What is the recreational drug 'pink cocaine'?

This photo provided by the Office of the Special Narcotics Prosecutor in New York shows a bag of pink cocaine in January 2023. (Office of the Special Narcotics Prosecutor in New York via AP)

A recreational drug called 鈥減ink cocaine鈥 is getting attention and causing confusion since it doesn't typically contain cocaine.

The pink powder 鈥 really a grab bag of different drugs dyed pink 鈥 has turned up in drug seizures, prompting warnings from law enforcement.

Pink cocaine is also known as 鈥渢usi,鈥 but both nicknames for the powder are more about marketing than reality. Experts say it rarely contains cocaine and is more likely to contain , a drug with very different effects.

Why is it pink?

Pink cocaine is pink thanks to food coloring or dye, said Joseph Palamar, who studies drug trends at NYU Langone Health in New York.

鈥淪ometimes it has cocaine in the mix, but it鈥檚 typically more of a ketamine concoction,鈥 Palamar said. Studies have found batches containing methamphetamine, MDMA, bath salts, caffeine and opioids.

鈥淚t鈥檚 a concoction that anyone can make if they have a couple of drugs and a pink dye,鈥 Palamar said.

The word 鈥渢usi鈥 may have been coined to mimic 2C-B, a recreational drug used on the rave scene in the 1990s and known for euphoric effects, according to a paper Palamar published last year. Drug analyses that Palamar reviewed showed tusi didn't typically contain 2C-B.

Today, young people may not know the history of the name tusi and they may be confused by the name pink cocaine, he said.

鈥淚t鈥檚 just some pretty powder that their friends are using. They probably have no idea what it鈥檚 supposed to be,鈥 he said.

Why is pink cocaine dangerous?

The danger is tied to not knowing what's in it. Users could wind up with undesired effects or take a larger amount than past experience tells them they can handle. Ketamine is a powerful anesthetic approved for use during surgery but in recent years it has been used recreationally and as a treatment for depression, anxiety and pain. It can cause hallucinations and can impact breathing and the heart.

鈥淜etamine is not a fun drug to most people," Palamar said. "It kind of puts you in your own little world and things tend to feel very alien when you鈥檙e on it, especially in large doses.鈥

Someone who's drunk at a party and thinks cocaine might counter alcohol's effects is going to be unpleasantly surprised by pink cocaine that's actually mostly ketamine, he said.

鈥淚f you鈥檝e been drinking, it鈥檚 going to make you sick to your stomach and the dissociative effects are not going to be very pleasant,鈥 he said.

Where is pink cocaine coming from?

In May, the U.S. Coast Guard reported seizing pink cocaine among other drugs off the coasts of Mexico and Central and South America.

鈥淭hat was the first time that I heard of large batches being imported into the U.S. as tusi," Palamar said. It could just as easily be made by drug dealers in the United States, who mix their own, he said.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute鈥檚 Science and Educational Media Group. The AP is solely responsible for all content.

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