Skip to content

The Dangers Of Mixing Cocaine and Viagra, Effects, & Abuse

Men who regularly combine cocaine with Viagra may become physically dependent on the combination. Continue to read more about the adverse effects of mixing cocaine and Viagra.

By We Level Up | Editor Yamilla Francese | Clinically Reviewed By Lauren Barry, LMFT, MCAP, QS, Director of Quality Assurance | Editorial Policy | Research Policy | Last Updated: January 13, 2023

Cocaine and Viagra Health Risks

Mixing Viagra (a trading name of the drug sildenafil) with cocaine (cocaine viagra) is common – especially among clubbers, those experimenting sexually, and gay men. Viagra is often also mixed with other stimulants and ‘party’ drugs such as amphetamine and ecstasy in a combination known as “Sextasy.” Mixing Viagra, which is a prescription drug intended to help with erectile dysfunction by increasing blood flow to the penis, with cocaine or other drugs increases the risk of dangerous side effects.

It’s harmful to combine cocaine and Viagra in many ways and can lead to severe health problems. If you mix cocaine and Viagra, you may also develop a psychological dependence on these drugs and feel as if you’re incapable to engage in sexual activities without them.

Can You Mix Cocaine and Viagra?

Cocaine and Viagra (coke and viagra), when combined, can cause serious health problems to the user. This “Sextacy” combination is hitting party scenes and repercussions can be deadly. Viagra is not physically addictive but it is conceivable that people who don’t need Viagra to help with erectile dysfunction but take it regularly anyway, could create the assumption that they need it to be able to perform sexually.

Cocaine, meanwhile, is highly addictive. Snorted, smoked, or injected, cocaine rapidly enters the bloodstream and penetrates the brain. The drug achieves its main immediate psychological effect—the high—by causing a buildup of the neurochemical dopamine. [1] You do not have to be taking cocaine, or crack cocaine, every day to be addicted to it. A sign of addiction is that you’ve tried to cut down or stop but are unable to.

Cocaine and Sex

Cocaine causes users to engage in risky behavior (cocaine sex), and researchers have long documented the increased risk of STI infection among cocaine users. However, the cause was never established scientifically. However, a recent study from Johns Hopkins that was supported by the government discovered that cocaine use not only boosts sexual desire but also makes sex riskier. According to Science Daily, people were less likely to engage in safe sex and had higher sex drives when they had more cocaine in their system.

Cocaine and Erections

Some people use cocaine during sexual activity to increase pleasure, but continued usage can have long-term negative effects. Men who use cocaine while having sex could encounter unpleasant side effects. However, can cocaine itself directly contribute to erectile dysfunction (ED)? In fact, ED can be a side effect of long-term cocaine use. Even worse, these symptoms may not go away.

Some men who don’t have ED but use cocaine and Viagra may also become psychologically addicted to the drugs and depend on them to get an erection.
Some men who don’t have ED but use cocaine and Viagra may also become psychologically addicted to the drugs and depend on them to get an erection.

Does Cocaine Cause ED?

Illegal Drugs like cocaine cause ED by causing the blood arteries to constrict, or narrow. Vasoconstriction is the tightening of blood vessels (veins or arteries). The body does this on its own for a variety of reasons. For instance, if you’re cold, your hands and feet’s capillaries may close off to conserve heat. Because the cells are not receiving as much blood, the tissues of the penis gradually obtain less oxygen and nutrients.

Get Help. Get Better. Get Your Life Back.

Searching for an Accredited Drug and Alcohol Rehab Centers in Near You?

Even if you have failed previously and relapsed, or are in the middle of a difficult crisis, we stand ready to support you. Our trusted behavioral health specialists will not give up on you. When you feel ready or just want someone to speak to about therapy alternatives to change your life call us. Even if we cannot assist you, we will lead you to wherever you can get support. There is no obligation. Call our hotline today.

FREE Addiction Hotline – Call 24/7

Cocaine and Viagra Substance Use Disorder Statistics

According to a report published by the National Center for Biotechnology Information, men who use erectile dysfunction medications for recreational purposes may be at increased risk of becoming psychologically dependent, which in turn could lead to psychogenic-based erectile dysfunction symptoms. Sildenafil, also known as Viagra, has become one of the most commonly prescribed and abused drugs available today.

Mixing cocaine and Viagra poses greater risks. When you’re dependent on cocaine and Viagra, you face an extremely high risk of addiction. Addiction is a disease in which you feel unable to control your use of the drug. To recover, addicted individuals should seek professional help at an addiction treatment center. 


19,447

In 2020, approximately 19,447 people died from an overdose involving cocaine. 

Source: NIDA

5.2 Million

Among people aged 12 or older in 2020, 1.9% (or about 5.2 million people) reported using cocaine in the past 12 months.

Source: NIDA

66.2%

The use of sildenafil (Viagra) for recreational purposes was 66.2% and was found to be higher than its use for medical purposes at 33.8%.

Source: NIDA


Can You Take Cocaine and Viagra? Facts

Some people mix cocaine with Viagra. Viagra is the brand name for sildenafil, a prescription drug that can treat erectile dysfunction (ED). ED is a condition in which a man struggles to get or maintain an erection long enough for sexual activities. 

The availability of Viagra without a prescription paper and lack of concomitant monitoring of its utilization were some of the main contributing factors to its misuse. Consumption of Viagra with illicit drugs, such as cocaine, was also reported. There should be a collaborative effort among pharmacists, health professionals, and policymakers to improve the rational use of Viagra. [2]

Having sex while “high,” when one or more club drugs have been taken, such as a combination of cocaine and Viagra, is associated with taking fewer precautions and thus a greater risk of HIV.

Buying Viagra from an unreliable source can be risky. Drugs sold online may be fake, contaminated, or expired. The adverse effects are greater when cocaine and Viagra are mixed together.
Buying Viagra from an unreliable source can be risky. Drugs sold online may be fake, contaminated, or expired. The adverse effects are greater when cocaine and Viagra are mixed together.

Cocaine Drug Facts Sheet Publicly Made Available by DEA for Drug Addiction Awareness

Ryan Zofay forming a circle and hugging friends.

Get Your Life Back

Find Hope & Recovery. Get Safe Comfortable Detox, Addiction Rehab & Dual Diagnosis High-Quality Care.

Hotline (844) 597-1011

Viagra and Cocaine Effects

Viagra has been combined with cocaine or other illicit drugs in the party scene. Cocaine, in particular, is popular as it can increase sexual desire. This combination of Viagra and stimulants has become so prevalent that it’s described as “Sextacy.” 

Physical Dangers

Medical professionals warn that mixing cocaine and Viagra can cause a variety of dangerous health problems. These include:

  • Cardiovascular problems: Heart attack and acute aortic dissection (a tear in a major artery), have been reported after people have mixed cocaine and Viagra.
  • Erection problems: Priapism, or an erection that won’t go away, has been reported in people who mix cocaine and Viagra. Priapism can result in anatomical damage in certain circumstances.
  • Serotonin syndrome: Serotonin syndrome, a potentially fatal condition where there is too much serotonin in your body, may result from mixing cocaine and Viagra. 

Psychological Risks

In addition to the potential physical side effects of using cocaine and Viagra together, there are possible psychological risks as well. 

One such risk happens in men who use Viagra recreationally when they don’t need it. They can develop a psychological dependence on the use of Viagra. If they’re using both cocaine and Viagra, they may start to develop the fear that they can’t perform sexually without the use of drugs.

Potential Dangers of Herbal Substitutes to Viagra

Men are also looking for herbal supplements that act similar to Viagra, often simply referred to as “herbal Viagra.” These supplements can be dangerous as well, particularly when mixed with something else such as cocaine. This trend came to light on the national stage in 2015 when Lamar Odom, former NBA player and ex-husband of Khloe Kardashian, was found unconscious in a brothel. The people around him reported he had been using large amounts of cocaine and a Viagra-like herbal supplement.

Can You Combine Cialis and Cocaine?

Is it possible to combine cocaine and Cialis? This is a common question. Those who routinely attend parties and clubs have started to notice this tendency. The particular combination also appears to be a common problem among those looking to test the boundaries of their in-bed sexual explorations.

Although precise interactions between the two medications (Cialis and Coke) have not been identified, it is important to take into account how these chemicals may impact the human body. It should be emphasized that many people go beyond simply mixing Cialis and cocaine; instead, many would go even further and add other substances to the mix. These substances frequently contain ecstasy and amphetamine.

Get Help. Get Better. Get Your Life Back.

Searching for an Accredited Drug and Alcohol Rehab Centers in Near You?

Even if you have failed previously and relapsed, or are in the middle of a difficult crisis, we stand ready to support you. Our trusted behavioral health specialists will not give up on you. When you feel ready or just want someone to speak to about therapy alternatives to change your life call us. Even if we cannot assist you, we will lead you to wherever you can get support. There is no obligation. Call our hotline today.

FREE Addiction Hotline – Call 24/7

Cocaine and Viagra Interaction (Sildenafil and Cocaine)

Viagra and illegal stimulants have found their way onto the party scene in recent years. People may combine cocaine and Viagra to improve sexual performance and maintain erections for hours. Usage of this drug combination has increased in the last few years, thanks to the generic form of Viagra, sildenafil, entering the market.

Viagra and sildenafil are drugs prescribed to treat erectile dysfunction (ED), which is a condition where a man has trouble getting or maintaining an erection for sexual activities. ED is a complex phenomenon and can be caused by a mixture of hormones, emotions, nerve tissue health, mental health, heart health, and genetics.

Viagra and other ED drugs should only be used with a valid prescription under the supervision of a physician. Viagra and similar drugs can be harmful to people with heart conditions. Since cocaine is a drug with known cardiotoxicity (damage caused to the heart), this combination of drugs is very dangerous.

Men who regularly combine cocaine with Viagra may become physically dependent on the combination.
Men who regularly combine cocaine with Viagra may become physically dependent on the combination.

Dangers of Mixing Cocaine and Viagra (Viagra and Coke)

Viagra should never be used without a prescription because it can be harmful to people with heart conditions. It is also illegal to use a prescription drug without a valid prescription.

Other dangers of combining cocaine and Viagra or viagra cocaine may include:

  • Bradycardia (slow pulse)
  • Dizziness
  • Fainting
  • Hypotension (low blood pressure)
  • Pale Skin (not enough oxygen delivery)
  • Priapism (prolonged and painful erection)

Viagra works by relaxing blood vessels and increasing blood flow to different organs, including the penis. Cocaine does the reverse — it decreases blood flow. The combination can affect blood flow in unpredictable ways, and lead to medical emergencies, like priapism stroke, cardiac arrest, and heart attack.

Priapism

Priapism is when the penis becomes painfully engorged with blood for long periods, sometimes several hours or more. The erection does not go away on its own and is not caused by sexual arousal. Priapism is a medical emergency and can cause permanent damage to the penis and urological organs like the bladder. cocaine and Viagra each may cause priapism as a side effect. Taken together, the risk may increase.

Heart Problems

On its own, cocaine can cause a heartbeat, irregular heartbeat, and stroke. Cocaine often makes the heart pump faster than it should. It also constricts (or tightens) blood vessels, decreasing the flow of oxygen to organs of the body. Viagra, on the other hand, dilates (or expands) blood vessels. Since this effect is the opposite of cocaine, the drug combination causes unpredictable effects on blood flow, harming the body’s blood vessels.

Dependence on Cocaine and Viagra

Men who regularly combine cocaine with Viagra may become physically dependent on the combination. They may have trouble achieving sexual pleasure or orgasm when they are not taking the drugs. Physical dependence is a risk factor for addiction. Taking a combination of drugs to the detriment of one’s health is a symptom of addiction.

The long-term health effects of this combination are not well known, but it is likely to cause damage to the heart and vascular system. It may also induce erectile dysfunction, making it impossible to achieve an erection without the drugs.

First-class Facilities & Amenities

World-class High-Quality Addiction & Mental Health Rehabilitation Treatment

Rehab Centers Tour

Renowned Addiction Centers. Serene Private Facilities. Inpatient rehab programs vary.

Addiction Helpline (844) 597-1011

Proven recovery success experience, backed by a Team w/ History of:

  • 15+ Years Experience
  • 100s of 5-Star Reviews
  • 10K+ Recovery Successes
  • Low Patient to Therapist Ratio
  • Onsite Medical Detox Center
  • Comprehensive Dual-Diagnosis Treatment
  • Complimentary Family & Alumni Programs
  • Coaching, Recovery & Personal Development Events

Viagra Addiction

One of the most often utilized medications in the world is called Viagra or Sildenafil. It has been used by roughly 20 million males, and usage is steadily rising. The medication widens the blood artery, boosting the blood flow to the penis and causing a man to have an erection that is stronger than usual. It was initially created to treat erectile dysfunction in males suffering from conditions including diabetes and prostate cancer. However, the younger generation, defined as those between the ages of 15 and 30, utilize it more frequently today. These people are becoming addicted to viagra as a result of the increase and amazing outcome.

Cocaine and Viagra Addiction Treatment

The treatment for cocaine and Viagra addiction must address the context of polydrug users in order to be effective. As stated by The National Institute on Drug Abuse in the piece ‘Cocaine Research Report. How is cocaine addiction treated?’, In 2013, cocaine accounted for almost 6 percent of all admissions to drug abuse treatment programs. The majority of individuals (68 percent in 2013) who seek treatment for cocaine use smoke crack and are likely to be polydrug users, meaning they use more than one substance. 

Those who provide treatment for cocaine use should recognize that drug addiction is a complex disease involving changes in the brain as well as a wide range of social, familial, and other environmental factors; therefore, treatment of Cocaine Addiction must address this broad context as well as any other co-occurring mental disorders that require additional behavioral or pharmacological interventions.

Treatment for cocaine and Viagra addiction is focused on behavioral interventions that can be used in order to manage this substance dependence in an effective way. There are no medicines that work as substitutes for crack cocaine, and other stimulants of this kind. However, currently, there are some pharmacological advances.

Several medications marketed for other diseases show promise in reducing cocaine and Viagra addiction within controlled clinical trials.
Several medications marketed for other diseases show promise in reducing cocaine and Viagra addiction within controlled clinical trials.

Pharmacological Approaches

Currently, there is no US. approved medications, drug administration, or a specific diet to treat Cocaine Addiction. However, researchers are exploring a variety of neurobiological targets. 

According to The National Institute on Drug Abuse, several medications marketed for other diseases show promise in reducing cocaine use within controlled clinical trials. Among these, disulfiram, which is used to treat alcoholism, has shown the most promise.

Scientists do not yet know exactly how disulfiram reduces cocaine use, though its effects may be related to its ability to inhibit an enzyme that converts dopamine to norepinephrine. However, disulfiram does not work for everyone.

Pharmacogenetic studies are revealing variants in the gene that encodes the DBH enzyme and seems to influence disulfiram’s effectiveness in reducing cocaine use. Knowing a patient’s DBH genotype could help predict whether disulfiram would be an effective pharmacotherapy for cocaine dependence in that person.

World-class, Accredited, 5-Star Reviewed, Effective Addiction & Mental Health Programs. Complete Behavioral Health Inpatient Rehab, Detox plus Co-occuring Disorders Therapy.

CALL (844) 597-1011

End the Addiction Pain. End the Emotional Rollercoaster. Get Your Life Back. Start Drug, Alcohol & Dual Diagnosis Mental Health Treatment Now. Get Free No-obligation Guidance by Substance Abuse Specialists Who Understand Addiction & Mental Health Recovery & Know How to Help.

Behavioral Interventions

Many behavioral treatments for cocaine and Viagra addiction have proven to be effective in both residential and inpatient settings. Indeed, behavioral therapies are often the only available and effective treatments for many drug problems, including stimulant addictions. However, the integration of behavioral and pharmacological treatments may ultimately prove to be the most effective approach.

  • Cognitive-behavioral therapy (CBT) for addiction: It is an effective approach to preventing relapse. This approach helps patients develop critical skills that support long-term abstinence—including the ability to recognize the situations in which they are most likely to use cocaine, avoid these situations, and cope more effectively with a range of problems associated with drug use. This therapy can also be used in conjunction with other treatments, thereby maximizing the benefits of both.
  • Therapeutic communities (TCs) for addicts: Drug-free residences in which people in recovery from substance use disorders help each other to understand and change their behaviors—can be an effective treatment for people who use drugs, including cocaine. TCS may require a 6- to 12-month stay and can include onsite vocational rehabilitation and other supportive services that focus on the successful re-integration of the individual into society. TCS can also provide support in other important areas—improving the legal, employment, and mental health outcomes.

Regardless of the specific type of substance use disorder treatment, it is important that patients receive services that match all of their treatment needs. For example, an unemployed patient would benefit from vocational rehabilitation or career counseling along with addiction treatment. Patients with marital problems may need couples counseling.

Once inpatient treatment ends, ongoing support—also called aftercare—can help people avoid relapse. Research indicates that people who are committed to abstinence, engage in self-help behaviors, and believe that they have the ability to refrain from using cocaine (self-efficacy) are more likely to abstain. Aftercare serves to reinforce these traits and address problems that may increase vulnerability to relapse, including depression and declining self-efficacy.

Reclaim Your Life From Cocaine And Viagra Addiction

Cocaine and Viagra addiction is a serious disease that should not be taken lightly. We Level Up rehab treatment & detox center can provide you, or someone you love, the tools to recover from cocaine addiction with professional and safe treatment. Feel free to call us to speak with one of our counselors. We can inform you about this condition by giving you relevant information. Please know that each call is private and confidential. Call us about your symptoms, and we can help you determine and develop a treatment plan.

Start a New Life

Begin with a free call to an addiction & behavioral health treatment advisor. Learn more about our dual-diagnosis programs. The We Level Up treatment center network delivers recovery programs that vary by each treatment facility. Call to learn more.

  • Personalized Care
  • Caring Accountable Staff
  • World-class Amenities
  • Licensed & Accredited
  • Renowned w/ 100s 5-Star Reviews

We’ll Call You


3 Most Cocaine and Viagra Frequently Asked Questions

  1. Can you mix cocaine and viagra?

    No. Mixing cocaine and viagra can cause heart problems, stroke, or a persistent and painful erection (lasting more than four hours) that can lead to long-term impairment.

  2. Can cocaine and viagra kill you?

    Yes. Abusing cocaine with an erectile dysfunction medication like Viagra (sildenafil) is indeed dangerous if not deadly. Some men have also experienced heart attacks, stroke, irregular heartbeats, and even death after taking cocaine and Viagra.

  3. Can you take cocaine and viagra together?

    No. Cocaine is dangerous enough on its own. When combined with Viagra (Sildenafil), users can suffer from severe health risks and side effects.

Search We Level Up Cocaine and Viagra Detox & Mental Health Topics & Resources
Sources

[1] Nestler EJ. The neurobiology of cocaine addiction. Sci Pract Perspect. 2005 Dec;3(1):4-10. DOI: 10.1151/spp05314. PMID: 18552739; PMCID: PMC2851032.

[2] Atsbeha BW, Kebede BT, Birhanu BS, Yimenu DK, Belay WS, Demeke CA. The Weekend Drug; Recreational Use of Sildenafil Citrate and Concomitant Factors: A Cross-Sectional Study. Front Med (Lausanne). 2021 Aug 20;8:665247. DOI: 10.3389/fmed.2021.665247. PMID: 34490285; PMCID: PMC8417567.

[3] Del Río, F. J., Cabello, F., & Fernández, I. (2015). Influence of substance use on the erectile response in a sample of drug users. International journal of clinical and health psychology: IJCHP, 15(1), 37–43.

[4] NIH. Erectile Dysfunction.

[5] Treatment Approaches for Drug Addiction DrugFacts – National Institute on Drug Abuse

[6] National Survey on Drug Use and Health (NSDUH) – Substance Abuse and Mental Health Services Administration

[7] McKay JR. Impact of Continuing Care on Recovery From Substance Use Disorder. Alcohol Res. 2021 Jan 21;41(1):01. DOI: 10.35946 PMID: 33500871; PMCID: PMC7813220.

[8] Fluyau D, Charlton TE. Drug Addiction. [Updated 2022 Aug 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549783/ 

[9] Justinova Z, Panlilio LV, Goldberg SR. Drug addiction. Curr Top Behav Neurosci. 2009;1:309-46. doi: 10.1007/978-3-540-88955-7_13. PMID: 21104390; PMCID: PMC3039293.

[10] Jahan AR, Burgess DM. Substance Use Disorder. [Updated 2022 May 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK570642/