Poly drug use

Poly drug use or polysubstance use refers to the use of combined psychoactive substances for recreational purposes.[1] In many cases one drug is used as a base or primary drug, with additional drugs to leaven or compensate for the side effects of the primary drug and make the experience more enjoyable with drug synergy effects, or to supplement for primary drug when supply is low.[2]

Tripsit Drug Combination Chart new
Poly drug use
Caffeinated alcoholic beverages, such as this Vodka Red Bull are widespread and legal.
SpecialtyPsychiatry[1]
ComplicationsCombined drug intoxication, drug overdose[1]
Ayahuasca being prepared in the Napo region of Ecuador

Combinations
Drug 1Drug 2Drug 3Poly drug name[3][4]Intoxication nameComment
Any drugBlack tar heroinWhoongaWidespread use in South Africa
Any drugCannabisAmp joint
Any drugNicotineCooler[5]
Any depressantAny stimulantOver and under
Any pharmaceuticalAny pharmaceuticalPolypharmacy. Pharming
2C-BMDMANexus Flip[6][7]Nexus Flipping
2C-T-7MDMALucky Flip[5]
AlcoholCaffeineCaffeinated alcoholic drink
AlcoholBenzodiazepineTime flip
AlcoholCannabisHerb and Al. Judgement DayCross fadingCalled Judgement Day in Ghana when cannabis is added to the drink
AlcoholCocaineSnow-coningMetabolized into cocaethylene
Amphetaminebarbituratesinbetweens[8]
AmphetamineCocaineSnow seals
AmphetamineHeroinbombido[8]
AmphetamineXanaxOrange Dream BlossomCloud RushThe combination is crushed together and insufflated
DMTβ-Carbolines containing plants (e.g. Banisteriopsis caapi or Peganum harmala)Ayahuasca, ChangaAyahuasca is drunk. Changa is smoked or vaped.
BarbituratesAlcoholUsed to be common, when Barbiturates were more readily available
CaffeineCannabisHippie-speedballing
CaffeineMethamphetamineBiker's coffee. Kamikaze, ya ba
CannabisCocaine pasteBazooka
CannabisCrack-cocaineCrack weed (less known: champagne, chronic, cocktail, dirty joint, fry daddy, gimmie, gremmies, juice joint, lace, oolies, p dog, primo, splitting, thirty eight, turbo, wollie, yeola)Cocoa puffs
CannabisCrack-cocaineHeroinMajor Pronin
CannabisCrack-cocainePCPJim Jones
CannabisDXMNicotineCandy blunt
CannabisHeroinAtom bomb, stuff[5]
CannabisHeroin or opiumA-bomb
CannabisOpiumBuddha
CannabisPCPWet (less known: Bionic, clickums, donk, dust blunt, illies, illing, leak, love leaf, lovelies, parsley, wet, zoom)Wet is cannabis dipped in PCP [9]
CannabisNicotineBlunt, joint, spliffA rolled cannabis cigarette usually made with rolling paper. A blunt is a cigar hollowed out and filled with cannabisa. It is rolled with the tobacco-leaf "wrapper" from an inexpensive cigar. Blunts take their name from Phillies Blunt brand cigars.
CocaineHeroinSnowball. Other names: Belushi, bombita, murder one, whiz bangSnowballing
CocaineHeroinLSDFrisco special[5]
CocaineHeroinNicotineflamethrower, primosCigarette laced with cocaine and heroin
CocaineHeroin or morphinePowerball, speedballPowerballing, speedballing[5]>Speedballing, powerballing is often used to describe intravenous use. The term can also be applied to use of pharmaceutical opioids, benzodiazepines or barbiturates along with stimulants.
CocaineKetamineCK1, Calvin Klein, cable
Cocaine Ketamine MDMA Ketamollicaine
CocaineLSDCracid (or outer limits)Cracid is a portmanteau of cocaine and acid
CocaineMorphineC & M
CocainePCPSpace, whack
CocaineQuetiapineQ-ball
CodeineGlutethimidePancakes and syrupsCombination of glutethimide and codeine cough syrup
CodeinePromethazinePurple drank
Crack-cocaineFentanylDirty fentanyl, takeover
Crack-cocaineHeroinChocolate rock, dragon rock, eightball, moonrock, smoking gun, tar
Crack-cocaineLSDOuterlimits
Crack-cocaineMethamphetamineFire, twisters
Crack-cocainePCPNicotineOzonePCP and crack cigarette
Crack-cocainePCPMissile basing, P-funk, space basing, spaceball, space cadet, space dust, tragic magic
Crack-cocaineNicotineCoolie, crimmie, woolasA cigarette laced with crack
DMTMAOIsPharmahuasca
DXMLSDLSDXM
DXMPsilocybin or psilocybin mushroomCherry-bombing
Any DissociativeAny DissociativeVoid flip
FentanylHeroinBirria, chiva loca, FacebookFacebook is mixed in a pill form
GHBMethamphetamineCherry meth
HashishBelladonnaAlamout black hash[5]Mixed
HashishLSDRoyal temple ballThe hashish is mixed with LSD and rolled into a ball intended for oral use, because LSD cannot be smoked.
HashishOpiumBlack hash, black Russian
HeroinMethamphetamineGoofball
HeroinMorphineNew Jack swing
HeroinPCPAlien sex fiend[5]
HeroinXylazineAnestesiade caballoXylazine is a horse anesthetic
LSDCannabisAmphetamineHippie heart attack
LSDMDMA2C-BAli Flip
LSDNitrous oxideGasid
LSDKetamineDolphin flip
LSDKetamineTHCFree-wheelingFree-wheeling[10]
LSDPCPBlack acid
LSDPsilocybin or psilocybin mushroomGod's flesh, Soul Bomb, Alice[5]
Psilocybin or psilocybin mushroomDMTTerence flip
LSD DMT Cosmo flip Cosmo flipping
LSD Mescaline Sunny trip
LSD 2C-B Banana Split[11]
MDMA2C-BNexus FlipHoney Flip[5]The MDMA is often taken first and the 2C-B after the end of the MDMA peak.
MDMAAlcoholTipsy flipTipsy flipping
MDMACannabisStoner flipStoner flipping
MDMACocaineSugar flipSugar flipping
MDMACocaineLSDCandy-flip on a stringCandy-flipping on a string
MDMADMTShaman flip, time flipShaman flipping, time flipping
MDMADXMRobo flipRobo flipping
MDMAGHBGamma flipGamma flipping
MDMAKetamineKitty flip[6]Kitty flipping
MDMALSDCandy flipCandy flipping[5]
MDMALSDKetamineHoly TridentHoly Tridenting
MDMALSDPsilocybin or psilocybin mushroomJedi flip,[6] twilight flipJedi flipping, twilight flipping
MDMAMescaline or psychoactive cactusLove flip, love tripLove flipping
MDMAMethadoneChocolate flipChocolate flipping
MDMAMethamphetamineTrailer flipTrailer flipping
MDMANitrous oxideNox
MDMAOpiatesPoppy flipPoppy flipping
MDMAPCPDomex, elephant flipElephant flipping
MDMAPsilocybin or psilocybin mushroomHippy flip,[6]Hippy flipping [12]
MDMADiphenhydramine or Any deliriantNightmare flipNightmare flipping
NicotinePCPChipping
PentazocineTripelannamineT's and blues
DXM Diphenhydramine Otc flip Robowalking on a string
Diphenhydramine Caffeine Sleep walking Sleep walking
LSD Psilocybin or psilocybin mushroom DMT Super flip Super flipping Take LSD and shrooms then at the come up smoke DMT
MDMA Xanax Zen flip Zen flipping

Combined drug intoxication
Tranquillizers, sleeping pills, opiates and alcohol. Opioid-related deaths often involve alcohol.

Combined drug intoxication use often carries with it more risk than use of a single drug, due to an increase in side effects, and drug synergy. The potentiating effect of one drug on another is sometimes considerable and here the licit drugs and medicines – such as alcohol, nicotine and antidepressants – have to be considered in conjunction with the controlled psychoactive substances. The risk level will depend on the dosage level of both substances. If the drugs taken are illegal, they have a chance of being mixed (also known as "cutting") with other substances which dealers are reported to do to increase the perceived quantity when selling to others to increase their returns. This is particularly common with powdered drugs such as cocaine or MDMA which can be mixed with relative ease by adding another white powdery substance to the drug. This cumulative effect can lead to further unintended harm to health dependent on what is being covertly added. Concerns also exist about a number of pharmacological pairings: alcohol and cocaine increase cardiovascular toxicity; alcohol or depressant drugs, when taken with opioids, lead to an increased risk of overdose; and opioids or cocaine taken with ecstasy or amphetamines also result in additional acute toxicity.[13] Benzodiazepines can cause death when mixed with other CNS depressants such as opioids, alcohol, or barbiturates.[14][15][16]

A spoonful of promethazine/​codeine syrup showing the characteristic purple color that gave rise to the name purple drank.

Scheduling

Within the general concept of multiple drug use, several specific meanings of the term must be considered. At one extreme is planned use, where the effects of more than one drug are taken for a desired effect. Another type is when other drugs are used to counteract the negative side effects of a different drug (e.g. depressants are used to counteract anxiety and restlessness from taking stimulants). On the other hand, the use of several substances in an intensive and chaotic way, simultaneously or consecutively, in many cases each drug substituting for another according to availability.[13]

Research

The phenomenon is the subject of established academic literature.[17]

A study among treatment admissions found that it is more common for younger people to report poly drug use.[18]

See also

References
  1. Anthony, James; Barondess, David A.; Radovanovic, Mirjana; Lopez-Quintero, Catalina (2017). "Part 1: Psychiatric Comorbidity – Polydrug Use: Research Topics and Issues". In Sher, Kenneth J. (ed.). The Oxford Handbook of Substance Use and Substance Use Disorders: Volume 2. Oxford Library of Psychology. Oxford and New York: Oxford University Press. pp. 27–59. doi:10.1093/oxfordhb/9780199381708.013.006. ISBN 9780199381708. LCCN 2016020729.
  2. "Polydrug use | www.emcdda.europa.eu". www.emcdda.europa.eu.
  3. Copping, Jasper (8 November 2009). "Drug slang: what police must learn A to B".
  4. https://ndews.umd.edu/sites/ndews.umd.edu/files/dea-drug-slang-terms-and-code-words-july2018.pdf
  5. "Erowid Drug Slang & Terminology Vault : A - B". erowid.org.
  6. Nolan, James. "'Kitty Flipping' and the Psychonaut Obsession with Mixing Drugs". VICE.com. Retrieved 16 July 2020.
  7. "What is 2C-B? The Complete and Honest Explainer". Double Blind. Retrieved 16 July 2020.
  8. Keup, Wolfram (June 1971). "The Vocabulary of the Drug User and Alcoholic: A Glossary". The International Journal of the Addictions: 348. doi:10.3109/10826087109057793. Retrieved 7 October 2021.
  9. Holland, Julie A.; Nelson, Lewis; Ravikumar, P. R.; Elwood, William N. (22 February 2017). "Embalming Fluid-Soaked Marijuana: New High or New Guise for PCP?". Journal of Psychoactive Drugs. doi:10.1080/02791072.1998.10399693. Retrieved 30 July 2021 – via Erowid.org.
  10. Lehar, Steven M. (2010). The Grand Illusion: A Psychonautical Odyssey Into the Depths of Human Experience (PDF). pp. 63–70, 109. Retrieved 11 December 2021.
  11. "Slang Terms for Drug Combinations". Narconon International. Retrieved 2021-12-08.
  12. Dalzell, Tom; Victor, Terry (2008). Vice Slang. Routledge. p. 91. ISBN 978-0415371810.
  13. "EMCDDA Annual Report 2006 ch. 8".
  14. Serfaty M, Masterton G (1993). "Fatal poisonings attributed to benzodiazepines in Britain during the 1980s". Br J Psychiatry. 163 (3): 386–93. doi:10.1192/bjp.163.3.386. PMID 8104653.
  15. Buckley NA, Dawson AH, Whyte IM, O'Connell DL (1995). "[Relative toxicity of benzodiazepines in overdose.]". BMJ. 310 (6974): 219–21. doi:10.1136/bmj.310.6974.219. PMC 2548618. PMID 7866122.
  16. Drummer OH; Ranson DL (December 1996). "Sudden death and benzodiazepines". Am J Forensic Med Pathol. 17 (4): 336–42. doi:10.1097/00000433-199612000-00012. PMID 8947361.
  17. Scholey AB, Parrott AC, Buchanan T, Heffernan TM, Ling J, Rodgers J (June 2004). "Increased intensity of Ecstasy and polydrug usage in the more experienced recreational Ecstasy/MDMA users: a WWW study" (PDF). Addict Behav. 29 (4): 743–52. doi:10.1016/j.addbeh.2004.02.022. PMID 15135556.
  18. "Polydrug Use Among Treatment Admissions: 1998." OAS Home: Alcohol, Tobacco & Drug Abuse and Mental Health Data from SAMHSA, Office of Applied Studies. Web. 29 Sept. 2011.
Classification
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