- Table of ContentsPrint
- Overview of Cocaine Abuse
- Signs and Symptoms
- Cocaine Abuse Treatment
- Statistics on Cocaine Abuse
- Teen Cocaine Abuse
- Resources, Articles, and More Information
Overview of Cocaine Abuse
Cocaine is a type of drug that functions to increase the availability of the neurotransmitter dopamine in the brain. Dopamine is associated with the generation of 'euphoric' emotions, the regulation of movement, and the processing of reward cues. However, it is also associated with a considerable potential for dependence and abuse. Cocaine abuse is related to an increased risk of:
- Psychiatric disorders.
Cocaine is attractive as a recreational substance due to the perceived positive effects on mood, motivation, and energy. Someone abusing cocaine may smoke, snort, or take it intravenously (via injection).
Signs and Symptoms
Typical signs and symptoms of current cocaine use include:
- Increased agitation.
- Effusive enthusiasm.
- Increased movement (i.e. hyperactivity).
- Increased common cold-like symptoms and/or nosebleeds.
- Signs of involuntary movements (i.e. muscle tics).
- Changes in concentration and focus.
Other Adverse Effects
One of the most serious effects of cocaine abuse is heart muscle damage. Cocaine may cause damage by inducing cell death in the muscles of the heart (cardiomyopathy). Intravenous cocaine use can lead to inflammation of the inner tissues of the organ (endocarditis).
These cellular effects of cocaine cumulate into serious conditions such as heart attacks and cardiac arrhythmias, which may be fatal. Other symptoms of cocaine-induced cardiotoxicity include:
- Inflammation of heart muscle.
- Rupture of the aorta, the major artery leading from the heart.
- Severe declines in health and life quality due to reductions in cardiac function or severe blood loss.
Cocaine-induced heart failure or damage may also increase the risk of stroke, or brain damage resulting from interruptions in the blood supply available to the brain.
The abuse of this drug is also associated with kidney damage. The prolonged use of cocaine is thought to be related to the inflammation of important microstructures within this organ.
Cocaine and Changes in the Brain
Cocaine abuse is also associated with changes in brain chemistry over time. These changes are associated with the increased 'need' for cocaine over time, as well as behavioral abnormalities that may result from taking cocaine. These behavioral anomalies associated with its effects may include:
- Unusually erratic behavior (which may even result in unintentional trauma incurred during accidents).
- Psychotic symptoms.
- New-onset Attention Deficit Hyperactivity Disorder (ADHD).
Even users who regard their use as 'recreational' may be at risk of neurological changes that affect their lives. 'Recreational' use is associated with the decreased ability to regulate and control behavior, leading to reduced abilities to control movements, react to environmental stimuli and carry out daily activities. Long-term use is also associated with deficits in cognitive performance, attention, and decision-making abilities.
Other risks stemming from abuse include bloodborne infectious conditions such as HIV or hepatitis C (HCV). These risks are related to the injection of cocaine, and the adverse effects of irresponsible and non-sterile needle use.
Credit: National Institute on Drug Abuse
Cocaine Abuse Treatment
There are many treatment options available for cocaine dependence and abuse. These may be delivered in inpatient facilities, which accommodate the treatment-seeker for the duration of their therapy.
Alternatively, the patient may make regular appointments at a center or clinic to receive treatment (i.e. outpatient treatment).
The nature of these treatments may be both behavioral and pharmacological.
Behavioral therapies are psychosocial treatments that address the reasons, motivations and possible underlying psychological issues associated with a person's substance abuse.
Current research indicates that behavioral therapy techniques are particularly effective in patients affected by cocaine abuse and dependence.
An example of behavioral treatment associated with effective abstinence from cocaine use is contingency management (CM). This treatment is based on incentives (e.g. prizes or cash) for abstinence, or other positive parameters, such as improved social interactions. This treatment has demonstrated promising in-treatment results, but the long-term effects are less certain, as it appears to lose efficacy over time.
Another form of behavioral treatment, cognitive behavioral therapy (CBT) may be used. This type of treatment addresses the reasons behind the substance abuse, and helps to alter maladaptive ways of thinking and acting that may be contributing to the cocaine abuse issue.
Pharmacological (or drug-based) therapies refers to medications administered to treat cocaine dependence by physiological means.
This type of treatment uses medications that may mimic the substance of abuse in question, but to a reduced or different extent. The doses of these medications are reduced (or 'tapered') over time, thus 'weaning' the patient off drug dependence and allowing them to work on abstinence and recovery from addiction.
An emerging form of pharmacotherapy for dependence is methylphenidate treatment. This medication is prescribed to treat ADHD, and is similar to cocaine in terms of neurological effects. However, the stimulant effects of methylphenidate act on the brain for a longer duration, but elicit less extreme reactions, compared to cocaine. The hope is to alleviate the 'need' for it, and thus dependence, over time.
It is important to not that medically assisted treatment of any type is very program specific, and not offered universally.
Finding Treatment for Cocaine Addiction
Seeking treatment for substance addiction is the first step to true recovery. This may require thorough research to find a program best suited to the treatment needs and preferences of the individual patient. In addition, a patient may have to find answers to questions such as:
- Will insurance cover treatment?
- What methods of funding can I use for treatment?
- How long the program will last?
- Will my treatment program accommodate any special needs?
- Will my insurance cover some or all of my treatment?
- What quality of aftercare (a program of post-treatment activities or lifestyle modifications that may enhance abstinence and recovery) will be available upon completion of a program.
Statistics on Cocaine Abuse
According to the 2015 National Survey on Drug Use and Health:
- Almost 5 million people reported using cocaine at some point in 2015, and nearly million reported use at some point in their life.
- Approximately 1.75 times more men than women abused cocaine in 2015.
Also, the Drug Abuse Warning Network found that cocaine was the most common illicit substance involved in emergency department visits in 2011, found in more than 40% of cases.
To learn more, visit our article, Cocaine History and Statistics.
Teen Cocaine Abuse
Drug abuse is relatively common among adolescents. Almost 2% of 8th graders, 3% of 10th graders, and 4% of 12th graders reported use of the drug at some point in their life, per the National Institute on Drug Abuse's Monitoring the Future Study.
Initiating use at a younger age is one way to increase one's risk of dependency. It is also thought to be related to increased risks of legal and psychiatric problems in later life, and is associated with reduced responses to treatment.
To prevent drug abuse in your teen, it's important to talk to him or her about substance abuse at a young age and continue the conversation. Make sure they understand the dangers of both illicit and prescription drugs, and monitor their behavior, friends, and habits for sudden changes.
Maybe you are concerned that your teen is abusing cocaine, but don't know what to look for. Most often found in white powder form, cocaine may be "cut" with any number of ingredients, some more harmful than others. Cocaine base (or "crack") looks like small rocks that are a whitish color.
Resources, Articles, and More Information
For more information, see the following articles:
You can also join the conversation on cocaine abuse and addiction by visiting our Forum today.
- Dürsteler KM, Berger E-M, Strasser J, et al. Clinical potential of methylphenidate in the treatment of cocaine addiction: a review of the current evidence. Substance Abuse and Rehabilitation. 2015;6:61-74.
- Maraj S, Figueredo VM, Lynn Morris D. Cocaine and the heart. Clin Cardiol. 2010;33(5):264-269.
- Qureshi AI, Chaudhry SA, Suri MFK. Cocaine use and the likelihood of cardiovascular and all-cause mortality: data from the Third National Health and Nutrition Examination Survey Mortality Follow-up Study. Journal of Vascular and Interventional Neurology. 2014;7(1):76-82.
- Jaffe JA, Kimmel PL. Chronic nephropathies of cocaine and heroin abuse: a critical review. Clin J Am Soc Nephrol. 2006;1(4):655-667.
- Hellem T, Shi X, Latendresse G, Renshaw PF. The Utility of Magnetic Resonance Spectroscopy for Understanding Substance Use Disorders: A Systematic Review of the Literature. J Am Psychiatr Nurses Assoc. 2015;21(4):244-275.
- Weiss LM, Petry NM. Substance abuse treatment patients with early onset cocaine use respond as well to contingency management interventions as those with later onset cocaine use. Journal of substance abuse treatment. 2014;47(2):146-150.
- Barrio G, Molist G, de la Fuente L, et al. Mortality in a cohort of young primary cocaine users: controlling the effect of the riskiest drug-use behaviors. Addict Behav. 2013;38(3):1601-1604.
- Colzato LS, van den Wildenberg WP, Hommel B. Impaired inhibitory control in recreational cocaine users. PLoS One. 2007;2(11):e1143.
- Center for Behavioral Health Statistics and Quality. (2016). Results from the 2015 National Survey on Drug Use and Health: Detailed Tables. Substance Abuse and Mental Health Services Administration, Rockville, MD.
- Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network, 2011: National Estimates of Drug-Related Emergency Department Visits. HHS Publication No. (SMA) 13-4760, DAWN Series D-39. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013.
- National Institute on Drug Abuse. Monitoring the Future Study: Trends in Prevalence of Various Drugs.