It looks as if he's talking about his heroin addiction ("Those kilo(meters)"), his sexual exploits ("and the red lights"), the paranoia he eventually - albiet momentarily - succumbed to ("I was looking left and right"), and commenting that while he wanted to stop, he was always "crashing in the same car", or repeating his mistakes (further strengthened by "I was going round and round the hotel garage").
It looks as if he's talking about his heroin addiction ("Those kilo(meters)"), his sexual exploits ("and the red lights"), the paranoia he eventually - albiet momentarily - succumbed to ("I was looking left and right"), and commenting that while he wanted to stop, he was always "crashing in the same car", or repeating his mistakes (further strengthened by "I was going round and round the hotel garage").