Chemsex is a recognised phenomenon within Italy's gay communities, particularly in Milan and Rome. The Checkpoint network is beginning to address chemsex more explicitly alongside sexual health work. Italy has drug possession laws that criminalise personal use in principle, but health-oriented responses are well-established in practice — seeking medical help for an overdose will not result in prosecution.
For drug mechanics, overdose protocols, and harm reduction principles, see Chemsex: Safety — General Guide.
Emergency
Call 118 (ambulance) or 112 immediately if someone loses consciousness or cannot be woken after taking G. Recovery position — on the side, airway clear. Stay with them. Tell the emergency operator what was taken. Time matters.
Support Resources
Milano Checkpoint Via dei Transiti 23, Milan Web: milanocheckpoint.it
Milano Checkpoint increasingly addresses chemsex as part of its sexual health remit. Staff understand the intersection of drug use, sex, and gay identity, and can refer you to appropriate support services.
BLQ Checkpoint — Bologna Web: blqcheckpoint.it
Similar approach — non-judgmental, community-run, can navigate you to support.
SERD (Servizio per le Dipendenze / Drug Dependency Services) Italy's public drug treatment services exist in every ASL area. Free, confidential, and increasingly harm-reduction oriented. Not LGBTQ+-specific. Ask Arcigay's local chapter whether they know of a SERD with a more affirming reputation in your area.
Arcigay Web: arcigay.it
Local chapters can provide referrals and peer connection for people dealing with substance use alongside LGBTQ+ identity.
The Mental Health Dimension
The post-session crash — shame, depression, anxiety — is common after chemsex, and is often amplified by Italy's Catholic social context and whatever personal relationship you have with your sexuality. Checkpoint teams are experienced with this. Arcigay can connect you with peer support.
See Mental Health in Italy for more on accessing affirming support.