Cocaine
or Crack Cocaine Addiction
 The
effects of cocaine addiction normally occur immediately
after ingestion and can last from a few minutes to a
few hours. The duration of the drug's effects depends
on how it is ingested. Snorting cocaine produces a slow
onset of effects that can last from 15 to 30 minutes,
while the effects of smoking cocaine last from 5 to
10 minutes and produce a more intense high. Cocaine
produces euphoric effects by building up dopamine in
the brain, causing the continuous stimulation of neurons.
Cocaine is a powerfully addictive drug.
A tolerance is often developed when a user, seeking
to achieve the initial pleasure received from first
use, increases the dosage to intensify and prolong the
euphoric effects.
Users of cocaine or crack cocaine often
feel euphoric, energetic, talkative and mentally alert
after taking small amounts of cocaine. Cocaine use can
also temporarily lessen a user's need for food or sleep.
Short-term physiological effects include constricted
blood vessels, dilated pupils and increased temperature,
heart rate and blood pressure. Ingesting large amounts
of cocaine can intensify the user's high, but can also
lead to bizarre, erratic and violent behavior. Users
who ingest large amounts may experience tremors, vertigo,
muscle twitches and paranoia. Other possible effects
of cocaine use include irritability, anxiety and restlessness.
Cocaine
Detox
Detox or withdrawal symptoms from cocaine
or crack cocaine may include severe depression, fatigue,
generalized malaise, vivid and unpleasant dreams, agitation
and restless behavior, slowing of activity or increased
appetite.
During detox
or withdrawal from cocaine, there can be
powerful, intense cravings for more cocaine. However,
the "high" associated with ongoing use becomes
less and less pleasant and can produce fear and extreme
suspicion rather than joy. Just the same, the cravings
remain very powerful.
The craving and depression can last
for months following cessation of long-term heavy (particularly
daily) use. Withdrawal symptoms can also be associated
with suicidal thoughts in some people.
The withdrawal from cocaine may not
be as unstable as withdrawal from alcohol. However,
withdrawal from any chronic substance abuse is very
serious. There is a risk of suicide or compensatory
overdose.
Symptoms of cocaine addiction and withdrawal
usually resolve completely over time with treatment.
People experiencing cocaine withdrawal often attempt
to self-medicate with alcohol, sedatives, hypnotics
or anti-anxiety agents such as diazepam (Valium). Self-medication
is not advised, because it simply shifts addiction from
one substance to another.
Problems
Other Than Cocaine Addiction
Because at least 50% of all cocaine
addicts have a co-occurring disorder (particularly bi-polar
disorder, depression and attention-deficit disorder),
these conditions must be considered and treated aggressively
when treating cocaine addiction.
Relapse rates are dramatically reduced
when these co-existing conditions are treated appropriately.
All prescription drugs should be monitored carefully in patients
who abuse substances.
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