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You’re worth protecting.

Reduce the health risks—like HIV—associated with drug use.


HIV transmission is approaching crisis levels in many communities—most of these new HIV infections are among people who inject drugs.

Sharing needles and works can spread infections like HIV and hepatitis C.

To help you stay safe, we’ve partnered with agencies, like Hamilton County Public Health and others. We offer FREE confidential HIV and hepatitis C testing plus harm reduction supplies to help you remain safe and healthy while using drugs and having sex. Test results come back in just 1 minute, with a simple finger prick.



We believe you deserve to be healthy no matter whether you don’t use drugs at all, use them only occasionally or use them frequently. Our FREE services include:

  • Injectable Narcan/naloxone

  • Nasal Narcan/naloxone

  • Safer injection equipment, including cookers, cottons, alcohol pads, tourniquets, 1 oz. bottles of bleach, safer sex materials

  • Fentanyl test strips

  • Overdose prevention education

  • Tests for HIV and hepatitis C

  • Referrals to Social Services and Treatment



Locations and times are subject to change due to unforeseen circumstances. For the most up-to-date locations, use the texting subscription service: text Locations to 22999 to receive daily notifications of available locations.


Caracole – Northside
4138 Hamilton Avenue Cincinnati, OH 45223
Daily 24/7 access for participants
Located outside rear entrance of building
Learn what's inside:


Caracole – Northside
4138 Hamilton Avenue Cincinnati, OH 45223
Thursdays 5:00–7:30 PM


Hamilton County Public Health (Rear parking lot)
250 William Howard Taft Rd., Cincinnati, OH 45219
Tuesdays 1:00 PM – 4:00 PM

106 W. McMicken Avenue, Cincinnati, OH 45202
Mondays 1:00 PM – 4:00 PM

Western Hills
Talbert House (In Rear)
4968 Glenway Ave., Cincinnati, OH 45238
Wednesdays 5:00 PM – 8:00 PM
Fridays 1:00 PM – 4:00 PM

For other regional syringe exchanges, visit the Syringe Services page at Hamilton County Public Health’s website:

Butler County OH
Clermont County OH
Montgomery County OH
Bracken County KY
Grant County KY
Owen County KY
Campbell County KY
Kenton County KY
Pendleton County KY



  • Diseases, such as HIV, hepatitis, etc., can be spread by sharing syringes. Hepatitis can also be spread by sharing equipment such as cookers and cottons (for injecting), and pipes or stems (smoking).

  • Whether you smoke, inject, or orally ingest your drugs, you ARE at risk of fatal overdose. Fentanyl, a powerful substance linked to the majority of overdose, has contaminated the drug supply and is commonly found in rock and powder cocaine, pressed pills, designer drugs, and methamphetamine.

  • Use of new/sterile supplies greatly reduces risk of bodily infections including abscesses and endocarditis, and illnesses such as cotton fever.



There are many things that we can do to take care of ourselves and reduce the risks associated with using drugs.

Avoid Overdose

  • Don't use alone if you can. If you are using alone, try a test shot or call someone—like Never Use Alone or the BRAVE app to connect, by voice, to a person who will stay on the call with you until you’re safe.
  • Test your drugs for fentanyl. Learn how to use a fentanyl test strip [video]
  • Remember the 4 S’s: SNORT, SMOKE or SLOWLY inject to SAMPLE a new batch.
  • Carry naloxone and know how to use naloxone [video]

Avoid Infections

  • Know where to inject—check out our Safer Injection quick guide.
  • Use new needles or clean them. Remember that insulin syringes develop a burr after a single use. New needles pierce, while old needles tear, which increases the risk of infection.
  • Use sterile water if possible to mix your drugs.

Avoid HIV and Hepatitis C

  • Have your own rigs and gear.
  • Use a clean needle for splitting drugs.
  • Use condoms and practice safe sex.



Reach out to learn more:

Call/text 513.399.6969 or email

HIV, AIDS, Ohio, southwest, Ohio
Jayme Brogan
Harm Reduction Services Coordinator

HIV, AIDS, Ohio, southwest, Ohio
Rob Goeller
Prevention Supervisor

HIV, AIDS, Ohio, southwest, Ohio
Leah Majesky
Harm Reduction Services Coordinator

HIV, AIDS, Ohio, southwest, Ohio
Rashida Pearson
Harm Reduction Services Coordinator


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


Caracole - Positively Changing lives in the fight against HIV/AIDS

         4138 Hamilton Avenue
       Cincinnati, OH 45223

         p 513.761.1480
       f  513.761.1569

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