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How Is Cocaine Used?

Users take cocaine in a variety of ways. Cocaine can be:8 Inhaled through the nostrils (snorted). Taken orally (by swallowing or rubbing it on the gums). Smoked, when the drug is in a crystalized “crack” or freebase form. Dissolved in water and injected into a vein. Smoking crack or injecting cocaine yields the most rapid and intense high.8 One of the most dangerous aspects of cocaine abuse is that dealers often mix their cocaine with other products to increase their supply. The average purity of seized cocaine in the United States is about 50%.9 The list of products cocaine can be mixed with is long, ranging from relatively harmless powders like sugar and starch to dangerous veterinary products, methamphetamine, and opioids.2In fact, the practice of cutting cocaine with fatal opioids like fentanyl appears to be gaining prevalence. Between 2016 and 2017, the number of reports from forensics labs of fentanyl and cocaine increased by 74% according to the DEA.10And in 2018, 74% of cocaine-involved fatal overdoses also involved an opioid (a 2.4% increase from the previous year).11 You are not alone. You deserve to get help. AAC is an industry leader in addiction treatment. Our team of top medical experts specializes in dual diagnosis treatment and is committed to ensuring that each patient is treated as an individual. Call us today, we’re available 24/7.

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Cracks Vs Cocaine

Crack and cocaine are both derived from the coca plant but differ in formulation, routes of administration, price, and even punitive charges.

Crack and cocaine are two dangerous substances that, while similar, have their differences. Consider the following key points when comparing the two:

  • Both crack and cocaine are derived from the coca plant
  • The United States Drug Enforcement Administration classifies both as Schedule II substances
  • Cocaine is generally more expensive than crack
  • Drug usage statistics suggest that people admit to using cocaine more often than crack
  • The high from cocaine typically lasts longer than with crack

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  • Most people feel the effects of cocaine anywhere from 3.3 to 5.5 hours after taking it.
  • If someone has used cocaine only once, it’s usually detectable in urine for around three to five days.
  • For someone who takes a larger dose of cocaine or uses it occasionally, it may show up in urine for three to seven days.
  • For frequent or heavy cocaine users, a urine test can show the drug for five to 14 days after the last dose.

Cocaine can stay in your system anywhere from 3.3 to 5.5 hours after you take it but cocaine also has an active metabolite called benzoylecgonine, and that takes longer to be expelled from the body completely. It’s usually between one and two days before this metabolite leaves the system.

Estimates show that when someone takes cocaine, about 40% hydrolyzes to form benzoylecgonine. Then, another 40% is metabolized by the liver, producing ecgonine methyl ester. Cocaine has a relatively short half-life of around an hour, while benzoylecgonine has a half-life of around six hours.

If you are caught illegally possessing cocaine, you will face legal consequences including arrest, jail time, a life-long criminal record, and financial penalties.

Possession of cocaine for recreational use is illegal throughout the United States, regardless of form. Penalties for possession include legal and financial repercussions, such as arrest, driver’s license suspension, court fines, mandatory rehabilitation programs, and incarceration.

Cocaine is classified by the United States Drug Enforcement Administration (DEA) as a schedule II narcotic. Cocaine is a stimulant narcotic with euphoric and extremely addictive qualities. Criminal penalties associated with the possession and distribution of schedule II controlled substances vary by state and are primarily dependent upon the amount of the substance within an individual’s possession at the time of the arrest.

Crimes Associated with Cocaine

The use, possession, distribution, sale, and trafficking of recreational cocaine are serious crimes.

Depending on the quantity in an individual’s possession, how the substance was acquired, and the established intent of possession, state-level criminal penalties for cocaine vary. The range of penalties includes misdemeanor charges for small amounts and serious felony charges for large amounts, intent to distribute, and trafficking. Misdemeanor offenses often result in probation, court fines, and short periods of incarceration. Felony offenses can potentially lead to up to 20 years imprisonment depending upon the severity of the offense.

Specific cocaine offenses, such as trafficking, are considered as violations of the Federal Controlled Substances Act and are prosecuted as federal felony offenses. These offenses can burden an individual with a fine of between $1 million to $50 million, and prison time from 20 years to life. Individuals with at least one prior trafficking conviction are subject to additional penalties of between $2 and $75 million and concurrent life sentences.

Using too much cocaine at one time, known as an overdose, can be fatal. Out of all illegal drugs, cocaine is the most likely to lead to an emergency room visit. Almost 14,000 drug overdose deaths resulted from cocaine use in 2017.

  • Cocaine is a stimulant that can cause immediate death.
  • Deaths most commonly occur through an overdose.
  • Cocaine overdose can cause heart attack, stroke, or seizure.
  • The most common signs of cocaine overdose include chest pain and rapid heartbeat.
  • If a cocaine overdose is suspected, contact emergency medical help immediately.

Deaths from cocaine are most commonly caused by:

  • Heart attack
  • Stroke
  • Seizures

While cocaine increases dopamine and norepinephrine in the brain to create euphoric effects while boosting confidence and focus, it also stimulates the cardiovascular system. These cardiovascular effects are by far the most dangerous.

Signs of a Cocaine Overdose

Cocaine intoxication and overdose are serious risks when abusing the drug. Intoxication comes when the person feels high but ill at the same time. Overdose is more extreme than intoxication and can be deadly. Signs of a cocaine overdose include:

  • Chest pain
  • Rapid or irregular heartbeat
  • High body temperature or severe sweating
  • Bluish color of the skin
  • Difficulty breathing

A cocaine overdose is a medical emergency. Although dangerous, it may be treatable if recognized early. An overdose can even occur the first time someone uses cocaine. Seek medical attention immediately if a cocaine overdose is suspected.

Yes, cocaine can indirectly cause kidney stones because the drug impacts your body’s fluid level. Your kidneys need a specific amount of fluid to function correctly and prevent kidney stones. Cocaine causes the kidneys to work harder, thus increasing the likelihood that kidney stones develop. Additionally, cocaine use is known to be toxic and can affect kidney health in other ways.

Kidney stones are uncomfortable experiences that most people would like to avoid. Cocaine use can increase the chance that kidney stones develop. Consider the following key points regarding cocaine and kidney stones:

  • Cocaine can indirectly cause kidney stones
  • Kidneys are the body’s natural filter for toxins
  • Cocaine dehydrates the body and increases blood pressure
  • Your kidney must be functioning properly to stop the formation of kidney stones
  • Drink eight, 8-oz. glasses of water each day to help prevent kidney stones
  • Eat a diet low in salt and high in calcium to help prevent kidney stones

How Does Cocaine Cause Kidney Stones?

Cocaine causes kidney stones in two ways:

  1. The first is by increasing how much urine your kidneys produce. This increase is why a person using cocaine urinates more than usual.
  2. Second, cocaine causes your kidneys to release chemical signals that increase your blood pressure. Cocaine does this by tightening your blood vessels, which causes your blood to push harder against your vessels and heart. Your kidneys then have to filter a faster-moving, thicker fluid and are exposed to more harmful toxins in a smaller amount of time.

Ultimately, the two impacts cause both mechanical and chemical damage to your kidneys. Your kidney must be functioning properly to prevent kidney stones, which it can’t with these stressors.

Yes, cocaine use can cause fertility issues for both men and women. Cocaine can disrupt the ovulation cycle for women and mens’ sperm counts. It is also known to cause congenital disabilities (birth defects) and miscarriages when used during pregnancy. To avoid these fertility-related complications, expectant mothers and their partners are advised not to use harmful substances like cocaine.

Several key takeaways about cocaine use and fertility include:

  • Cocaine can cause infertility in both men and women
  • Cocaine has been shown to lower sperm count in men
  • Cocaine increases prolactin levels during use and withdrawal. Prolactin is a hormone that alters the menstrual cycle and can stop ovulation.
  • Never use cocaine while pregnant, it can cause permanent congenital disabilities (birth defects) or miscarriage

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