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Cocaine — Overview, Effects, Risks, and Help

Learn about cocaine — what it is, how it affects the body and brain, legal status, risks, signs of misuse, and where to get help. Factual, non-judgmental information to educate and reduce harm.

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What is cocaine?

Cocaine is a powerful stimulant drug derived from the leaves of the coca plant (Erythroxylum spp.). It increases levels of dopamine in the brain, producing short-lived euphoria, increased energy, and heightened alertness. Cocaine is illegal for non-medical use in most countries and is sold in powder (hydrochloride) or crystalline (“crack”) forms.

How cocaine affects the body and brain
• Short-term effects: intense euphoria, increased heart rate and blood pressure, dilated pupils, reduced appetite, confidence, and alertness.
• Acute dangers: chest pain, irregular heartbeat, stroke, seizure, severe hypertension, hyperthermia, and in some cases sudden death—even on a first use.
• Long-term effects: addiction, mood disorders, cognitive impairment, nasal septum damage (from snorting), lung damage (from smoking), cardiovascular disease, and increased risk of infectious disease with injection.

Why cocaine is addictive

Cocaine produces rapid increases in dopamine in reward pathways. Repeated use rewires brain chemistry so that the user needs the drug to feel normal. Addiction is a medical condition — not a moral failing — and typically requires professional treatment.

Signs of cocaine misuse
• Sudden weight loss or appetite change
• Insomnia or disrupted sleep patterns
• Nosebleeds, runny nose, or damaged nasal tissue (snorting)
• Track marks (if injecting) or respiratory issues (if smoking)
• Mood swings, paranoia, anxiety, or hallucinations
• Financial or legal problems, secretive behavior, social withdrawal

Treatment and recovery

Effective treatment options include behavioral therapies (cognitive behavioral therapy, contingency management), counseling, mutual-help groups, and integrated care for co-occurring mental-health disorders. There are no widely approved medications that block cocaine effects, but clinical research continues. Early intervention improves outcomes — reach out to medical professionals, addiction specialists, or local treatment centers.
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