The stuff is so ridiculously cheap, because of its size, that they basically have to find shit to do with it. A bunch of the coke here is laced with it so that it's extra addictive (and lasts way tf longer than the coke) and leads to legitimate withdrawal. Coke withdrawal is nothing compared to opiate withdrawal. It's smart marketing.

I know a few people that she ended up in the hospital due to opiate OD from snorting coke. And all the fake narcotic pills that are just fentanyl and Tylenol, can have massive variations in potency, which also leads to ODs.