People commonly abuse cocaine and Adderall due to their addictive, stimulant properties. Because cocaine and Adderall work in similar ways, they have additive effects when combined, meaning that their side effects amplify and the risk of serious effects greatly increases. This risk includes the effects that these drugs can have on the heart and brain. Combining the two is very dangerous.

Like cocaine, Adderall increases levels of norepinephrine and dopamine, as well as epinephrine but to a lesser extent. Because it works similarly to cocaine, it produces some of the same effects. Increased concentration and focus treats symptoms of ADHD, and the stimulant effects can also prevent sleep attacks that occur in narcolepsy. It also can produce a feeling of euphoria due to the drug’s effects on dopamine levels.

Side Effects of Mixing Cocaine and Adderall

Cocaine and Adderall work in the same way, so they have very similar effects on the body. When taken together, these side effects are amplified, potentially to excessive levels. While a person may experience amplified focus and euphoria, the combination overloads of the cardiovascular system to dangerous levels.

Short-term Side Effects Cocaine and Adderall

Short-term effects include:

  • Increased heart rate
  • Chest pain
  • High blood pressure
  • Heart attack
  • Stroke

These effects are caused by overstimulation of the cardiovascular system. Cocaine can cause blood vessels that feed the heart to constrict. Constricted blood vessels combined with increased oxygen demand from a rapid heart rate lead to dangerously low levels of oxygen delivered to the heart, potentially resulting in angina (chest pain), heart attack or blood clots that can lead to stroke.

If you experience chest pain while using cocaine, Adderall or the two together, contact emergency medical help immediately.

Additional short-term effects of combining cocaine and Adderall include:

  • Panic, paranoia or anxiety
  • Tremors or muscle twitches
  • Seizure
  • Coma

Long-term Effects of Cocaine and Adderall

While many short-term effects of the combination are a medical emergency, there are also long-term effects to consider. These include:

  • Permanent damage to gray matter in the brain
  • Increased addiction risk and tolerance
  • Withdrawal effects when stopping either drug, including tiredness, anxiety, lack of pleasurable feelings or paranoia

The short- and long-term effects of combining cocaine and Adderall are dangerous. Never misuse drugs and always adhere to the Adderall prescription that is given to you by your doctor.

Key Points: Cocaine and Adderall

Here are a few important points to remember when considering the combination of cocaine and Adderall:

  • Cocaine and Adderall are addictive stimulants that work in similar ways and produce similar effects
  • Combining the two results in amplifying the dangerous, short- and long-term side effects of each
  • Short-term effects include cardiovascular overload leading to potential chest pain, heart attack or stroke
  • Additional short-term effects include panic, paranoia, seizures or coma
  • Long-term effects include brain damage, increased addiction risk, and withdrawal effects
  • Due to the dangerous effects of the combination, do not mix cocaine with Adderall

If you or a loved one live with an addiction to cocaine or Adderall, consider seeking professional help. Using safe and proven treatment methods, The Recovery Village helps people address their addictions and any co-occurring disorders. Take the first step toward a healthier future and contact a representative at The Recovery Village today.

  1. Genus Life Sciences. “Cocaine Hydrochloride Package Insert.” June, 2018. Accessed April 9, 2019.
  2. National Institute on Drug Abuse. “Cocaine.” May 2016. Accessed April 9, 2019.
  3. Shire US Manufacturing, Inc. “Adderall XR Package Insert.” November 2018. Accessed April 9, 2019.
  4. Sobic, Elizabeth. “Cocaine and amphetamine combined.” Published June 5, 2004. Accessed April 9, 2019.
  5. Connolly, Colm et al. “Dissociated Grey Matter Changes with Prolonged Addiction and Extended Abstinence in Cocaine Users.” March 13, 2013. Accessed April 9, 2019. 
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