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  • BDD Moderators: Keif’ Richards | negrogesic

Harm Reduction How dangerous is smoking crack whilst high on amphetamine

Higherfocus420

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The other night I was high on heroin and amphetamine and me and and my friend went to score some more heroin as well as some crack. When I smokes the crack it made me feel really anxious and on edge and later I smoked more and smok3d some weed and had uncomfortable heart palpations and felt like I was gonna faint and my heart was so fast and felt vasoconstriction all over my body. I've banged snow balls of crack and heroin before whilst already high on amphetamine and felt a bit overestimated that I had to walk it off so was just wondering how dangerous this can be for somebody who has a healthy normal heart or us it playing woth fire
 
Playing with fire for sure. You shouldn’t be mixing down with the coke or amphetamine. You mixed down with 2 uppers. I’m glad you’re okay. I wouldn’t try it again though.
 
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Yeah, definitely playing with fire. Aside from all the countless, nameless and faceless who have gone out the same way, look at the "27 club" of famous celebrities who passed away just at that one age. Most or at least a good many of them were speedballs. Did it more than my fair share as well, but I'm glad you're okay. 👍
 
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Only multi stim combo (at least with common ones) that makes some sense to me is MDMA (or some other pretty relaxing emphatogen/stim) + some pure stimulant. And @unodelacosa reminded me that such combo (with caffeine and likely with amphs too) increases neurotoxicity of MDMA. I knew they increase body temperature more when combined so should have concluded that myself as increased temp is neurotoxic but luckily I didn't do such comobos more than few times in my life.
Many stim combos increase cardiotoxicity. If one stim in combo is cardiotoxic you can bet that adding another will make it worse. Amphs and coke combo are likely in this category.
I've seen people doing even coke + MDMA, another pointless and contraproductive combo but once you pop you can't stop, even if objectively you could have much nicer experience with one drug alone.
O, forgot to add when you start combining stims, even as I did alternating days and skipping some, mostly not doing real combos, I think tolerance eventually hits worse than if sticking to one thing at the time. Maybe you can have fun for some time longer like that but it isn't worth it.
Stim combos that I do find good is taking same stim via various ROAs. Like eating some first than adding more by snorting.
And best stim combo is no question, one with sex. Even plain amphs + sex make for a much more rewarding experience than doing any multi stim combo chasing some superb euphoric experience.
 
multi stim combos
Basically tachycardia from two sources at once causes micro-tears in the aortic valves IIRC. Even exercise—which causes tachycardia—on a stimulant is rough on your heart. So, yes: coke, caffeine, meth, amphetamine, dexedrine, methedrine, Adderall, Vyvanse, Ritalin, substituted amphetamines and phenethylamines in general, plus: cathinones, pyrovalerones, benzodifurans, phentermines, phenidates, analogs of any and and all of the above, not to mention cardiovascular exercise, resistance training, aerobics, and sexual intercourse – any of these things, when combined, will make your heart explode in your chest immediately in an extremely dramatic, 'Hollywood heart attack fashion' immediately, no exceptions. Just one minute your heart is fine; the next minute? Fuckin' BLAMMO, kid. Stick a fork in ya – ya done, son. 🤣 (I'm exaggerating, obviously, but to be clear, mixing stims is bad for your heart, no question).

increased temp is neurotoxic but luckily I didn't do such comobos more than few times in my life.
Specifically the temperature of the head, and thus: the brain…

Many stim combos increase cardiotoxicity.
Virtually all, as I understand it. Stims pair well with GABA-ergics like benzos or GHB. Stims are terrible with psychedelics, not great with most dissos—Calvin Klein being the exception—mixed reactions when combined with Cannabis, and in general, aside from something to take the edge off, stims go best by themselves (or with a PDE5 inhibitor).

If one stim in combo is cardiotoxic you can bet that adding another will make it worse. Amphs and coke combo are likely in this category.
Absolutely, particularly since they cause CNS stimulation via two different mechanisms. Amphetamines are triple monoamine releasing agents. They release the presynaptic storage of dopamine, adrenaline and serotonin. However, cocaine acts as a triple monoamine reuptake inhibitor, so rather than causing the release of those three neurotransmitters, it blockades the reuptake process, allowing previously released dopamine, adrenaline & serotonin to stay longer in the synapse and increase their CNS stimulating effects.

I've seen people doing even coke + MDMA, another pointless and contraproductive combo
MDMA's action is precluded by 5-HT (serotonin) reuptake inhibition; e.g.: why SSRIs block MDMA's action. As discussed above, coke happens to be a reuptake inhibitor, so this checks out. Coke cancels out most of MDMA's effects.

but once you pop you can't stop, even if objectively you could have much nicer experience with one drug alone.
Idk what you're talking about here. Once you do coke and you're on MDMA, that's it. You ruined your roll and you won't be able to roll hard again for at least a couple days after the tolerance wears off. At that point, you might as well just do coke that night, since your MDMA is fucked off for the evening. Or just don't mix them. Most ppl figure that out after fucking it up once or twice. It's not hard to figure out. Also, an experience being pleasant or 'nice' is inherently not an objective experience. It's pretty fundamentally subjective; just saying, though I'm splitting hairs and I do take your meaning and agree.

And best stim combo is no question, one with sex.
Hear, hear, good point. Now that I think of it, you're right; I do like to pair a stimulant with a PDE5 inhibitor like Cialis. Good times, had by all.
 
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Idk what you're talking about here. Once you do coke and you're on MDMA, that's it. You ruined your roll and you won't be able to roll hard again for at least a couple days after the tolerance wears off. At that point, you might as well just do coke that night, since your MDMA is fucked off for the evening. Or just don't mix them. Most ppl figure that out after fucking it up once or twice. It's not hard to figure out. Also, an experience being pleasant or 'nice' is inherently not an objective experience. It's pretty fundamentally subjective; just saying, though I'm splitting hairs and I do take your meaning and agree.
I'm referring to that how those who add coke to MDMA continued with a coke binge. While most of the effects of MDMA will vanish, toxicity of such combo wont be less cuz there are less apparent effects, and I bet many uneducated users often assume so.
 
I'm referring to that how those who add coke to MDMA continued with a coke binge. While most of the effects of MDMA will vanish, toxicity of such combo wont be less cuz there are less apparent effects, and I bet many uneducated users often assume so.
Hmm, I'm not sure most uneducated users even think about it. Maybe. Also, I'm not entirely sure about the assumption that the toxicity still occurs despite the action of one drug being cancelled. It seems to me that the effects and the neurotoxicity go hand in hand. If the effects are cancelled by something, is it not a reasonable assumption that some of the toxicity—of either persuasion—would also be mitigated? Just considering only neurotoxicity for a moment, if you think about it, MDMA's neurotoxicity comes from its massive dumping of pre-synaptic 5-HT into the synaptic clefts, right? Serotonin is so abundant to the synapses at that point that serotonin starts overflowing into the dopamine sites that regulate pleasure. Then when MAOs come along to remove dopamine per usual, but instead find 5-HT, the 5-HT is converted to alpha-methyl-dopamine, which is neurotoxic and damages the dendrites eventually causing dendritic atrophy.

Ok so logistically speaking, if cocaine causes 5-HT reuptake inhibition, and it prevents MDMA from traveling up the serotonin transporter in reverse as it's famous for doing, then it stands to reason that both MDMA's effects and its neurotoxicity would be mitigated by cocaine's action in the central nervous system. I will admit though that I'm just guessing.
 
The other night I was high on heroin and amphetamine and me and and my friend went to score some more heroin as well as some crack. When I smokes the crack it made me feel really anxious and on edge and later I smoked more and smok3d some weed and had uncomfortable heart palpations and felt like I was gonna faint and my heart was so fast and felt vasoconstriction all over my body. I've banged snow balls of crack and heroin before whilst already high on amphetamine and felt a bit overestimated that I had to walk it off so was just wondering how dangerous this can be for somebody who has a healthy normal heart or us it playing woth fire

that means you probably shouldn't do that again

:idea:
 
Hmm, I'm not sure most uneducated users even think about it. Maybe. Also, I'm not entirely sure about the assumption that the toxicity still occurs despite the action of one drug being cancelled. It seems to me that the effects and the neurotoxicity go hand in hand. If the effects are cancelled by something, is it not a reasonable assumption that some of the toxicity—of either persuasion—would also be mitigated? Just considering only neurotoxicity for a moment, if you think about it, MDMA's neurotoxicity comes from its massive dumping of pre-synaptic 5-HT into the synaptic clefts, right? Serotonin is so abundant to the synapses at that point that serotonin starts overflowing into the dopamine sites that regulate pleasure. Then when MAOs come along to remove dopamine per usual, but instead find 5-HT, the 5-HT is converted to alpha-methyl-dopamine, which is neurotoxic and damages the dendrites eventually causing dendritic atrophy.

Ok so logistically speaking, if cocaine causes 5-HT reuptake inhibition, and it prevents MDMA from traveling up the serotonin transporter in reverse as it's famous for doing, then it stands to reason that both MDMA's effects and its neurotoxicity would be mitigated by cocaine's action in the central nervous system. I will admit though that I'm just guessing.
Yeah, idk, I wrote most of the effects, and not that all vanish, cuz everyone I know who tried that combo claim doing coke while on MDMA or during MDMA comedown makes for a different experience than using coke alone. So I assume that doing small amount of coke while on a lot of MDMA might not remove effects completely. Didn't try it so maybe those folks experience placebo. Or simply staring coke use from very different headspace than usual sober and so get different effects.
But I'm mostly convinced that toxicity (not necessary neurotoxicity) is increased cuz temperature, heart rate are up from MDMA and than adding coke starts from there, rising heart rate and bp even more. I'm too just guessing and know it isn't that simple.
 
But I'm mostly convinced that toxicity (not necessary neurotoxicity) is increased cuz temperature, heart rate are up from MDMA and than adding coke starts from there, rising heart rate and bp even more.
Perhaps you're right – to the extent the MDMA is still affecting someone, which it will to a small degree at least, it could increase toxicity perhaps beyond a negligible difference even. Regardless, it isn't doing anyone any favors at that point, lol. Not to mention, it's a tragic waste of otherwise good drugs, ya feel me?
 
Adding a vasoconstrictor to MDMA use is hard on the heart, making it work harder than it already is. The vasoconstriction is one of the primary reasons of the cardiotoxicity of cocaine
Yes that's definitely a good point. I was just wondering if MDMA neurotoxicity specifically is mitigated, excerbarted, or neither by cocaine. I suppose it all just depends.

But so extrapolating and apply the lessens above, to answer the thread's question – how dangerous is smoking crack whilst high on amphetamine? – I would say it's fairly risky and I wouldn't advise it, mostly on the grounds that the two drugs are synergistically hard on the heart. The high does nothing for me, either. Sometimes I really can't stand cocaine. It's too harsh.
 
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