Levamisole: Most of the time the cause of the purple discoloration of skin due to bleeding under the skin (called purpura) after Cocaine use is because of a chemotherapy and antiparasite drug called levamisole that is intentionally added by importers of Cocaine as a cutting agent to reduce expense & increase bulk of their product. It is often described as 'sudden onset' retiform purpura so shortly after use.
Answered 6/24/2014
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