Cocaine is often used while consuming ethanol despite evidence that th
is combination may enhance the toxicity of cocaine. In the present stu
dy, we examined the cardiovascular effects of ethanol (475 or 950 mg/k
g, i.v.) alone and in combination with cocaine (5 mg/kg, i.v.) in cons
cious rats. Ethanol or cocaine administration produced a consistent pr
esser response but highly variable cardiac output and systemic vascula
r resistance responses. The hemodynamic response patterns in individua
l rats to either drug were similar and related within rats. After etha
nol pretreatment, cocaine produced greater decreases in cardiac output
. We have proposed that this pattern of responses may reflect a predis
position in individual rats to cocaine-induced cardiomyopathies and hy
pertension. Furthermore, these data suggest that ethanol administratio
n elicits a similar pattern of hemodynamic responses as previously rep
orted for cocaine or amphetamine administration or acute behavioral st
ress. (C) 1997 Elsevier Science Ireland Ltd.