Speedballing
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Speedballing

Speedballing is combining heroin and cocaine. For many users, it brings about a longer-lasting, more intense high. However, it comes with a serious risk of experiencing a fatal overdose. 

What is Speedballing?

Speedballing involves mixing heroin, which is an opioid, and cocaine, a stimulant. With strong pain-killing potential, heroin is derived from morphine. Even though some opioids, such as fentanyl and methamphetamine, can have medical uses,  heroin is considered to be too addictive and has too high of a potential for abuse to have any medical use. Most drugs which lack medical use and are considered generally dangerous to an individual’s health are listed as  Schedule I drugs by the Drug Enforcement Agency (DEA). 

Speedballing

A common misconception is that the stimulating effects of cocaine and the depressive effects of heroin cancel each other out, causing a risk-free high. However, mixing the two drugs can cause long term health effects and increase the likelihood of experiencing a fatal overdose. 

How does Heroin affect the body?

In order to better understand how mixing the two drugs can increase the overall risk, it can be helpful to better understand how the drugs work independently. Heroin is an opioid. Opioids are powerful painkillers which bind to the opiate receptors in the brain and spinal cord. To put it simply, these opiate receptors help receive nerve impulses that indicate the body is in pain. By binding to these receptors, the body can better suppress physical pain. In addition to its ability to rid feelings of pain, opioids can create a euphoric high in individuals. This is the main driver behind its illicit use.

This euphoric high promotes the body to release dopamine, the “feel good chemical,” in large amounts. Dopamine is the chemical our body releases when it receives a pleasurable input. This dopamine release is what motivated early humans to hunt and reproduce. In modern days, humans get dopamine from various inputs, such as eating, drinking, playing video games, and even being on our phones. This pursuit of pleasure is commonly what drives addiction, especially when coupled with mental health disorders (commonly referred to as  co-occuring disorders or dual diagnoses).

Further, opioids slow down brain and nerve function. This is partly the cause of the euphoric high people experience while taking these drugs. The drug can slow critical organ function such as breathing and heart rate to dangerously low levels. At a certain point, the drug can cause the complete cessation of these functions, causing an overdose. 

Speedballing

How does Cocaine affect the body?

Cocaine is a very powerful stimulant, and like opioids, it causes the release of dopamine into the body – making it a highly addictive drug. Cocaine highs usually come with very intense feelings of energy and alertness. This drug essentially functions as the opposite of opioids. Cocaine overdoses are more rare than opioid overdoses; however, it is still very possible to do so if the levels become too toxic for the body to handle. As with opioids, the body will develop a tolerance to cocaine, making it harder and harder to achieve the same euphoric high feeling after consecutive uses. This leads users to take more of the drug each time, in hopes that it will recreate the same high they first felt. These increasing doses can eventually overwhelm the body and cause an overdose. 

Speedballing Side Effects

The mixture of cocaine and heroin can be ingested either by mixing the two drugs together and injecting or snorting it, or “piggybacked,” where the user injects one drug immediately after the other. Speedballing can cause serious long term effects on the brain, liver, and heart. It can also cause a fatal overdose. Other side effects of speedballing include:

  • Stroke
  • Heart attack
  • Aneurysm
  • Respiratory failure
  • Confusion 
  • Blurry vision
  • Drowsiness
  • Uncontrollable movements
  • Paranoia 
  • Insomnia 

Also, given the depressive and stimulant effects of the drugs, the body will experience a push and pull effect. This means that the effects of one drug will overcome the other momentarily. The heart rate may rapidly increase and decrease, leading to arrhythmias and heart failure. 

In general, mixing two or more drugs (polysubstance abuse) will cause the drugs to enhance each other. This may sound like a more enjoyable experience, but it also enhances the side effects drastically. 

In 2015 alone, there were 4,271 cocaine related deaths which involved any opioid; 3,481 of those directly involved heroin. This consisted of 65.4% of all cocaine-related deaths that year. Therefore, mixing heroin and cocaine can be directly related to an increase in the chance of death.

Getting help for Speedballing

Cocaine and heroin are two very addictive drugs which are extremely hard to quit. Given the complexities of these drugs, always seek professional help when attempting to recover. This is especially important since powerful withdrawal symptoms can occur when quitting either substance. Find a professional who understands your circumstances and can help you cure your addiction rather than just manage symptoms. Recovery is absolutely possible, but you do not need to do it alone. If you have any questions, or you or a loved one needs help beginning the road to recovery, please contact us today.