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You’re worth protecting.

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


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 naloxone

  • Nasal Narcan/naloxone

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

  • Safer smoking equipment, including pipe covers, safer sex materials

  • Fentanyl test strips

  • Overdose prevention education

  • Tests for HIV and hepatitis C

  • PrEP assistance

  • 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—take a look at the menu.

First-time participants can simply call 513.399.6969 and complete a brief sign-up survey with a member of our staff. After completing the survey, you are given a personalized code that allows you to gain access to the machine once per week for 90 days. After 90 days, participants are required to check in with staff and sign up to continue use of the machine. All information gathered is confidential and all supplies inside the machine are free.


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 new needle for splitting drugs.
  • Use condoms and practice safe sex.



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 Regional Area MAT Providers 

Additional Resources



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
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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