Impact of inhalant abuse

Inhalant users risk devastating medical consequences. Sniffing glue, "chroming," "huffing," and "bagging"  are just some methods people use to get a quick high. Few people realize that such practice can cause permanent brain damage, destruction of the heart, liver and other organs and even death. The highly concentrated chemicals in solvents or aerosol sprays can induce irregular and rapid heart rhythms and lead to "sudden sniffing death."

What are inhalants?

Inhalants are chemical substances that produce mind-altering effects when sniffed or inhaled. A few common examples:

  • Solvents such as glue, correction fluid, nail polish remover, gasoline, butane and paint thinner

  • Aerosols include hair spray, whipped cream canisters, computer cleaner, spray paint and refrigerator or air conditioning coolants (such as freon)

  • Medical anesthetic gases such as ether, chloroform and nitrous oxide (laughing gas or "whippets")

  • Nitrites (flammable liquids that are highly volatile and often sweet-smelling)

Amyl nitrite is used legally for certain diagnostic medical procedures. It was originally obtainable without a prescription, but abuse of the substance by nonpatients has changed that. It comes in a sealed, cloth-covered bulb that makes a snapping sound when broken, earning it street names such as "poppers" and "snappers."

Short-term dangers of inhalants 

Inhaled nitrites dilate blood vessels, increase heart rate and produce a sensation of heat and excitement that can last for several minutes. Most inhalants produce a drunken, light-headed "high" that is typically short-lived. Other symptoms include:

  • Nausea

  • Loss of appetite

  • Nosebleeds

  • Coughing fits

  • Disorientation

  • Loss of coordination, making it hard to walk or even stand for about 15 minutes after sniffing

  • Asphyxiation or suffocation

  • Convulsions or seizures

  • Coma

  • Heart rates shoot up, disturbing the heart rhythm and sapping the body of oxygen

Using inhalants can result in death due to cardiac arrest -- even the first time they are tried.  It's also very easy to have an accident, since inhalants are highly flammable.

Long-term dangers of inhalants 

A strong need to continue using inhalants has been reported by many individuals, particularly those who have abused inhalants for prolonged periods over many days. Compulsive use and a mild withdrawal syndrome can occur with long-term inhalant abuse. Inhalant abuse can result in permanent brain damage and widespread destruction of organs such as the heart and lungs. Extended periods of abuse can cause:

  • Personality changes

  • Learning disabilities

  • Memory loss

  • Slurred speech

  • Difficulties with balance and coordination

  • Vision problems

  • Nerve damage causing numbness or paralysis in the arms or legs

  • Hearing loss

  • Liver damage

  • Lung damage

  • Reduced muscle tone

  • Damage to bone marrow

Although problems may not be immediately apparent, some users have noticed a change in their mental abilities after using inhalants.

Signs that someone is abusing inhalants 

Signals vary depending on the intensity and duration of use. The following range from the minor, when abuse is minimal or infrequent, to the extreme, when permanent damage may have occurred:

  • Sitting with a pen or marker near the nose

  • Unusual chemical odor (in the room, on clothing, or on the body)

  • Constant smelling of sleeves or wiping of the nose on the sleeve

  • Rags, cloths, or empty household product containers found hidden in closets, under beds or elsewhere

  • Whipped cream canisters or other products are disappearing or quickly emptying

  • Uncharacteristic nosebleeds

  • Marks around the nose or mouth

  • Sores and rashes around the mouth may suggest inhalant abuse

  • Paint marks or other strange smudges on the hands or face

  • Red or runny eyes or nose

  • Nausea and/or loss of appetite

  • Slurred or disorganized speech

  • General disorientation (a drunken or dizzy appearance)

  • Lack of coordination and staggering

Chronic inhalant abusers may show such symptoms as:

  • Anxiety

  • Excitability

  • Irritability

  • Restlessness

Withdrawal symptoms include:

  • Irritability

  • Speedy heart rate

  • Headaches

  • Hallucinations

  • Abdominal pains

  • Shaking

In the case of some inhalants, especially solvents, a user may develop a tolerance and need to inhale higher concentrations for longer periods of time in order to continue getting high. Physical dependence is unlikely, but psychological dependence is common.

If you discover someone in distress

Call 911 immediately and stay calm. If the user becomes agitated, his or her heart may overwork, which can lead to Sniffing Sudden Death Syndrome from cardiac arrest.

While waiting for the ambulance, open windows and keep the room well-ventilated. If the person stops breathing, begin CPR. After the person recovers, urge him or her to seek counseling and professional help.

Learn more about substance use and addiction in the Addition Toolkit.