[7] Rectal administration is sometimes thought of as a safer alternative to intravenous injection of psychoactive substances,[8] which carries a significant risk of infections and illnesses like pulmonary granulomatosis.
[6] The combination of a brief acting time (compared to oral administration) and an unpredictable absorption-rate can, particularly for new users, result in a risk of overdoses.
[10] Some psychoactive substances like substituted amphetamines can induce a strong vasoconstriction in the rectal vasculature and lead to intestinal ischemia.
This leads to the user not knowing if and what substances, by-products or cutting agents are present in their drugs[11] before administering them rectally.
Possible impurities or falsely marketed substances greatly increase the risk of administering illicit drugs rectally.