Cocaine is a powerful stimulant. It is also called coke, snow, C, flake, or blow. It may be mixed (cut) with other substances, such as cornstarch, talcum powder, or sugar. It may also contain other drugs, such as fentanyl, procaine, or amphetamine.
Two forms of cocaine are:
Small amounts of cocaine make a person feel euphoric, energetic, talkative, and mentally alert. It also decreases appetite and the need for sleep. Some people use cocaine and alcohol together, which can cause stronger, longer-lasting effects. When large amounts of cocaine are taken, the high is more intense. But large doses can cause strange or violent behavior. For example, the person may have tremors or muscle twitches or become paranoid.
After using cocaine, the person feels irritable, tired, and depressed. This is called a coke crash. If a person takes the drug at higher and higher doses (a binge), they can get more and more irritable, restless, and paranoid. This can cause a person to hear or see things that aren't there (hallucinations).
Use of cocaine can lead to serious health problems. They include:
hepatitis
, or allergic reactions when injected into a vein.Sometimes sudden death can occur, even with the first use of cocaine. Sudden death from cocaine use may occur because of a heart attack or seizure in which breathing stops. Sudden death is more likely to occur when cocaine is used along with alcohol.
The effects of cocaine last about 1 to 2 hours. Cocaine can be detected in a urine drug screen up to 6 days after it has been taken.
Signs that a person may be using cocaine include:
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