Chemsex exists within Riga's gay community. Latvia's combination of high HIV prevalence, chemsex, and limited harm reduction resources creates a specific risk environment. Latvia has strict drug laws — personal possession is illegal. Emergency medical help for overdose should be sought without hesitation; paramedics and emergency doctors prioritise medical care, not prosecution.
For drug mechanics, overdose protocols, and harm reduction principles, see Chemsex: Safety — General Guide.
Emergency
Call 03 (ambulance) or 112 immediately if someone is unresponsive or can't be woken after taking G. Recovery position — on their side, head tilted to keep airway clear. Do not leave them. Tell emergency services what was taken.
Support Resources
Mozaika mozaika.lv — The most appropriate first contact for gay and bisexual men dealing with substance use in a sexual context. Non-judgmental support and referrals to addiction services. The intersection of chemsex, HIV risk, and LGBTQ+ identity in Latvia's specific context is something Mozaika understands.
LIC (lic.gov.lv) Operates harm reduction services alongside its clinical work. The infectious disease team is experienced with the chemsex-HIV intersection.
Narkoloģijas centrs (Addiction treatment centre) Latvia's public addiction treatment network — operates in Riga. Counselling and treatment. Not LGBTQ+-specific. Your ģimenes ārsts can refer, or ask Mozaika whether they know of a practitioner who is appropriately non-judgmental.
The HIV Context
Latvia has high HIV prevalence — PrEP matters more here than in many other European countries. If you're on PrEP, keep taking it consistently during chemsex periods.
After sessions, get a full STI panel at Testpunkts (HIV/syphilis) and LIC or Gulbja Lab (throat/rectal/urethral swabs). Don't wait for symptoms.