Hippy crack is ‘more dangerous than cocaine’, neurologist warns


Nitrous oxide is more dangerous than cocaine, according to a neurologist who has warned that kids are taking up to 150 canisters a day.

The substance, commonly known as laughing gas, nos or ‘hippy crack’, is one of the most commonly-used drugs among 16-24 year olds in England — with rates having soared in the past decade. 

Dr David Nicholl, consultant neurologist and clinical lead at City Hospital in Birmingham, says he now sees more patients struggling with side effects of ‘nos’ than cocaine abuse.

He said the volume youngsters are taking the substance has rocketed since the pandemic.

Nitrous oxide, sold in single-use silver canisters that litter the streets and parks of Britain, is dispensed into balloons and inhaled to create a temporary feeling of relaxation and euphoria.

A neurologist has warned that nitrous oxide, a gas inhaled recreationally by some young people, is more dangerous than cocaine. Pictured: Revellers suck on balloons at a music festival, a common way people inhale nitrous oxide A neurologist has warned that nitrous oxide, a gas inhaled recreationally by some young people, is more dangerous than cocaine. Pictured: Revellers suck on balloons at a music festival, a common way people inhale nitrous oxide

A neurologist has warned that nitrous oxide, a gas inhaled recreationally by some young people, is more dangerous than cocaine. Pictured: Revellers suck on balloons at a music festival, a common way people inhale nitrous oxide

But heavy regular use can lead side effects including dizziness, weakness in the legs and impaired memory.

Dr Nicholl said: ‘I’ve been a neurologist for 21 years and have seen a definite change in how it’s being used, since the pandemic.

‘Compared to before, now the volumes of nitrous oxide being consumed can be quite terrifying – up to 150 cylinders per day.

‘It’s perceived as safe – and terms like ‘laughing gas’ are especially unhelpful because it makes it sound trivial.

‘But the stuff bought on the street is pure nitrous oxide and not safe for human consumption.

‘It is not the same substance used in hospitals, and it is toxic.’

Dr David Nicholl, consultant neurologist and clinical lead at City Hospital in Birmingham said 'I have a patient every few years because of cocaine, but one every week due to nitrous oxide.' Dr David Nicholl, consultant neurologist and clinical lead at City Hospital in Birmingham said 'I have a patient every few years because of cocaine, but one every week due to nitrous oxide.'

Dr David Nicholl, consultant neurologist and clinical lead at City Hospital in Birmingham said ‘I have a patient every few years because of cocaine, but one every week due to nitrous oxide.’

However, he said he supports the recent decision from the UK’s drug advisory panel not to ban the drug following talks.

Instead, Dr Nicholl said a different approach needs to be taken to tackle the issue — targeting the supply at the source.

He explained it is easily accessible through places like corner shops and on social media — where sellers target their audience of 16-24-year-olds directly.

He said street sellers are getting more and more savvy about their sales to the point that it resembles an ‘organised crime group’.

‘You’ve got to, in one way, take your hat off for the guys selling,’ he said.

‘They’re marketing on social media, and they know exactly what they’re doing.’

He added: ‘They even have QR codes printed on the side to go buy more – that’s how easy it is to access. 

‘No wonder it’s so common.

Similarly, when sold in these local convenience stores, it is ‘as easy to buy as a loaf of bread’.

Dr Nicholl said: ‘I go to the chemist and I can’t buy 200 paracetamol tablets. So, why are we having corner shops selling 600g cylinders?’

Nitrous oxide, also known as hippy crack or nos, is sold in distinctive silvery canisters which have become a common sight discarded on streets and parks in some parts of the UK Nitrous oxide, also known as hippy crack or nos, is sold in distinctive silvery canisters which have become a common sight discarded on streets and parks in some parts of the UK

Nitrous oxide, also known as hippy crack or nos, is sold in distinctive silvery canisters which have become a common sight discarded on streets and parks in some parts of the UK

However, Office for National Statistics data show only 3.9 per cent of 16- to 24-year-olds in England tried nitrous oxide at least once in the year up to June. It was less than half the 8.7 per cent who said they had the drug ¿ nicknamed 'hippy crack' ¿ the year before and the lowest figure on record However, Office for National Statistics data show only 3.9 per cent of 16- to 24-year-olds in England tried nitrous oxide at least once in the year up to June. It was less than half the 8.7 per cent who said they had the drug ¿ nicknamed 'hippy crack' ¿ the year before and the lowest figure on record

However, Office for National Statistics data show only 3.9 per cent of 16- to 24-year-olds in England tried nitrous oxide at least once in the year up to June. It was less than half the 8.7 per cent who said they had the drug — nicknamed ‘hippy crack’ — the year before and the lowest figure on record

A big problem, Dr Nicholl explained, is that it can be sold legally – if it is going to be used for whipping cream, such as in cafes and restaurants.

But when it becomes available for the wrong purposes, it can have disastrous consequences – and Dr Nicholl sees this all too often.

There is existing legislation to attack the supply chain but people can say ‘I’m getting it for whipping cream’,’ he said.

‘Although – I’ve yet to find an actual chef who uses it for that purpose.’

He considers nitrous oxide ‘a bigger health risk than cocaine’ at the moment due to how prevalent it is.

Dr Nicholl said: ‘I have a patient every few years because of cocaine, but one every week due to nitrous oxide.’

What is Nitrous Oxide and is it illegal? 

Nitrous Oxide, has been nicknamed ‘laughing gas’ due to the euphoric and relaxed feeling people who inhale it can sometimes feel.

The substance – also known as ‘hippy crack’ – is normally bought in pressured canisters, commonly transferred to a container, e.g. a balloon, from which the gas is inhaled.

Although possession of laughing gas is not illegal, English law prohibits its sale to under-18s if there is a chance they will inhale it. 

Nitrous Oxide canisters and cigarette butts litter a roadside in Camden Town on February 11

Nitrous Oxide canisters and cigarette butts litter a roadside in Camden Town on February 11

The effects of nitrous oxide vary depending on how much has been inhaled but they include:

• Feelings of euphoria, relaxation and calmness.

• Dizziness, difficulty in thinking straight and fits of giggles/laughter.

• Sound distortions or even hallucinations.

• In some people, a headache can be an unwanted immediate effect.

Risks include:

• Unconsciousness or death from lack of oxygen. This occurs when the available oxygen for breathing is effectively pushed out by the nitrous oxide.

A recent study by the research agency OnePoll found 50 per cent of people are unaware that nos can cause serious health problems such as nerve damage or – in extreme cases – paralysis.

Despite this, roughly 40 per cent of users said they had suffered the side-effects such as anemia, cognitive impairment and chronic headaches.

Dr Nicholl believes the best approach to curbing nitrous oxide use is through education and targeting the supply chain.

‘A ban is the wrong approach,’ he said. ‘In what way are we solving the problem by criminalising a 16-year-old with a couple of whip-its and a balloon on the street?

‘All we would do is drive it underground.

‘Restricted distribution is what’s recommended – what we need to do is target the supply chain, but you do still need a caveat for some kind of legitimate use.

‘And we should be focusing on education so people are more aware of how dangerous it is when sold and used recreationally.’

Dr Nicholl reckons the solution is for police to use existing legislation to target those responsible.

Last week saw a Bristol man, Ansil Mahmood, 46, given a 12-month suspended jail term for selling nitrous oxide.

But with cases like that in the minority, Dr Nicholl feels change is urgently needed.

He added: ‘It mystifies me that there haven’t been more arrests when you see sellers everywhere.

‘It comes back to the loophole that it’s for baking.

‘But when you’re handed a balloon on your way out the door, it’s not for baking, is it?’

Ever since the Psychoactive Substances Act came into effect on 26 May 2016 it has been illegal to supply or import nitrous oxide for human consumption.

The substance is often found littering the streets, particularly in student populous areas.

However, there are signs Britain’s laughing gas craze may be slowly dying out.

An Office for National Statistics (ONS) report revealed only 3.9 per cent of 16- to 24-year-olds in England used nitrous oxide at least once last year.

It was less than half the 8.7 per cent who said they had the drug — nicknamed ‘hippy crack’ — the year before and the lowest figure on record.