What Is Cotton Fever and Why Is It So Dangerous

What Is Cotton Fever and Why Is It So Dangerous?

By nature, recreational substance abuse is inherently dangerous for a number of reasons. Depending on the substance in question, the direct health effects of substance abuse can be quite profound, resulting in conditions such as undernourishment, emaciation, or even any of a variety of infectious diseases like cotton fever.

If you or a loved one are experiencing any of these symptoms or think you might be suffering from cotton fever, please call us at (855) 619-8070.

Since the effects and risks resulting from substance abuse vary from one drug to the next, it follows that certain drugs will be more dangerous than others due to the severity of the effects that result from abusing that drug. For example, drugs that are consumed or administered via smoking or inhalation will put users at risk for a number of infections and illnesses that target the respiratory system.

Of all the mind-altering substances to which individuals become addicted, those that are administered intravenously—referring to the injection of a substance directly into the bloodstream via a hypodermic syringe—could be said to pose the most risk to an individual’s health. Intravenous drug use offers the most direct route of administration with the substance’s euphoric or intoxicating effects being almost instantaneous since the substance is introduced straight into the bloodstream.

While this method of administration means the most rapid onset and strongest effects, this also puts drug users at risk of danger that wouldn’t affect them if they chose alternative routes of administration, such as the risk of introducing toxic adulterants straight into the bloodstream.

With drugs like heroin and cocaine—two substances that are commonly administered intravenously—users can’t be certain of the purity level of any particular batch of the drug, meaning that when they inject the prepared drug into their bloodstream it could contain foreign compounds that could put one’s health or life at risk.

Another condition of which individuals who intravenously abuse drugs like heroin and cocaine are at risk is called cotton fever. While being an incredibly dangerous and unpleasant illness, there are many misconceptions about cotton fever, including its actual causes. The following will define the illness commonly referred to as cotton fever and explain what makes cotton fever so dangerous to intravenous drug users.

Cotton Fever Isn’t What Most Addicts Think It Is

The process of preparing a drug like heroin for intravenous administration is actually quite simple, often involving improvised or makeshift supplies and materials. Typically, the drug is prepared on a spoon, allowing individuals the ability to maneuver the solution so that they can heat it, filter it, and load it into a hypodermic syringe. One of the things required in order to complete the preparation of heroin—or one of several other substances that can be similarly prepared for intravenous consumption—is a piece of cotton to filter adulterants that aren’t water soluble out of the injection solution.

Addicts don’t typically invest in actual filters, several options of which can be purchased in a variety of places, but rather improvise using a piece of cotton torn off of a Q-tip or from a cigarette filter. However, with a makeshift cotton filter—or even a purchased filter—it’s still possible for adulterants and debris in the drug to make their way into the syringe and, consequently, into the bloodstream.

A condition referred to as cotton fever has been experienced by addicts ever since the original spike in intravenous drug use that occurred in the 1970s. Since it tended to be common of intravenous drug users, many addicts attributed the condition to be a result of their injecting drugs into their bloodstream. As they tried to figure out in which part of the process the condition originated, the conception became that some part of the preparation process had caused an infection and the trademark symptoms of cotton fever.

The core symptoms of cotton fever were, naturally, a fever that would set in less than a half hour after the injection, as well as headaches, chills, nausea, general malaise or feelings of discomfort and unwellness, extreme joint and muscle pain, shortness of breath, severe back and kidney pains, anxiety, extreme shivering and tremors, and an elevated heart rate of 100 beats per minute or more when resting.

Since these symptoms tended to onset shortly after intravenous drug use when cotton was used to filter the drug solution, individuals assumed that the infection was caused by cotton getting into the syringe during filtration and, subsequently, into drug users’ bloodstreams, which is why the infection is named as such.

The Real Causes of Cotton Fever

Over time, it was found that the purported cause of cotton fever—infection due to cotton in the bloodstream—was not the catalyst for these individuals’ symptoms. According to medical research, cotton fever is the name given to infections that can occur one of two ways, but neither of them involves cotton finding its way into the victim’s bloodstream.

Since similar symptoms were experienced by cotton farmers in the 1940s, it was discovered that what’s actually making these intravenous drug users sick is an endotoxin released by bacteria that colonize cotton plants, but which might remain in small amounts of cotton that’s been processed for consumer use. Typically harmless, this endotoxin only produces symptoms when it finds its way into users’ bloodstreams, causing the symptoms mentioned above.

Another cause of the infection that’s often referred to as cotton fever is a form of sepsis or an inflammatory blood infection that’s caused by the unsanitary and unsafe practice of intravenous drug use. In particular, when hypodermic syringes—which are intended for a single use, after which they should be properly disposed of—continue to be used, bacteria and mold can grow inside the chamber in which the solution is loaded before injection into the bloodstream.

Individuals then inject the mold spores and bacteria into the bloodstream along with the drug solution they have prepared, causing the aforementioned symptoms that they believe are the result of cotton getting into the bloodstream. However, it was found that any intravenous drug users, including those who don’t use cotton to filter their drug solutions, are at risk of the types of infections that would often be identified as cotton fever among drug users.

Although incredibly unpleasant, cotton fever is not often life-threatening. Symptoms tend to subside on their own within 24 hours, though in cases where symptoms are intense it’s recommended that individuals may require an antibiotic to fight the infection, prescribed by a physician in a hospital emergency room. However, most individuals can manage the symptoms at home by drinking plenty of water, taking warm baths, taking anti-inflammatory medications like Tylenol or Advil, and try to relax as the infection works its way out of the body.

Learn About Addiction Recovery Options Today

If you or someone you love suffers from an addiction to heroin or another substance and would like to discuss addiction treatment, Drug Treatment Center Finder is available to help. Call us at 855-619-8070, we are available 24/7. Our team of recovery specialists has matched countless addicts to the recovery programs that best meet their needs, allowing them to achieve lasting sobriety, health, and fulfillment.

Please call us today at (855) 619-8070 or use our online search tool to find a treatment center.

  1. I really need help I am addicted to Suboxone I will stay clean for a week or two and then go right back to the needles and Friday August 12 I got cotton fever

    • Me too.. I have to buy my subs off the street as of 6 months ago. I lost my insurance and it was $1,000 to get my script out of the pharmacy.. f’ing insane. Don’t feel like you’re alone, because i do the exact same thing. Also, whenever i take subs. I get on this “Sub” binge where i worship the suboxone and its all that i take. But after a week or two, i want to get high so bad and i get mad that im taking the suboxone and that its not doing anything to me to change my mood or not getting me high.. I need to find some people who take subs because they’re running low in my area.

    • Try pepper if u ever catch cotton fever again its an old junkie trick to help you not end up dead cotton fever has killed me literally 5 times but the pepper has saved me more then that and it makes it not as hard core you just need another good shot or some sleeping pills with a warm blanket and sleep it off

  2. so basically this article’s title is false because you have shown that aside from discomfort and temporary symptoms, cotton fever will resolve itself without the need for intervention by a doctor. Should be called “cotton fever and why it isn’t so dangerous ” haha. But IV drug use in general is definitely a dangerous practice of course, but not specifically cotton fever.

      • about twelve hours tops. if you have muscle relaxers, anti anxiety pills, anti nausea pills, tylenol or advil or OTC pain meds, any pain meds (opiates), and water and time to rest, bundle up because the severe shivers set in and last for about half an hour. Moving around does help, but if you can’t stand it, put on warm clothes, get in bed, put a heating pad on the part that hurts the most. If you have imitrex the headache will lessen considerably.

  3. Cotton fever is the reason why we should stop the insanity, I was just going thru a mild episode, shaking, some chills, but no horrendous nausea, or numb fingers, r u like me! Ready 2 throw the towel in, so am I, but I don’t know what 2 do, I’ve been thru all the programs, don’t work 4 u, me either, if someone comes up with a VIABLE answer, please gmail me at once & vice-versa here, lets get our lives back!

    • Try going to the methadone clinic? Theres alot of ways i have tryed but its the only thing that has kept me away from it!! Medicaid will cover the whole expense and here in florida medicaid will cover a ride back n fourth for you to get to the clinic!! its awesome and it has saved my life!!

    • Really hope you found a solution to addiction. It gets the best of us. I found the clinic and constant therapy helps. Hope ur doing better!

    • Hi honey, a lot of people are against Methadone, but their not you. I tried everything before going on methadone and believe me its been a life saver. I don’t recommend unless you keep going back illegal drug use than maybe the methadone is your best option. believe me it’s better than living that way. GOOD LUCK with everything.


    • If you need assistance please call Drug Treatment Center Finder at 1-855-619-8070 and one of our representatives will help you

  5. From my experience cotton fever happens after you’ve used the same cottons twice or used cigarette cotton. Take about 30 to 45 minutes n4 it takes affect. You get super cold, shake, shivver your jaw is shaking your and lower back hurts. Best thing to do is lay down under some blankets and wait it out. It won’t last forever, usually an hour.

  6. This article is not correct. Both of the reasons they give as a cause of cotton fever may happen to some people, this is not what is happening to people when they get cotton fever. I always used cig filters and that is not cotton, so it can’t be from cotton getting in the blood. Mold or bacteria isn’t always right either. My belief is that it is dirt or tiny pieces of whatever being injected into the blood or a fiber strand and the body gets sick trying fight off the foreign particle.

  7. I would not recommend taking a “hot bath” for fear of drowning. Many times while experiencing cotton fever said person will pass out from exhaustion from convulsing so violently due to shakes from a feeling of freezing.

  8. It is from bacteria . It is also commonly called trash fever and comes in waves and some worse than others but start the same with a dull headache ,then drymouth a thirst that can’t be quinched. The more u drink the more u vomit. But your body does have to fight off whatever is making u sick so drink plenty fluids but don’t drink them to fast I learned that the hard way. Also it helps to take a nother shot ,if u don’t have anything plain water or saline helps. Or the age old method of sweating a fever with heat also helps. Good luck ! I wish the world were free of all narcotics just to make our lives easier

  9. Alan Hughes fletcherReply

    I have a friend that isparapalegeic he smokes roxys an he cleaned out his barrel that he uses to smoke an put in hyperdermic syrynge now he said he’s had fever for several days an uncontrollable shaking anyone help

  10. Cotton fever is harmless but agonizing. It is not the same thing as sepsis (though its symptoms mimic those of sepsis) nor what the other person described as trash fever. This article is incorrect.

  11. What can I do right now to feel better or make it pass through my body faster? Like need it to end an hour ago someone please help me now PLEASE

  12. Take Tylenol, ihprophen, drink lots of water, try to eat canned fruit like peaches watermelon works, you can also inject 40 units of water at the same location preferably. A few hours bit will pass

  13. I got cotton fever yesterday from my wash I was just wondering if there is a way to possibly heat it to kill the bacteria to possibly prevent it from happening again

  14. Ii iv shot meth I’ve done it for years I’ve got cotton fever headache fever ect everything went away 6 hours later but I have a headache still and my right eye and sinus cavity are swollen anybody have this before

  15. I am in the middle of a full-blown episode of cotton finger right now can’t stop shivering freezing cold I’m going to head is swimming so much so then I’m so nauseous I will throw if I get up and I I need something to drink my mouth is so dry but if I drink it I’ll throw it up I’m in pain my heart is beating so fast I can’t stand it I can’t breathe I have to use my inhaler because I can’t breathe in that makes my heart beat faster! This is not my first time!

  16. Typically people take a bath a hot as they can stand it while you drink water at the same time if you do this it will almost always be gone within a couple hours. But if you have the money or just have some near by you can instantly get rid of cotton fever by sitting in a tub as hot as you can handle and hit one blast of crack i know it sounds ridiculous but it work as soon as you blow it out it spikes your body temp and instantly burns up the cotton fever and you will feel 100 % better instantly well minus the crack buzz for a min I hate crack but it works.

  17. After 40 years of on and off addiction, 30+ on opiods, Ive been to 39 treatments (DTOX, outpatient, inpatient short and long term, hypnosis and 12 steps, I’ve had it a few times. Yes, bacteria seems to be the culprit. I’ve heard the “street doctors” tell me about a fiber, etc, but I believe the site and what other treatment experts have told me….bacteria grows. I used to keep a container where I would put used cottons to save for emergencies. that is where I usually seemed to get it from. it did seem that the cigarette filters would grow the worst fever from. In Philadelphia, they have needle exchange and they would pass out kits a few times a week for exchange. This contained bleach, water and a bag of small cotton balls. They were very helpful. It would set in shortly after the shot. It didn’t seem to last more than half an hour. Thankfully, when I went on to methadone, I stopped using. now, at 7 years, working in the field and changing some things…people places and things, I seem to be on the right track. If a person is on dope, I found methadone the only thing to be really helpful. It may take a few weeks to get on your dose, but it was worth it. I have very slowly been coming down and hope to be off in 3 years when I turn 60. With the fentanyl epidemic, I feel very lucky to get off when I did, I see so many dying from OD anymore. You cannot save your face and ass at the same time. Good luck.

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