When someone mixes cocaine and alcohol, the body doesn’t just metabolize both, it creates a third metabolite called cocaethylene. And it’s more dangerous than either one alone. What is Cocaethylene? In the liver, alcohol blocks the normal breakdown of cocaine and instead converts part of it into cocaethylene, a compound that Lasts longer in the bloodstream, and hits the heart and liver hard. Cocaethylene is a triple threat to the heart: 1️⃣ Powerful sympathomimetic which causes increased HR, inc