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Cocaine with caffeine, lidocaine, and 4-CMC
Risk assessment
These substances, known as cocaine , contains only a small amount of cocaine and consists mainly of caffeineand lidocaine and the synthetic stimulant 4-CMC.
Caffeine and 4-CMC stimulate the central nervous system and, when combined with cocaine, increase the strain on the heart, circulation, and psyche. Possible consequences include rapid heartbeat, restlessness, anxiety, and overheating. There is also a risk of consuming large amounts of cutting agents if the desired cocaine effect is not achieved and consumption is therefore continued.
Lidocaine is a local anesthetic that inhibits and numbs nerves when applied externally. It is regularly used as a cutting agent in cocaine samples. The numbing effect can be mistakenly perceived as an indication of "strong" or "pure" cocaine. Lidocaine is particularly dangerous when used intravenously, as it can cause severe disturbances in cardiac conduction, a drop in blood pressure, numbness, and allergic reactions.
4-CMC belongs to the group of cathinones and is structurally related to mephedrone (4-MMC). Its effects differ from those of cocaine and are described as highly performance-enhancing and euphoric. Some users report severe headaches and kidney or liver pain in the days following consumption. In addition, a pronounced urge to take more is described, which increases the potential for dependence. 4-CMC is suspected of being highly neurotoxic; only limited information is available about other risks, side effects, and possible long-term consequences.
Due to the potentially highly neurotoxic effects of 4-CMC and the indeterminable health risks, consumption of this substance is not recommended.
Misdeclaration of powders and crystalline samples is common, so be sure to have them tested before consumption.
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Safer Use
Analysis
Have your substances tested in a Drug Checking
Testing
If you do not have the possibility to have substances analysed, always test a small amount to avoid overdoses.
Wait and see
Wait 2 hours after oral intake, as there are always powders / crystals in circulation with unexpected active ingredients, which can have a later onset of action.
Utensils
When snorting or injecting powders, always use your own equipment to avoid infecting yourself or others with diseases.
Disclaimer
If you are in possession of a substance that does not appear on this page, this in no way means that it contains the expected ingredient or that it should be safe. The warnings we publish only refer to the substances listed in our Drug Checking offers, these substances pose a high risk of consumption and should not be consumed. A substance may have the same visual appearance (shape, size, colour, etc.) and yet have different ingredients or a different composition. There is no drug use without risk! Only a complete renunciation of drugs is risk-free! If you still decide to use drugs, you should at least follow the safer use rules.
