Key takeaway
Pink cocaine (tusi) is usually a mix that can include ketamine and other drugs, not a pink form of cocaine. Contaminated supply raises overdose and psychiatric risk. Treatment means medical evaluation plus stimulant or polysubstance pathways. Call or text (800) 653-9376 to sort next-step care.
Last updated: Wed Oct 07 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Pink powder showed up at a party and someone called it pink cocaine. Tusi (also spelled tuci) is often not cocaine at all. Many seizures involve ketamine plus other adulterants. Color is not a lab result.
Call 911 for chest pain, seizures, severe confusion, or stopped breathing. Call or text 988 for a crisis.
What tusi usually is
A marketed mix. Cocaine may be absent. Ketamine, MDMA-like compounds, caffeine, or opioids can appear depending on the batch. People plan for one drug and get another.
Siblings: cocaine addiction treatment, ketamine substance page, stimulant addiction treatment.
Why treatment looks like polysubstance care
There is no single antidote pill for tusi. Clinicians treat acute toxicity, screen for opioids in the mix, address ketamine or stimulant patterns, and plan behavioral care. Depression and anxiety after heavy use are common and deserve dual-diagnosis attention.
Contaminated supply
Fentanyl and other opioids in stimulant markets kill people who thought they bought something else. Carry naloxone if opioids might be in the local supply. See how to use Narcan and fentanyl test strips.
Broker filter
A placement pitch that only sells a distant luxury bed for "cocaine rehab" without asking what you actually took is guessing. Demand medical screening and a clear level of care.
Next step
Emergency: 911. Then FindTreatment.gov or SAMHSA 1-800-662-HELP (4357). Call or text (800) 653-9376 when you need help naming stimulant or polysubstance options.
Call or text (800) 653-9376 after pink cocaine or tusi use when you want a real clinical next step.
Additional Resources
Sources cited on this page:
- DEA: Drug Fact Sheets
- NIDA: Cocaine
- SAMHSA FindTreatment.gov
- SAMHSA National Helpline
- 988 Suicide & Crisis Lifeline
- NIDA: Principles of Drug Addiction Treatment
Common Questions
Is pink cocaine actually cocaine?
Often no. Street tusi is frequently a blend that may include ketamine, caffeine, or other substances. Color is marketing, not a purity label.
Why is tusi dangerous?
Unknown dose, unknown mix, and interactions with alcohol or opioids. Ketamine-heavy mixes can cause dissociation, falls, and breathing risk when stacked with depressants.
Is there a medication that treats pink cocaine addiction?
There is no FDA-approved medication specifically for cocaine or tusi. Care focuses on safety, behavioral therapies, co-occurring mental health, and any opioid or alcohol use that needs medication.
What should I do after a bad night on tusi?
Seek emergency care for chest pain, severe confusion, seizures, or trouble breathing. For ongoing use, ask about dual-diagnosis and stimulant treatment pathways.
How do I find help without a broker pitch?
Use FindTreatment.gov, ask hospitals about withdrawal and psych consults, or call or text (800) 653-9376. Ask what substances the program actually treats.