Filed under: JUNKe life
Dirty hit! Fuck! last night I had my first bout of cotton fever in damn near a decade. Thank gawd it wasn’t one of the worst bouts. But it was bad enough. I realized it was coming on when I started feeling my muscles in my neck, lower back, and jaw start tensing up. Then I started feeling cold, and soon was freezing, with literal convulsions of spasms of cold shooting up my body. These effects started happening about two hours after injecting, and went from first noticing, to full blown, in about ten minutes.
But I wasn’t really cold, although I felt freezing; in fact, I was getting awfully hot with a fever. I dragged myself to bed and lay there, teeth chattering, muscles tensing up so powerfully that I could hardly breath at times. My partner kept applying ice on my head, and cold clothes to my neck and chest, blasted a fan at me, and I just lay naked on the bed, holding on. I kept going through convulsions of shaking, during which it felt as if my lungs were being squeezed shut. I couldn’t control my moaning and talking aloud, “oh fuck this is awful, oh shit god stop!”. I kept telling myself to try and relax, but the seizures of muscle tensing and shaking were uncontrollable. This real acute phase lasted about an hour, then diminished somewhat, and then returned again for another half hour. Finally I just fell asleep. And then awoke about three hours later, drenched in sweat, and sore all over.
I remember my first bout. It was in the early-90’s, about six months after I was using regularly. It came on similarly as I explained above, but at that time, I really had no idea what was happening. When I got to the uncontrollable shivering phase I was starting to get scared. I realized it had to have something to do with some reaction to shooting up but I didn’t know if it was an allergic reaction to the dope, or god knows what. But it was powerful, and every muscle in my body seemed to have seized up, and was hurting. Like I was in the throws of a big beast that was squeezing and shaking me. I crawled over to the telephone, and crawled back to my futon with the phone. I told myself if it got any worse I would call an ambulance. Eventually I just sort of passed out, and when I awoke several hours later, I ached all over. It was like I’d strained all the major muscles in my body, and I was sore to the core.
Subsequently I’ve had a half dozen more cotton fever bouts. Then I finally stopped using cottons to cook up MS Contin morphine pills, and since then, I hadn’t had a session for nearly a decade until last night. I don’t know what caused it last night. I guess some little particle of dirt or something managed to get into my fit. Usually I’m very careful, and I notice any little bits that might be in what I’m cooking up and pick them out with the tip of a used needle. But I guess one minuscule bit of dirt managed to slip by last night.
Cotton fever is uncomfortable, but it’s usually not serious.
Symptoms may include:
- Chills
- Fever
- Shaking that you can’t control
- Nausea
- Hot flashes
- Vomiting
- Shortness of breath
- Headaches
Symptoms usually show up right after injecting, but may take up to an hour. Taking a second hit will not make them go away. Instead, grab a blanket and let the infection take its course.

These days “cotton fever” is pretty much a colloquial term for experiencing a dirty hit. Most of what’s called cotton fever really isn’t cotton fever in the classic sense. It isn’t some bacteria from old cottons, but rather a piece of dirt or a piece of filter (usually cigarette filter) that was in the liquid that’s injected. And then the body recognizes this foreign element, tries to isolate it, and develops a rejection response of fever and shaking.
It’s no fun at all! And I hope I go at least another decade before experiencing it again. And that’s for damn sure!
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I just used an old cotton! DUMB…I used to use heroin yars ago, and forgot about the dangers of using a dirty cotton…..I feel like shit, with in 5 minutes of shooting up, my ears began to ring, like I was at a concert front row for a week, my hearing was blocked, my heart rate was really high, began sweating….I hope I don’t die from this…the cotton I used was from the last time I shot up about 2 weeks ago….does anyone know if this is a more serious illness than just “cotton fever”…I have had cotton fever before, but never this bad….this was really shocking….I vommited about 4 hours after shooting up, then again the next morning, and I still feel shitty, I used on Monday, it’s now Wednesday morning and I still feel shitty?…any help?
Comment by nevertellyou August 15, 2007 @ 3:57 amWATCHING MY BOYFRIEND ALMOST DIE FROM COTTONFEVER
Comment by Marie October 6, 2007 @ 1:51 pmI never shot up dope and never heard of cottonfever before. My boyfriend had just went to physical therapy for a work-realted injury and when he came home, he shot up 2 bags of this new kind of dope we recently scored. I snorted mine. I was talking on the phone to my dad, who doesn’t know I’m a junkie (I use to be an active alcoholic and as long as I am not drinking he thinks I’m doing great) when my boyfriend, Steve, started shaking uncontrollably. Then he turned all red, on his face, neck, back, shoulder. I thought they messed up in physical therapy and maybe hit a nerve. He was screaming in pain. He screamed “I’m freezing” and I shut off the fan and brought him a blanket. When I put it on him I felt he was really hot, burning up. I told him you must be allergic to the cut in the dope. All night he screamed in paid – his head, his shoulder, back and could hardly breath. He finally went to sleep.
the next day he slept and then finally went to the doctors who asked him if had hep c. He told him no. The doctor was baffled after hearing his symptoms of last night. He should have gone to the ER. Later Steve told me he though he had cotton fever and explained it to me. He didn’t use the next day but did the day after. Once again the syptoms started even though he used new cotton. Right now he’s resting. I want to take him to the hospital because I read cotton fever can be more serious than you think – it can be an infection in your body or a blod clot that can even kill you. He thinks if he doesn’t use, he’ll be better but I don’t think he should take the chance of not going to the hospital. I’ll write later and see what happens.
When people used to save up old filters to re-cook at some time when they didn’t have a hit, there was a chance that the old filters had developed some bacteria. This was what “cotton fever” initially referred to. And to counter that, it was recommended that old filters always be saved in the refrigerator.
Rather than saving old filters, the best way to save up one’s wash is to actually cook it up and save it in a syringe in the fridge. But instead of shooting it up, it is better to just mix it with water and drink it, in lieu of having any dope. Here’s some info on saving up washes when doing MS Contins – Use Washes Sensibly
Nowadays, cotton fever generally means a “dirty hit”. Some bit of dirty that gets into one’s hit and causes a yucky reaction when one’s body reacts to it. This sort of cotton fever is far preferable to a bacterial infection because it usually is not serious. However, it does bring one some very uncomfortable symptoms for a couple of hours. See Cotton: Facts and Tips
Comment by opiated December 9, 2007 @ 7:25 pmcotton fever, fun fucking shit. i’d heard of it before but this has been my first weekend in “the cotton zone”. my symptoms were a little different then i’ve seen described, but i’m pretty sure i’m this sick from the shot i did four days ago.
soon as i did it, my lungs felt searing hot and my veins were burning like i’ve never felt it before. my initial concern was that since i didn’t cook it myself, the person who did might have handed it to me boiling hot or had just cleaned the stuff with acetone and didn’t let it evaporate long enough before mixing it with water. a couple minutes after the burning, i felt my entire body temperature drop. my hands were so cold they were numb and i just sat there with my eyes closed trying not to let myself panic and make it worse. it was very painful and i was in the company of people i hardly knew and my car had quite literally broken down when i arrived at this house. all i could do was appear okay until i knew what to do.
my veins burned for the next day or two, but my real symptoms didn’t start until two days later, when i began to get high fever and uncontrollable spasms and lung and sinus mucus that made it hard for me to breathe normally. i also had strange fluctuations in heart activity, from low to erratic pulse and low and high blood pressure and pain in my chest and neck. i couldn’t even sleep it off because i was in so much pain all i could do was roll around in bed moaning and constantly moving my legs and back.
day 3 and 4 developed into a serious case of what i am pretty sure is strep, worse than i’ve ever had it. my throat and sinus tissue is almost entirely raw and bleeding as well as my gums.i can’t swallow, stand up, or do much of anything without taking a lot of aspirin to get past the pain. when i recognized it as strep i started taking antibiotics i had leftover from 6 months ago when i had a mild case of strep and its only been 12 hours, i am already seeing the signs of my body killing off bacteria.
i don’t really know how cotton fever could become strep or if i happen to develop strep as my body was in shock or what, but the idea of injecting the strep bacteria directly into my body grosses me the fuck out and i’m going to me way more careful in the future.
and here’s to more personal accounts on the net, cause some IVers out there have been really lucky in spite of their poor habits. cheers.
Comment by another banger February 4, 2008 @ 2:47 pmI have a question that I need answered,I’ve been shooting dope for 17 years off/on now.About 4 months back I developed an abcess/pimple on my butt,I went to the doctor and was put on keflex and it cleared up quickly.Next I get a stye on my eye 2 weeks after the butt abcess/pimple,keflex again and I’m all better.Now 4 months clean I’ve started useing 6 days ago and have developed a pimple/abcess on my lower jaw that is red and swelling.My friend told me because I used a used cigarette filter (smoked) that I picked up something called merced and I now have it for life because I used a used cig filter.Is this true? She said I can expect to get abcesses all over my body for the rest of my life and antibotics won’t help.Is she full of schit about getting this off a used cig filter.She said that I can expect to get them every where,so I did some reading but can’t find out any thing about getting this disease off used gig filter’s,what’s up can you help with this question?
Comment by junkie girl March 22, 2008 @ 3:48 pmwe just did a shot, mine went fine. ALL the anticipated/ normal reactions came & went. BUT then when we went to do his shot, he found the complete opposite side effects to take place for him…NOTHING, not even a burn suggesting a miss. But there is a somewhat small knot,that was noticable immediately after pullin out, suggesting a miss. It hasn’t gotten much bigger, if at all…but its pretty hard!!! I’ve only done it this way for this past year now off and on, some periods ALOT long or shorter than the next. We have missed twice on me, with the same arm and same vein. It would always roll. But neither times with my misses was the knot smaller like his and DEFINATELY not nearly as hard!!! Any suggestions or advice as what happened here and what may help?
Comment by newbie April 30, 2008 @ 5:41 pmwe just did a shot, mine went fine. ALL the anticipated/ normal reactions came & went. BUT then when we went to do his shot, he found the complete opposite side effects to take place for him…NOTHING, not even a burn suggesting a miss. But there is a somewhat small knot,that was noticable immediately after pullin out, suggesting a miss. It hasn’t gotten much bigger, if at all…but its pretty hard!!! I’ve only done it this way for this past year now off and on, some periods ALOT long or shorter than the next. We have missed twice on me, with the same arm and same vein. It would always roll. But neither times with my misses was the knot smaller like his and DEFINATELY not nearly as hard!!! Any suggestions or advice as what happened here and what may help?
Comment by newbie April 30, 2008 @ 5:42 pmI experienced my first bout of “cotton fever” two days ago. After hearing about it for years, and shoot dope, on and off, for fifteen years, it finally caught up with me. I am not so concerned with the initial fever as I am with my persistent symptoms of sore throat, runny nose, and general malaise. I feel like some wicked invasive entity has entered my body. Should I go to the hospital, or will my immune system eventually fight off this evil bacterium?
Comment by simon richie May 1, 2008 @ 4:20 pmJust make sure if persistent infection continues that you get it looked at or treated with antibiotics.
It may be a miss that just stayed in a compacted area – thus the solid knot-like nature. So long as it doesn’t start getting hot and red which would mean ongoing, spreading inflammation from infection, it should be fine and it will dissipate in time.
I don’t know about the permanent condition you refer to junkie girl. Some sort of ongoing infection like that does sound plausible, unfortunately.
Comment by opiated May 2, 2008 @ 1:22 ami mostly use ms these days and get a bout of cotton fever or a reaction to large amounts of morph setting off my imune system or whatever it actually called or caused by… i have all the symptoms talked about, the convulsions, sweating, extreme pain, on and on. i have had it it maybe five times in the last 6 months. my question is the last two time i have gotten it i have awoken the next day to be more or less paralized and unable to move my legs arms etc. and have had to be taken to the hospital for two stays so far. about 24hrs later it seems to wear off with no intervention and has myself and about ten docs baffled. i have not read anything about this happening to others yet. does anyone or has anyone gone through this? they think maybe i have MS, lol, the other one-the disease, not the one i shoot 300 too 400 mgs of every day, and the drug use or reaction syndrome is severely worsening the disease. i am hoping i do not have this horrible nerve disease and this happening too people on occasion is not unheard of. if anyone has any info it would be great.
Comment by flying purple peeler eater August 27, 2008 @ 3:03 amtest
Comment by gd November 10, 2008 @ 9:36 pmyea i heard about some friends who went paralized…sometimes an abcess or cellulitis near a nerve can cause paralysis down that side of the body…you must not be from the states i thought ms was too hard to come by around here and most people take it to the streets….i got tired of alll the bs about a year ago and am clean and have had 0 bouts with mystery illnesses since…so ms guy…tell me about how you use ms …is it in a pill like on that movie “drugstore cowboy” and you melt it down or what?
Comment by burroughs November 10, 2008 @ 9:41 pmby the way …cotton fever is a cake walk
Comment by burroughs November 10, 2008 @ 9:43 pmHey Burroughs. I agree that a bit of a dirty hit (commonly mis-named as “cotton fever”) is a cake walk when compared to the serious infections which do occur. But nevertheless, a dirty hit is no fun. Even if it only lasts two or three hours, you go through an awful lot of physical stress when your muscles are all tensed up, and you’re shaking violently like a palm tree in a hurricane. I’m usually worn out for a couple days after an intense bout of it.
You ask about using MS Contin. Here’s a very helpful guide: Step-by-step Guide (and click on the little Burroughs icon at bottom of page to read for his kickass Testimony Concerning Sickness)
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I found the cure for “dirty hits” which most people call “cotton fever” is too take 800mg of Ibuprofen (Motrin) or 2000mg of APAP (tylenol), and most importantly, if you have some benzodiazapines, take a decent dose of those. For one the benzos really take the edge of that horribly uncomfortable feeling that is much worse than the flu if you ask me. Be careful, of course, if you are shooting opiates and combining them with benzos. But if you are not worried about an OD, they really help, and can lull you into a nice sleep so when you wake up 4 hours later, it is nearly gone. Cotton fever generally lasts longer than that. If it persists for a couple of days…go to the doc and tell him what you did. You can become septic depending on what bacteria you injected or endocarditis….both life threatening. If your temp reaches above 103F…and doesn’t break within 24 hours….go to the doctor. If our temp gets above 104F…go to the ER (105F and enzymes start to destroy your body). I am looking right now because I have just shot a “dirty hit”. And it was hell and 40 mins after the shot…and by 1 hour I was just begging for it to stop. That is when I took the benzos and Motrin (Tylenol might be better, but I don’t like how hepatoxic it is). Within a half hour it is very bearable and I feel safe to take a nap knowing it will be only be a mild annoyance in 4-6 hours.
One thing to think about as well is what solvent you are using. If it is not isotonic with your body’s normal NaCl levels (.9% NaCl) and you use too much water (usually done after trying to beat the tiny bit left in cottons into your rig, of course filtered again, still you are putting more pure H20 in there two, three, even four times. Despite this practice could be the possible cause of the bacteria, it could also just cause a water reaction that causes an imbalance in your blood resulting in similar symptoms. Do some research on it and you will find some good info on it. If you are gonna reuse cottons (which I don’t suggest)….wait for you body to stabilize before shooting mostly water immediately after (especially more than once). Take a smaller hit and after you ride that out…then use those cottons if you must and heat the solution to just bubbling to kill bacteria that may be looming from it staying wet for a few hours. Longer than that…throw em away. There really isn’t that much in there…and believe me once you get so called “cotton fever” from it….you will hate yourself for doing it.
Took the anagesics and benzos at 10am and it is 11:20…and symptoms have greatly reduced. It is my suggestion to combat a “dirty hit”. That and some Gatoraide, fruit juice, or water if you don’t have juice. Consider an antibiotic if you have some laying around. I know how bad it can get…but I know how to treat it fairly well now if I happen to get it.
Hope this was helpful…know it was long. Thanks for reading.
Comment by Anon April 6, 2009 @ 11:33 am