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Methamphetamine: Reactions with other drugs or substances

Methamphetamine is often combined with other illegal drugs. A common combination is mixing methamphetamine with heroin, either in an injection or in smoking. This mixture is called a speedball. Methamphetamine users will also mix in cocaine to increase the initial rush. Methamphetamine addicts are often alcoholics.
Methamphetamine also changes the level of some commonly used legal medications. With the high levels of HIV and AIDS that are seen in intravenous drug users, many will be on anti-HIV medication. Methamphetamine increases the blood level of some anti-HIV medications, which could cause serious side effects. Also, many users of methamphetamine suffer from psychiatric problems, including depression. Methamphetamine increases the blood levels of a class of commonly used antidepressants known as tricyclic antidepressants, which, when taken at high levels, can cause respiratory depression and even death.

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