person can develop a tolerance to the alkyl nitrite chemical compounds in poppers.
Are Poppers Addictive?
No. Research shows poppers (alkyl nitrites) are not physically addictive; however, they can become habitual, particularly among homosexual men who use them for enhancing sexual experiences.
According to a study conducted in Baltimore, Washington, D.C., homosexual men reported a 69% lifetime use of poppers to enhance sexual encounters [9]. For recreational use, the substances are not addictive and have a starting average user age of 25.6 years, significantly higher than other substances such as alcohol and heroin (both have an average start age of 18). This suggests that usage is more situational than compulsive for most users.
What to Use Instead of Poppers?
Rapid, short-lived euphoric effects from poppers are pretty rare. No alternative fully mimics this effect. Hence, if dependent on poppers (alkyl nitrites), only non-drug alternatives and legal substances can be considered.
Non-Drug Alternatives
- Aromatherapy
- Sensual Practices
- Yoga
- Meditation
Legal Substances
- Alcohol
- Herbal Aphrodisiacs
- Caffeine
Unveiling the Composition
Synthesized from various alcohols and nitrous acid blended, poppers belong to a chemical group known as alkyl nitrites. These include:
Chemical Structure
- Amyl Nitrite (C₅H₁₁ONO)
- Isobutyl Nitrite (C₄H₉NO₂)
- Butyl Nitrite (C₄H₉ONO)
- Isopropyl Nitrite (C₃H₇ONO)
- Methyl Nitrite (CH₃ONO)
- Ethyl Nitrite (C₂H₅ONO)
Every chemical in alkyl nitrites has the same core pharmacological action. Inhalation rapidly releases nitric oxide (NO) into the bloodstream after it is absorbed into the lungs. Nitric oxide (NO) is a cycling molecule that activates guanylate cyclase. This enzyme induces smooth muscle relaxation throughout the body by triggering the conversion of guanosine triphosphate (GTP) into cyclic guanosine monophosphate (cGMP). The result is a drop in systemic vascular resistance.
Causing sudden physical symptoms such as:
- Reflex tachycardia
- Widening of blood vessels
- Decreased arterial blood pressure.
Understanding Usage Patterns
According to research, 1.5 million adults have reported using an inhaler in their lifetime. In the US, it is most prevalent among men who have sex with men (MSM), making them the largest group, with 40% of users reporting use in the past year [10].
Among the LGBTQ+ community, the concentrated user age is 18 to 35, with an active nightlife.
Recreational Use
Most users engage in only occasional recreational use. 19 percent of all MSM users report frequent weekly use, while other groups only use the drug recreationally twice per month. In almost all cases, due to the short duration of the euphoric effect, frequent inhalations are reported during a single session.
What Are Poppers Drugs – Navigating the Effects
Poppers create noticeable psychological and physical changes. Understanding the immediate effect on cognitive and emotional health is essential for safe usage.
Immediate Effects
Within 30 seconds, a brief, euphoric “rush” takes over the mind. The immediate effects that cause this state are:
- A drop in blood pressure caused by the widening of blood vessels.
- Relaxation spreads throughout the body’s muscles.
- Mind experiencing dizziness and lightheadedness.
Cognitive and Emotional Impact
Popper’s chemical can affect how one thinks and feels.
- Impaired decision-making
- Height and Emotional Sensibility
- Confusion and mental fog.
- Mood swings
- Lowered inhibitions.
- Risky behavior
Are Poppers Bad For You? Understanding the Risks
Health Risks
- Chemical burns: Highly toxic. If spilled, it causes an instant chemical burn.
- Respiratory irritation: Regular inhalation exposes the lungs to inflammation or scarring.
- Immunity suppression: Frequent use lowers the body’s defenses.
- Vision loss: Direct exposure can cause permanent damage to the eyes.
- Stroke: People with pre-existing heart conditions could experience a stroke with sudden blood pressure fluctuations.
Interaction with Medications
- Alcohol: Poppers with drinks increase the risk of blackout, nausea, and vomiting.
- Drugs and Stimulants: Stimulants, such as MDMA, can increase the risk of cardiac arrest.
- E.D. meds: Medication, e.g., Viagra, can cause a drop in blood pressure.
Addiction Potential
No, poppers do not have addiction potential. The effects of alkyl nitrites wear off quickly.
- Within 200 seconds, nitrite levels return to normal.
- Non-active compounds were broken down in the liver.
- Remaining metabolites are flushed via urine.
Hence, the reason why poppers are not classified as a controlled substance in the United States.
What Are Poppers Drugs?: FAQs
What do poppers do for guys?
Men, particularly those in the LGBTQ+ community, use poppers for performance enhancement due to their ability to enhance sexual pleasure and introduce physical relaxation during anal sex.
Are Poppers Legal in the US or illegal?
Poppers are illegal to sell for human consumption, but it is not unlawful to possess them in the United States for purposes other than human consumption, such as medical research.
What’s a popper example?
Inhalant fluid made with Amyl nitrite is the most common popper. Similar products include Jungle Juice, Double Scorpio, and Rush, which are also made with other alkyl nitrites.
What is a popper in slang?
In slang, “poppers” refers to inhalant alkyl nitrites, a variety of drugs often used recreationally or for sexual gratification.
How do poppers work?
Nitric oxide gets released in the user’s blood once poppers are inhaled.
Get Help for Poppers Misuse at Alliance Recovery
At Alliance Recovery, we understand that inhalants, like poppers (amyl nitrate), can lead to psychological dependence, risky behavior, and long-lasting health consequences. If you or someone you care about is struggling with psychological dependence on poppers, our professional team of licensed clinicians is here to help you reach a breakthrough.
Alliance Recovery will help you get:
- Personalized individual and group therapy.
- Medical and psychological support tailored to individuals recovering from inhalant use.
- A compassionate, judgment-free community committed to long-term sobriety.
Call us at (844) 287-8506 to consult with our recovery experts, specialized in substance use challenges, including recreational drug use.
Sources
1, https://www.sciencedirect.com/science/article/abs/pii/S0304394016304669
2, https://pubmed.ncbi.nlm.nih.gov/14740789/
3, https://pubmed.ncbi.nlm.nih.gov/32669067/
4, https://pubmed.ncbi.nlm.nih.gov/3113909/
5, https://www.tandfonline.com/doi/abs/10.3109/16066359709004364
6, https://pubmed.ncbi.nlm.nih.gov/11366993/
7, https://pmc.ncbi.nlm.nih.gov/articles/PMC8237922/
8, https://pmc.ncbi.nlm.nih.gov/articles/PMC5414542/
9, https://pubmed.ncbi.nlm.nih.gov/3265028/
10, https://pmc.ncbi.nlm.nih.gov/articles/PMC1592311/
