Adulturants used with crack and cocaine include milk powder, sugars such as glucose, starch, caffeine, lidocaine, benzocaine, paracetamol, amphetamine, scopolamine and strychnine. Occasionally, highly toxic substances are used, with a range of corresponding short and long-term health risks. Toxic adulterants: Many substances may have been added in order to expand the weight and volume of a batch, while still appearing to be pure crack.Many of these issues relate specifically to the release of methylecgonidine and its effect on the heart, lungs, and liver. Some research suggests that smoking crack or freebase cocaine has additional health risks compared to other methods of taking cocaine. Like other forms of cocaine, smoking crack can increase heart rate and blood pressure, leading to long-term cardiovascular problems.
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