Everything You Need to Know About Speedball & Its Dangers

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Mixing cocaine (a stimulant) and heroin (a depressant) is called a speedball. This combination is very dangerous and can easily cause a deadly overdose.

Read on to learn more about the effects of a speedball, what is speedball drug addiction, and how to get effective treatment.

What Is Speedball Drug?

A speedball is a mix of cocaine and heroin. Usually, people who speedball inject both drugs, but sometimes they snort them together. Those who do this say they feel a stronger, longer high than when they use either drug on its own.

Heroin is an illicit drug that comes from morphine. It slows down breathing and causes you to stop breathing, especially if mixed with other drugs like alcohol. Cocaine, on the other hand, speeds things up. It makes your heart beat faster and gives you more energy. Some people think that mixing cocaine with heroin will balance out the bad effects. This is not true. Mixing these drugs is more dangerous because their harmful effects can become even more powerful.

Speedballing is very dangerous because it makes the body handle different drugs at the same time. Using a stimulant and a depressant together triggers a push-pull reaction. Heroin slows breathing, while cocaine makes the body need more oxygen. This strains the heart, lungs, and brain, causing physical problems and confusion.

This form of drug abuse makes it harder for the body to get enough oxygen and balance out cocaine’s effects. Even worse, cocaine’s effects wear off faster than heroin’s, so those who speedball often take more than those who use only one of these drugs.

Other Common Names for Speedball

Besides speedball, people might call this mixture by other names, including:

  • Powerball: Another term for the same mix
  • Snowball: Refers to the white color of cocaine in the mix
  • Bombita: A Spanish slang term for speedball
  • Heaven and Hell: Because it combines a stimulant and a depressant
  • Belushi: Named after actor John Belushi, who died from a speedball overdose
  • Dynamite: Expresses the potent nature of a speedball
  • Dragon Rock: Heroin and crack cocaine
  • Screwball: Heroin and meth

Knowing these names can help you understand conversations about this dangerous drug mix.

an image of people discussing what is a speedball

The Dangers & Effects of a Speedball

Cocaine side effects include hypersensitivity, anxiety, high blood pressure, and rapid heartbeat. Opioids such as heroin are associated with slowed breathing and drowsiness. Combining the substances leads to side effects which mainly affect the brain.

Using a speedball can lead to a mix of serious side effects. Some of these include:

  • Confusion: The mix of drugs can make it hard to think clearly.
  • Blurred vision: Your eyesight can become fuzzy or unclear.
  • Drowsiness: You might feel extremely sleepy or even fall into a deep sleep.
  • Paranoia: You may feel scared or think people are out to get you.
  • Mental fog from lack of sleep: Speedballing can disrupt your sleep, making it hard to think straight.
  • Uncontrollable movements: Your body might move in ways you can’t control.
  • Stupor: You might become almost unconscious and unresponsive.

Speedballs can also trigger serious long-term side effects on the heart, liver, and lungs.

Potentially fatal side effects of a speedball include:

  • Stroke: This is a sudden, severe problem in the brain.
  • Heart attack: The heart can stop working properly.
  • Aneurysm: A dangerous swelling in a blood vessel.
  • Respiratory failure: Breathing can slow down or stop, which can be deadly.

Other factors making speedballs particularly dangerous include:

  • Fentanyl lacing: Cocaine and heroin are not always pure. They can be mixed with dangerous substances, like fentanyl. Fentanyl is a strong synthetic opioid, much stronger than morphine. Only a tiny amount is needed to get high, so drug dealers use it to cut costs. While fentanyl is mostly found in other opioids, it is also being combined with other drugs, including cocaine.
  • Increased chance of overdose: Most deadly overdoses happen because people use more than one drug at a time. Cocaine and heroin are two drugs often involved in these overdose deaths in the U.S. When you use both together, you might not feel as high because the effects of each drug can cancel each other out. This can lead you to take more and more, which can cause an overdose.
  • Respiratory failure: Cocaine makes your body use more oxygen, while heroin slows your breathing. When you mix them, this can make your breathing dangerously slow. This is called respiratory failure, and it can be fatal because your body doesn’t get enough oxygen.

Speedball Addiction | FAQ

What are signs of speedball addiction?

Signs of speedball addiction include constant cravings, using heroin and cocaine despite harmful effects, and experiencing withdrawal symptoms like fatigue and anxiety when not using the drugs.

How can I stop speedball addiction?

To stop speedball addiction, seek help from a doctor or addiction specialist. Support from friends, family, and peer support groups can also make a big difference.

What are some treatments for speedball addiction?

Treatments for speedball addiction include therapy, medication, and attending rehab programs. Support groups and counseling can also help in the recovery process.

ohio recovery centers facility from curb view, representing getting treatment for effects of a speedball

Get Affordable Addiction Treatment with Ohio Recovery Centers

If you’re concerned about heroin and cocaine abuse, get help right away by contacting Ohio Recovery Centers. We treat all types of addictions at our rehab center in Cincinnati.

By choosing outpatient treatment at Ohio Recovery Centers, you can continue at home, work, and school while attending therapy sessions at our rehab. If you need more support, we offer more intensive outpatient programs.

All addictions are unique, so all our treatment programs offer personalized therapies, such as:

Call our recovery specialists today to get started at 877-679-2132.

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Joseph Gilmore

Joseph Gilmore has been working in the addiction industry for half a decade and has been writing about addiction and substance abuse treatment during that time. He has experience working for facilities all across the country. Connect with Joe on LinkedIn.
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Christopher Glover CDCA

My name is Christopher Glover, and I am from Cincinnati, Ohio. I am currently in school and working to grow in competence to better support our community. As a recovering individual I know the struggles that you or a loved one can go through and that there is help for anything you may be struggling with.

The hardest part is asking for help and we are here as a team to best support you and your decision to start your journey towards a better future. Connect with Chris on LinkedIn

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Amanda Kuchenberg PRS CDCA

I recently joined Ohio Community Health Recovery Centers as a Clinical Case Manager. I am originally from Wisconsin but settled in the Cincinnati area in my early 20s.  My career started in the fashion industry but quickly changed as I searched to find my drive and passion through helping others who struggle with addiction. 

As someone who is also in recovery, I wanted to provide hope, share lived experience, and support others on their journey.  I currently have my Peer Recovery Support Supervision Certification along with my CDCA and plan to continue my education with University of Cincinnati so I can continue to aid in the battle against substance addiction. Connect with Amanda on LinkedIn.

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Patrick McCamley LCDC III

 Patrick McCamley (Clinical Therapist) is a Cincinnati native who has worked in substance use disorder/co-occurring mental health disorder treatment since 2019. Patrick received his bachelors degree in psychology from University of Cincinnati in 2021 and received his LCDC III (Licensed Chemical Dependency Counselor) license from the Ohio Chemical Dependency Professionals Board in 2022. Patrick has worked in Clinical Operations, Clinical Case Management, and Clinical Therapy throughout his career.

Patrick has tremendous empathy and compassion for the recovery community, being in recovery himself since 2018. Patrick is uniquely qualified to be helpful because of the specific combination of his academic background and his own experience in recovery.

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Bill Zimmerman CDCA

Bill Zimmerman is a Greater Cincinnati Area native who has worked in substance use disorder/co-occurring mental health disorder treatment since 2018. Bill received his (Chemical Dependency Counselor Assistant) license from the Ohio Chemical Dependency Professionals Board in 2020.

Bill has worked in Clinical Operations in both support and supervision, and Program facilitating and 12 step recovery support during his career. Bill has a passion for the recovery community, having been in recovery himself since 1982. Connect with Bill on LinkedIn

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Taylor Lilley CDCA, PRS

Growing up in Louisiana with addiction running rampant on both sides of my family. A life away from drugs and alcohol seemed impossible for someone like me. I remember what it was like sitting across from someone thinking there is no way they could ever understand what I was going through.

Sharing my experience offers a credibility and a certain type of trust with clients that only someone who has walked down this road can illustrate. To immerse myself further into the field of addiction, I am currently studying at Cincinnati State for Human and Social Services.  I hope I never forget where I came from, if I can do it, so can you!

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Thomas Hunter LSW

Hello my name is Thomas Hunter. I was born and raised in Cincinnati, Ohio. I am a licensed social worker.In my scope of practice I have worked in the areas of mental health and recovery for thirty years. The clients I have worked with in my career have ranged in age from seven to seventy.

I strive each day to serve my purpose of helping those in need and I believe I do so by utilizing all of my experiences to accomplish my goal of supporting those who desire to establish their sobriety and maintain it in their recovery. Connect with Thomas on LinkedIn.

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Mary D.Porter,LICDC

 My name is Mary D. Porter. I received my Masters of Social Work in 2008 from The University of Cincinnati. I received My Licensed Independent Chemical Dependency Counselor Licensure in 2001. I retired from The Department of Veteran Affairs Medical Center on April 14, 2014. Currently, I am the Associate Clinical Director for The Ohio Community Health Recovery Centers in Cincinnati.. Due to the fourth wave of the Opioid Epidemic in 2019,  I decided to enter back into the workforce to assist the addicted population.

The overdoses were astounding and I wanted to help.  I consider myself  to be an advocate for the addicted population. My compassion, resilience, empathy, wisdom, knowledge, experience and  love I have for this forgotten population goes beyond words. I consider what I do for the addicted population as a calling versus a “career,” because I too was once an “addict and alcoholic.” Today I am 45.5 years alcohol and substance free.

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Ben Lemmon LCDC III

Hello, my name is Ben Lemmon, and I’m the Vice President and Clinical Director at Ohio Community Health Recovery Centers. I’ve been working in the addiction and mental health field since 2013 and decided to enter the field after overcoming my own challenges with addiction.

When I first meet a client, I always explain to them that the reason we are meeting is because they are not capable of obtaining or maintaining sobriety, and my goal is to create a person that can maintain sobriety. I believe a person’s personality is made up of their thoughts, feelings and actions and my job is to help clients identify the thoughts, feelings and actions that have them disconnected from recovery and provide them with the tools to live a healthy and happy life. Connect with Ben on LinkedIn