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Cocaine

Cocaine is a stimulant drug obtained from the leaves of the coca bush. It can make you alert, full of energy and self-confident in the short term - at the same time, the strain on your heart, circulation and psyche increases significantly.

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At a glance

Active ingredient Cocaine Also: coke, crack, freebase, coca, coke
Start of effect after approx. 3 minutes (sniffing), faster when smoking (crack/freebase) and injecting
Duration of action approx. 1-2 hours

Effects and possible side effects

Typical during the effect
  • Euphoria, „push“, more self-confidence, fewer inhibitions, more urge to talk
  • Critical faculties and judgement can decrease
  • Risk appetite may increase
  • Can have a sexually stimulating effect - erectile dysfunction is possible at higher doses
  • Hunger, thirst and the need for sleep are often suppressed
  • Sensation of pain can decrease
What can also happen
  • Confusion, strong restlessness, anxiety
  • Psychoses or seizures are possible
  • Strain on the circulation: Blood pressure and heart rate increase
  • Increased risk of heart problems (also in younger people)
After-effect
When the effect wears off
  • Exhaustion
  • Depressed mood to depression
  • Irritability or anxiety
  • Strong desire for more („craving“)
Long-term consequences
Possible consequences of frequent consumption
  • Mood swings, anxiety disorders, depressive phases
  • Memory and concentration problems
  • Personality changes
  • Cocaine psychosis (e.g. severe delusions)
  • Damage to the nasal mucosa due to sniffing
  • Damage to the lungs due to crack smoking
Important to know
  • In some people, cocaine is broken down more slowly - this can increase the risk of overdose/poisoning.
  • There is a risk of psychological dependence.
Interactions with other drugs
Uppers (e.g. speed, crystal, caffeine, ecstasy)
  • Stresses the cardiovascular system: blood pressure and heart rate increase.
  • The risk of heart problems may increase.
Alcohol
  • You are often worse at estimating the amount you have drunk - this can increase the risk of alcohol poisoning.
Interactions with other medications
Blood pressure medication (including some beta blockers)
  • low blood pressure, blood pressure crisis
Interactions with HIV drugs
NNRTIs Efavirenz (e.g. Sustiva®, Atripla® and generics) Nevirapine (e.g. Viramune® and generics)
  • Together with these HIV drugs, cocaine can increase the metabolite Norcocaine form.
  • In animal studies, liver damage was observed at very high norcocaine levels; whether this is relevant for humans is unclear.
Booster (active ingredient booster) Trade names: Norvir®, Tybost®
  • Theoretically, increased cocaine levels in the blood are possible.
Health tips & safer use
  • Give yourself a break: Cocaine is quickly addictive. Therefore, take conscious breaks from time to time.
  • No mixed consumption: It is best not to combine cocaine with other drugs or alcohol.
  • Be careful during sex: Cocaine can make you more aggressive and reduce your sensitivity to pain. This makes it easier to cause injuries through which HIV or hepatitis can be transmitted. Use condoms or gloves (e.g. when fisting) and make clear agreements beforehand.
  • Clean cutlery: Snorting is less risky than injecting. However, make sure you use your own tube when snorting.
  • HIV drugs: If you are taking protease inhibitors, you should take lower doses of cocaine. With drugs such as Sustiva®, Atripla® or Viramune®, it is safer to avoid cocaine altogether.

Easy language

This page is about Cocaine.

Cocaine is a drug. Many people take cocaine to feel awake or strong.

But cocaine can also Very dangerous be.

  • Cocaine can put a heavy strain on the heart.
  • Blood pressure may rise.
  • You can become anxious or very restless.
  • You can become addicted.

When the effect is over, many people feel

  • Very tired
  • sad or empty
  • irritable or anxious

It is particularly dangerous to mix cocaine with Alcohol or other drugs.

If you are on medication, cocaine can be even more dangerous.

You don't have to know everything or make perfect decisions. The important thing is Take good care of yourself.


Frequently asked questions about cocaine

Cocaine works quickly and intensively - but not without risks. In this FAQ you will find answers to frequently asked questions about effects, consumption, safer use and health consequences.

How does cocaine work in the body?

Cocaine is a powerful stimulant. It can make you euphoric, alert and self-confident in the short term. At the same time, pulse and blood pressure rise significantly, the heart is under a lot of strain and the ability to assess risks can diminish.

How long does cocaine last?

The effect usually sets in after a few minutes and lasts for about 1-2 hours on. This is often followed by a so-called CrashExhaustion, depression, irritability or a strong desire to consume again.

Is cocaine particularly dangerous for the heart?

Yes, cocaine increases the risk of Cardiac arrhythmia, heart attacks and strokes - even in young, otherwise healthy people. The risk increases with high doses, frequent use or combination with other substances.

Can cocaine be addictive?

Yes, cocaine can be both Psychologically dependent as well as lead to a strong craving. Regular consumption can change the psyche, increase anxiety and favour depressive phases.

How can I reduce consumption risks?

Cocaine use is not entirely without risk. If used, it can help:
not to be consumed alone
Take breaks and listen to your body
drink enough (non-alcoholic)
Avoid mixed consumption as far as possible
get help at an early stage in the event of unusual symptoms

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