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There would likely be no significant interactions between Prevacid and cocaine or alcohol, but this information should be verified.

Of much greater concern is the serious, potentially lethal interaction between alcohol and cocaine. In the body, alcohol and cocaine can react to form a compound known as cocaethylene. This substance has stimulant and euphoriant properties that are anecdotally stronger than cocaine. Nevertheless, this drug appears to be more cardiotoxic than cocaine, and it is speculated that using cocaine together with alcohol substantially increases the risk of heart attacks and other heart problems. Thus, this combination should be avoided.

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