“…Cutting agents can constantly change over time, increasing the user health risks caused by the compound interactions and intrinsic toxicity. Historically, many substances have been used to cut cocaine and heroin materials, including lidocaine, caffeine, phenacetin, diltiazem, hydroxyzine, levamisole ((6S)‐ 6‐phenyl‐2,3,5,6‐tetrahydroimidazo[2,1‐b][1,3]thiazole;hydrochloride), benzocaine, acetaminophen, procaine, aminopyrine, prilocaine, bicarbonate, starch, and sugars .…”