"They said it was safe, cause when you are on E, you don't cum and everyone is doing it without condoms..."

Drug use is a major factor in the spread of HIV infection. Shared equipment for using drugs can carry HIV and hepatitis, and drug use is linked with unsafe sexual activity.

DRUG USE AND UNSAFE SEX
For a lot of people, drugs and sex go together. Drug users might trade sex for drugs or for money to buy drugs. Some people connect having unsafe sex with their drug use, such as sex parties.
Drug use, including methamphetamine ( crystal meth or Ice ) or alcohol, increases the chance that people will not protect themselves during sexual activity. Someone who is trading sex for drugs might find it difficult to set limits on what they are willing to do. Drug use can reduce a person's commitment to use condoms and practice safer sex.
This leads to higher risk of infection, and transmitting any infection to others.

INJECTION AND INFECTION
HIV infection spreads easily when people share equipment to use drugs.
Infected blood can be drawn up into a syringe and then get injected along with the drug by the next user of the syringe. This is the easiest way to transmit HIV during drug use because infected blood goes directly into someone's bloodstream.
Even small amounts of blood on your hands, cookers, filters, tourniquets, or in rinse water can be enough to infect another user. A recent study showed that HIV can survive in a used syringe for at least 4 weeks. Cleaning does not always kill HIV or hepatitis.
Sharing equipment spreads HIV, hepatitis B, hepatitis C, and other serious diseases.

MEDICATIONS AND DRUGS
It is very important to take every dose of ARVs. People who miss doses, are more likely to have higher levels of HIV in their blood, and might develop resistance to their medications, which can lead to treatment failure.
Some street drugs interact with medications. When drugs and medications are both "in line" to use the liver, they might both be processed much more slowly. This can lead to a serious overdose of the medication or of the recreational drug.

THE BOTTOM LINE
Drug use is a major cause of new HIV infections. Shared equipment can spread HIV, hepatitis, and other diseases. Alcohol and drug use, even when just used recreationally, contribute to unsafe sexual activities.
Drug use can lead to missed doses of ARVs. This increases the chances of treatment failure and resistance to medications. Mixing recreational drugs and ARVs can be dangerous. Drug interactions can cause serious side effects or dangerous overdoses.


Drug abuse is illegal in Singapore and can lead to several years behind bars or a life sentence.