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Short-Term Effects Of Combining Cocaine And Alcohol Long-Term Effects Of Combining Cocaine And Alcohol Mixing Cocaine And Heroin, Fentanyl, Methadone, Or Other Opiates Risks Of Mixing Cocaine And Opiates Cocaine and heroin cause combined rhabdomyolysis and ventricular fibrillation, leading to multi-organ failure [8]

Renal impairment : L-carnitine is renally excreted, and accumulation may occur in kidney disease