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Cocaine

Also known as: coke

A highly popular, short acting CNS stimulant that works by blocking the reuptake of dopamine, serotonin, and norepinephrine. It is known to increase euphoria, confidence, sex-drive, focus, body temperature, and heart rate. Cocaine can cause severe vasoconstriction and is known to be cardiotoxic and have a high potential for compulsive redosing and addiction.

Dosage

Insufflated

Common: 50-100mg
Heavy: 150mg+
Light: 20-50mg
Strong: 100-150mg

Rapid onset. Depending on purity, dosage will vary

Duration

Onset: Rapid.
Duration: 1-1.5 hours
After effects: 1-4 hours

Timeline

Peak
1-1.5 hours
After
1-4 hours
02.8h5.5h
Typical
Extended range

Effects

Elevated moodIncrease in irritabilityhyper-inflated egoeuphoriastimulationraised heartratenumbing effects depending on ROAnausea (particularly at high doses)

Drug Interactions

amt
Dangerous
maois

This combination is poorly explored

Dangerous
opioids

Stimulants increase respiration rate allowing for a higher dose of opiates than normal. If the stimulant wears off first then the opiate may overcome the individual and cause respiratory arrest.

Dangerous
tramadol

Tramadol and stimulants both increase the risk of seizures.

Dangerous
2c t x

Cocaine and 2c-t-x both provide considerable stimulation. When combined they can result in severe vasoconstriction, tachycardia, hypertension, and in extreme cases heart failure.

Unsafe
5 meo xxt

The anxiogenic and focusing effects of stimulants increase the chance of unpleasant thought loops. The combination is generally unnecessary because of the stimulating effects of psychedelics.

Unsafe
alcohol

Cocaine can decrease some of the intoxicating effects of alcohol, causing some people to drink more than they otherwise would, which leads to greater behavioral and physical health risks. There is also some debate about cocaethylene, a metabolite produced when combining alcohol and cocaine, with some researchers positing that it is more cardiotoxic than cocaine on its own. Use moderation when combining these substances.

Unsafe
dextromethorphan

Both substances raise heart rate, in extreme cases, panic attacks caused by these drugs have led to more serious heart issues

Unsafe
dox

The combined stimulating effects of the two can lead to an uncomfortable body-load, while the focusing effects of cocaine can easily lead to thought loops. Coming down from cocaine while the DOx is still active can be quite anxiogenic

Unsafe
nbomes

Cocaine and NBOMes both provide considerable stimulation. When combined they can result in severe vasoconstriction, tachycardia, hypertension, and in extreme cases heart failure.

Unsafe
pcp

This combination can easily lead to hypermanic states

Unsafe
2c x

The anxiogenic and focusing effects of stimulants increase the chance of unpleasant thought loops. The combination is generally unnecessary because of the stimulating effects of psychedelics. Combination of the stimulating effects may be uncomfortable.

Caution
amphetamines

This combination of stimulants will increase strain on the heart. It is not generally worth it as cocaine has a mild blocking effect on dopamine releasers like amphetamine

Caution
caffeine

Both stimulants, risk of tachycardia, hypertension, and in extreme cases heart failure.

Caution
cannabis

Stimulants increase anxiety levels and the risk of thought loops which can lead to negative experiences

Caution
dmt

Stimulants increase anxiety levels and the risk of thought loops which can lead to negative experiences

Caution
ghb/gbl

Stimulants increase respiration rate allowing for a higher dose of sedatives than normal. If the stimulant wears off first the opiate may overcome the individual and cause respiratory arrest. Likewise the ghb/gbl can wear off and leave a dangerous concentration of cocaine behind

Caution
ketamine

No unexpected interactions, though likely to increase blood pressure but not an issue with sensible doses. Moving around on high doses of this combination may be ill advised due to risk of physical injury.

Caution
lsd

Stimulants increase anxiety levels and the risk of thought loops which can lead to negative experiences

Caution
mdma

Cocaine blocks some of the desirable effects of MDMA while increasing the risk of heart attack.

Caution
mescaline

The focus and anxiety caused by stimulants is magnified by psychedelics and results in an increased risk of thought loops

Caution
mushrooms

Stimulants increase anxiety levels and the risk of thought loops which can lead to negative experiences

Caution
mxe

Stimulants taken with MXE can lead to hypermanic states much more easily, especially if sleep is avoided.

Caution
benzodiazepines
Low Risk & Decrease
lithium

Lithium may inhibit some of the recreational effects of cocaine.

Low Risk & Decrease
nitrous
Low Risk & Synergy
ssris

May reduce each others' effectiveness. Cocaine can reduce mental stability and therefore exacerbate conditions which SSRIs are used to treat.

Low Risk & No Synergy

Chemical structure © Wikimedia Commons