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New reportScotland's 2025 drug-death figures are out — deaths rose 11%, and cocaine was involved in more than half. See the numbers →

The risk most people don't know about

Cocaine + alcohol creates a third drug.

It's called cocaethylene. It's more dangerous than coke or drink on their own.

Use cocaine and alcohol together and your liver makes a new compound. It's called cocaethylene. Your body doesn't just flush it out. It becomes a drug in its own right. It hits harder and does more damage than the cocaine or the drink on their own.

  1. It stays in the body longer than cocaine alone — sometimes for days.
  2. It puts far more strain on the heart and blood vessels.
  3. It raises the risk of your heart going out of rhythm, a stroke, or your heart suddenly stopping.
  4. It builds up the more you use, even on a normal night out.
  5. Most people who drink on coke have never heard of it.

If you remember one thing from this site: coke and drink together is a different, riskier night than either one on its own.

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