Cocaine and Viagra, when combined, can cause serious health problems to the user. This “sextacy” combination is hitting party scenes and repercussions can be deadly.

The short answer is no. It’s dangerous 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 unable to engage in sexual activities without them.

Health Risks Involved with Mixing Cocaine and Viagra

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 Viagra and cocaine.
  • Erection problems: Priapism, or an erection that won’t go away, has been reported in people who mix Viagra and cocaine. 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 Viagra and cocaine. 

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 to 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.

Summing Up

You should only take Viagra by prescription under the instruction of your physician, and you should never mix it with other substances.

If you or a loved one live with cocaine addiction or are using cocaine recreationally and want to stop, it’s time to seek professional help. The Recovery Village provides care to those struggling with cocaine. Reach out to one of our knowledgeable representatives today to learn how you can start on your path to recovery.

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Editor – Rob Alston
Rob Alston has traveled around Australia, Japan, Europe, and America as a writer and editor for industries including personal wellness and recovery. Read more
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Medically Reviewed By – Dr. Jessica Pyhtila, PharmD
Dr. Jessica Pyhtila is a Clinical Pharmacy Specialist based in Baltimore, Maryland with practice sites in inpatient palliative care and outpatient primary care at the Department of Veteran Affairs. Read more
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Harte, Christopher B; Meston, Cindy M. “Recreational Use of Erectile Dysfunction Medications in Undergraduate Men in the United States: Characteristics and Associated Risk Factors“>Recreati[…] Risk Factors.” Archives of Sexual Behavior, 2010. Accessed June 21, 2020.

Johnson, Matthew W; Herrmann, Evan S; Sweeney, Mary M; et al. “Cocaine administration dose-dependently increases sexual desire and decreases condom use likelihood: The role of delay and probability discounting in connecting cocaine with HIV“>Cocaine […]aine with HIV.” Psychopharmacology, 2017. Accessed June 21, 2020.

Edgely, Ross. “The rise of Viagra abuse: Doctors warn against worrying ‘sextasy’ trend – where ecstasy is mixed with drug to enhance euphoria“>The rise[…]ance euphoria.” Daily Mail, March 6, 2014. Accessed June 21, 2020.

Famularo, Giuseppe; Polchi; Sandra; Di Bona; Giacomo; et al. “Acute aortic dissection after cocaine and sildenafil abuse.” Journal of Emergency Medicine, July 1, 2001. Accessed June 21, 2020.

Megalla, Sherry; Shaqra, Hussein; Bhalodkar, Narenda C. “Non-ST-segment Elevation Myocardial Infarction in the Setting of Sexual Intercourse Following the Use of Cocaine and Sildenafil“>Non-ST-s[…]nd Sildenafil.” Reviews in Cardiovascular Medicine, 2011. Accessed June 21, 2020.

DrugWise. “Viagra“>Viagra.” Accessed June 21, 2020.

Panzar, Javier. “Lamar Odom took cocaine and 10 doses of a Viagra-like medication, sheriff says“>Lamar Od[…] sheriff says.” Los Angeles Times, October 13, 2015. Accessed June 21, 2020.

Medical Disclaimer

The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.