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Due to COVID-19, our building is CLOSED per state order recommendations.
We are still here for you—all our services continue remotely! 
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Education, Caracole Inc.
Education, Caracole Inc.




Our Harm Reduction and Syringe Services Program

Harm reduction recognizes that there will always be a percentage of the population who will engage in higher risk behavior, for a range of social, economic, mental health and personal reasons. 

PLEASE NOTE: As a precaution against the spread of COVID-19 (corona) virus, we are suspending our in-person services at our Northside office until further notice. 

If you are in need of harm reduction services, please reach out to our team at or call 513.399.6969 so they may answer your questions.

How We Can Help

Caracole believes you deserve to be healthy. Our FREE services include:

  • Rides to syringe exchanges

  • Safer sex, safer injection and overdose prevention education and equipment

  • Tests for HIV and hepatitis C

  • Resources for support services, including treatment options

Contact us at 513.399.6969 or email

Syringe Services

Due to COVID-19, syringe services will be offered by Hamilton County Public Health until further notice
From March 23 until March 29, visit their Facebook page HC_XCHANGE or call 513.316.7725 for locations. Beginning March 30, make an appointment by Facebook messenger or by calling or texting 513.316.7725 to obtain syringes.


Harm Reduction Tips

People who inject drugs can take the following steps to protect and reduce harm to themselves and others:

  • Practice safer sex to prevent the spread of infection.
  • Know, as much as you can, where your drugs are coming from, this will help you understand the strength to expect, what it may be mixed with, and the possible toxicity.
  • Reduce the amount of drugs consumed.
  • Avoid using drugs alone.
  • Use a different vein every time to inject.
  • Always use a new, rigs and fresh water, spoons, cotton.
  • Always cook your drugs—you will not lose any drug if brought to a quick boil, all this does is kill off possibly harmful bacteria. Think of how street opiates and other drugs are transported and how unsanitary that can be.
  • Use needle and syringe exchange programs.
  • Dispose of used needles in sharps containers or another thick walled container with lid.
  • Learn CPR and other first aid strategies.
  • Consider an opiate substitute such as Suboxone or Methadone, this is a personal choice and may not be the right choice for everyone.
  • Carry Naloxone to help reverse an opiate overdose.
  • Access your local syringe access/exchange program, like Caracole's Syringe Services program, for a continuum of harm reduction services.

Suboxone Maintenance

For some, Suboxone can be a great option for starting a life without the need for opiates and can help to stop the effects of withdraw. This drug contains Buprenorphine and Naloxone and works by blocking the receptors in the brain to which opiates attach. By blocking these receptors cravings for opiates subside and symptoms normally associated with opiate withdraw do not occur. The Cincinnati area has several Suboxone providers (listed below) that help with prescribing and maintaining this type of opiate substitute. 

Methadone Maintenance

Methadone can be prescribed for people who are trying to deal with an addiction to opioids. It is a medication that is taken orally, helping to reduce or eliminate the need to inject heroine. When properly prescribed, people have reduced cravings or withdrawal. People taking methadone can function just the same as anybody else. Tolerance to methadone develops very slowly, so people can usually stay on the same dose for a long time. It is medically safe to take long term, even for many years. Methadone treatment helps people take control over their addiction.

Find Area Providers

Additional Resources


Caracole is proud to be a part of and supported by the following organizations:



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    Caracole, Inc.
4138 Hamilton Avenue
Cincinnati, OH 45223 Email us
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