Fairly sure cocaine in heavy use is more damaging than alcohol? The cardiotoxicity (especially when paired with alcohol which it always is) combined with the va

Fairly sure cocaine in heavy use is more damaging than alcohol? The cardiotoxicity (especially when paired with alcohol which it always is) combined with the vasoconstriction. Maybe. I find in general drug discourse making these comparisons isn't super helpful. The risk and damage profile of different drugs is very complex. Mdma in frequent use isn't very damaging in one sense, but can really impair cognitive function long term which can reduce quality of life as much as liver damage of drinkers or COPD of heavy smokers (as a simplified illustrative example) I think presenting a view that all things are toxic and that healthy use of anything is down to how, why and when it is used is better for normalising the conversation rather than doing X vs Y showdowns.