Despite the name, pink cocaine usually doesn’t contain cocaine at all. It’s an unreliable mix of powdered substances that vary from batch to batch. You can typically swallow or snort the drug, not inject it.

The powder often comes in bright pink shades, which is how it got its nickname. Some producers add food coloring or dyes to make it look more appealing.

People often refer to it as “tusi” or “tucibi,” which is a distorted version of the chemical name 2C-B, a synthetic hallucinogen created in the 1970s. 2C-B produces psychedelic effects similar to LSD or MDMA.

But the drug is rarely pure 2C-B. In some cases, it may not even contain 2C-B at all.

Most of the time, pink cocaine is a mix of different substances. You may find a combination of:

  • MDMA
  • ketamine
  • LSD
  • amphetamines
  • caffeine
  • benzodiazepines

The contents vary because it’s an illegal drug with no quality control. When you take it, you can’t know exactly what’s in it or how strong it is.

Since pink cocaine isn’t a single drug, the effects depend on what’s actually in the powder.

If it contains 2C-B or other psychedelics, you might experience:

  • hallucinations
  • mood changes
  • visual distortions
  • an altered sense of time and space

If the mixture includes MDMA or other stimulants, you might feel:

  • euphoria
  • increased energy
  • anxiety
  • dehydration
  • harmfully high body temperature

When ketamine or tranquilizers are present, the drug can slow your breathing and impair your coordination.

Mixing stimulants and depressants in one dose can confuse your body and increase your risk of complications.

Using pink cocaine puts you at serious risk because you can’t predict what you’re taking. Even if someone tells you what’s in it, there’s no way to confirm it without lab testing.

You could experience a bad trip, panic attack, or psychosis. Some people report lasting mental health effects, like anxiety or depression, after using it.

Others end up in the emergency room with heart issues or breathing problems. And if the mix contains fentanyl — a powerful opioid — even a small amount can lead to death.

If you suspect someone has taken pink cocaine and looks unwell — if they’re having trouble breathing, passed out, hallucinating, or behaving oddly — call 911 or your local emergency services immediately.

Performing rescue breathing techniques and administering naloxone (Narcan) can help keep them alive until medical personnel arrive.

Stay with the person, keep them calm, and try to give responders as much information as possible about what they may have taken.

Pink cocaine often contains ketamine and MDMA, but it’s hard to know for sure without lab testing. At-home test strips or reagent testing kits may not be able to detect the full scope of substances included in the mix.

If you plan to use pink cocaine or are around people who do, consider carrying naloxone. Naloxone won’t affect people who don’t have opioids in their system, so it’s safe to use “just in case.”