What is Pink Cocaine? Effects, Risks, & Treatments

Medically Reviewed:
Dr. Randy Gelow, MD, FASAM
Ray Hamilton, DNP, PMHNP-BC, FNP-C
Last Updated: February 28, 2025

Pink cocaine, also known as Tusi, is a synthetic psychedelic drug that has recently gained popularity as a recreational substance. Although marketed as a substitute for traditional cocaine, pink cocaine does not contain any actual cocaine.

Instead, it is often composed of synthetic opioids and other synthetic cathinones that mimic the stimulating effects of traditional cocaine. In many cases, pink powders are dyed with food coloring to give the substance its distinctive pink hue. As the substance continues to spread across the United States, users may be unaware of its severe health risks.

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What Does Pink Cocaine (Tusi) Do to You?

The effects of pink cocaine are similar to those of traditional cocaine but can be even more dangerous due to the unknown nature of its composition. So, what exactly does pink cocaine (Tusi) do to your body and mind?

Upon ingestion, users often experience:

  • Euphoria and Increased Energy: A sense of intense pleasure and heightened alertness.
  • Dilated Pupils and Hyperactivity: Increased energy levels are often accompanied by physical restlessness.
  • Heightened Senses: Some report feeling more emotionally charged or connected to their surroundings.

However, these effects don’t last long, and they come with serious risks. After the initial high, users often experience a crash, leading to irritability, fatigue, and even severe anxiety.

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What is Pink Cocaine (Tusi)?

Pink cocaine, also referred to as Tusi, is typically made up of various synthetic cathinones, including mephedrone, methylone, and other compounds. These chemicals are psychedelic drugs that produce effects similar to MDMA and ketamine, often leading to intense feelings of euphoria and heightened sensory perception.

The difference between cocaine and pink cocaine lies in the chemical makeup—while cocaine is a naturally occurring stimulant derived from the coca plant, Tusi is a completely synthetic substance. This makes Tusi addictive and more difficult to control or regulate.

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What Does Pink Cocaine (Tusi) Look Like?

Pink cocaine (Tusi) typically appears as a dyed pink powder, although its exact color may vary depending on the batch and the additives used. It may also come in crystalline form or be pressed into pills. The use of food coloring to give the substance its pink hue is often a tactic used to make it visually appealing, but this should not be seen as an indicator of safety.

It is important to understand that the appearance of Tusi does not reflect its purity or quality—this substance is far from safe.

History of Pink Cocaine Drug

The history of pink cocaine dates back to the early 2000s when synthetic cathinones began emerging on the illicit drug market. Initially popular in Latin America, it quickly spread to other regions, including the United States, where it became known as “Tusi” in some circles.

As the drug gained popularity, it became widely available in nightclubs and parties, often marketed as a safer alternative to traditional cocaine. However, the increasing use of Tusi has raised serious concerns about its safety and long-term health consequences.

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How Pink Cocaine Affects the Body?

Short-Term Effects of Pink Cocaine (Tusi)

Like many psychedelic drugs, pink cocaine has a rapid onset of effects. When used, Tusi effects include:

  • Euphoria: Users feel intense pleasure, energy, and excitement, which is why the drug is often used recreationally.
  • Increased Heart Rate: The stimulant properties cause a noticeable increase in heart rate and blood pressure.
  • Dilated Pupils: As with other stimulants, Tusi causes pupils to dilate.
  • Increased Alertness: Pink cocaine increases mental alertness, making it difficult for users to feel tired or relaxed.

While these effects may seem enticing, the side effects of pink cocaine can be devastating, both in the short and long term. What begins as a euphoric high often transitions to unpleasant and dangerous consequences.

Long-Term Effects of Pink Cocaine (Tusi)

The long-term effects of Tusi can be severe and are largely due to its synthetic components. The use of synthetic opioids and cathinones in the drug can lead to:

  • Addiction: Users may develop a tolerance to the drug, leading them to increase their dosage and increase the risk of addiction.
  • Brain Damage: Chronic use can cause neurotoxicity and cognitive impairment.
  • Heart Problems: Long-term use can result in cardiovascular issues, including arrhythmias, heart attacks, and even death.
  • Psychosis: Prolonged use of Tusi can lead to hallucinations, paranoia, and violent behavior.

Given the health risks, users should be aware of the potential for long-term physical and psychological damage. Prolonged use may also lead to increasing the risk of life-threatening complications.

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Health Risks and Safety Concerns of Pink Cocaine Use

Pink cocaine (Tusi) is a synthetic drug that may seem like a safer alternative to traditional cocaine but carries serious health risks. Its unpredictable chemical makeup makes it highly dangerous, leading to both physical and mental health complications. Below are the key risks associated with its use:

Physical Health Risks:

  • Overheating (Hyperthermia): The stimulant properties can raise body temperature to dangerous levels, risking organ failure and death.
  • Seizures: Can be triggered, especially when mixed with other substances.
  • Liver and Kidney Damage: Chronic use strains vital organs, leading to lasting damage.

These risks are worsened by the unpredictable chemical composition and purity of pink cocaine, with effects that persist long after consumption.

Mental Health Risks:

  • Psychotic Episodes: Hallucinations and delusions can lead to dangerous behavior.
  • Anxiety and Paranoia: Heightened anxiety and paranoia can result in self-harm or harm to others.
  • Depression: Users often experience depressive symptoms and feelings of hopelessness once the euphoric effects wear off.
  • Aggression: Increased aggression and violent outbursts are common.

The impact on the brain can lead to long-term emotional and psychological harm, underlining the importance of understanding the mental health implications of using pink cocaine.

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Treatments for Pink Cocaine Addiction

Overcoming pink cocaine addiction requires a comprehensive treatment approach. Given the severity of the drug’s effects, professional care is essential for safe recovery. The following outlines key stages of treatment for pink cocaine (Tusi) addiction:

  • Detoxification for Pink Cocaine (Tusi) Users: Treatment begins with detox to rid the body of harmful chemicals. Due to the severe side effects, detox should be done under medical supervision. Hart Rehab offers comprehensive detox services to help manage withdrawal symptoms and start the recovery journey.
  • Therapy and Counseling for Addiction Recovery: After detox, therapy, particularly Cognitive Behavioral Therapy (CBT), helps address the root causes of addiction and develop healthier coping mechanisms. CBT teaches individuals to recognize and change negative behaviors, essential for long-term sobriety.
  • Support Systems for Long-Term Recovery: Ongoing support is vital for sustained recovery. Hart Rehab provides holistic treatment, including counseling, group therapy, and family involvement, to help individuals stay on track and maintain sobriety.

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Get Help for Pink Cocaine Addiction

In summary, pink cocaine (Tusi) is a dangerous recreational drug that can lead to severe health consequences, including addiction, heart problems, and mental health issues. The side effects can be devastating, especially with long-term use. If you or someone you know is struggling with Tusi addiction, it’s critical to seek professional help immediately.

At Hart Rehab, we specialize in providing a comprehensive treatment program designed to address addiction at its core. Our services include medically supervised detox, individual therapy, and ongoing support to help individuals regain control of their lives and achieve lasting recovery.

Don’t wait any longer—contact Hart Rehab today and take the first step towards recovery.

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