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What to Know About Cocaine Use

Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Cocaine is a highly addictive drug that can heighten activity in the body, including heart rate, blood pressure, alertness, and energy. The most commonly used form of the drug is a white powder which is found in the leaves of the Erythroxylon Coca plant and has been used in South America for hundreds of years. It was first introduced in the United States in the s as a surgical anesthetic. In the early s, cocaine was the active ingredient in many of the tonics and elixirs that were marketed at the time to treat a variety of conditions and illnesses before its side effects and addictive properties were fully understood. It was classified as a Schedule II drug in In the United States, recreational cocaine use is illegal. A few of the more commonly used terms include powder, rock candy, blow, crack, sleet, and snow. Drug Class: Cocaine is classified as a stimulant. It increases activity in the brain and temporarily elevates mood, alertness, and energy levels. Common Side Effects: While cocaine can produce short-term feelings of euphoria, it also comes with a number of side effects including decreased appetite, paranoia, extreme sensitivity, irritability, headaches, mood changes, and an increased risk of stroke and heart attack. Cocaine is mostly sold on the street illegally as a fine white powder. It is often mixed with other substances like cornstarch, talcum powder, or sugar to dilute its purity. Sometimes it is mixed with amphetamine or heroin in what is known as a 'speedball. Cocaine looks like white powder or rocks. It is often stored loose in baggies or packed into tight bricks. Cocaine can be swallowed, snorted, injected, and inhaled. Except for approved medical use, there is no safe way to use cocaine in any form. All methods of use can lead to absorption of toxic levels of cocaine, possible acute cardiovascular or cerebrovascular emergencies, and seizures. Any of these can lead to sudden death. Cocaine begins working almost immediately except when taken orally. Even small doses of the drug have a temporary stimulating effect on the body, which can make a person feel euphoric, energetic, talkative, and mentally alert. Cocaine works by interfering with the normal communication process in the brain. Cocaine use blocks the removal of dopamine from the synapse causing an 'amplified' signal to be sent to the receiving neurons. This amplified signal is what people perceive as an initial euphoria or high. The method by which cocaine is used can affect how high a person feels and how long the high lasts. For example, snorting cocaine does not produce as intense a high as smoking it, but the high lasts longer. A high from snorting may last 15 to 30 minutes, while a high from smoking cocaine might last only 5 to 10 minutes. The faster the drug is absorbed into the bloodstream, the more intense the high, but the shorter the duration. Cocaine presents a risk of both addiction and overdose. Because it impairs judgment, it can also lead to other risky behaviors such as engaging in needle sharing or unprotected sex. There are a number of reasons why people choose to use cocaine in spite of the risks. Although some people find that using the drug helps them perform simple intellectual and physical tasks more quickly, others report that cocaine has the opposite effect. Some people report heightened sensitivity to sight, sound, and touch. They can also experience a decreased need for food or sleep, at least temporarily. While cocaine is illegal as a recreational drug, it does have legitimate medical uses. It has both anesthetic and vasoconstrictive properties, which make it ideal for some medical purposes. Cocaine can be effective:. Cocaine use can result in both physiological and psychological side effects. Physiological effects of cocaine can include:. Psychological effects of cocaine use can include:. Although it is rare, sudden death can occur on the first use of cocaine or unexpectedly with later doses of the drug. Cocaine-related deaths are often a result of cardiac arrest or seizures followed by respiratory arrest. Combining cocaine with alcohol can also increase the strain on the heart and the risk of sudden death. Some signs that someone you know might be using cocaine include:. Overdoses can occur unexpectedly, even on the first use. The risk of overdose can increase if cocaine is combined with other drugs or alcohol. Signs of overdose can include vomiting, tremors, and difficulty breathing. While the use of this substance is sometimes referred to as an epidemic, evidence shows that its use has largely been on the decline since its peak in the s. Some people also wonder about the effects of cocaine on athletic performance. Studies have shown that cocaine diminishes an athlete's strength, endurance, and overall performance. However, because cocaine can distort a person's perception, many athletes believe the drug is actually enhancing their performance. Prolonged or chronic use of cocaine causes havoc with the brain's natural reward system to the point that using cocaine no longer produces its initial pleasurable effects. Frequent cocaine use can cause people to develop increasingly higher tolerance. This means that it takes higher doses or more frequent doses for the brain to try to achieve the same level of pleasure experienced during the initial use. This cycle of increasing cocaine doses to get the same high can lead to addiction. It is very difficult to determine an exact detection window for how long cocaine can stay in someone's system. The length of time it remains in the system depends on many different factors including body mass, metabolism, and hydration levels. Cocaine can be detectable for 24 hours by blood test or up to three months by hair follicle test. Cocaine addiction can involve both a physical craving for the substance as well as a mental desire to experience the drug's euphoric effects. One of the most dangerous consequences of using cocaine is its powerful addictive qualities. People have been known to become addicted after just one use. Once someone becomes addicted to cocaine, quitting without relapse is extremely difficult, even after long periods of abstinence. Research has shown that even after not using cocaine for long periods of time, exposures to triggers associated with cocaine—or even memories of past cocaine experiences—can set off tremendous cravings and relapses. As the effects of cocaine begin to wear off, people can experience a number of withdrawal symptoms , including irritability, aggression, restlessness, anxiety, insomnia, depression, or paranoia. Because of these unpleasant withdrawal symptoms, many people report difficulty in 'coming down' from the drug. It is not uncommon to experience depression immediately after the drug's effects wear off. Consequently, some people will take then more cocaine to avoid the unpleasant withdrawals—another reason cocaine is considered so highly addictive. Cocaine addiction can be a complex condition that can lead to a wide variety of personal problems. Effective treatment often involves addressing cocaine misuse as well as other co-occurring addictions. It is not uncommon for people who misuse drugs to also have other mental health issues—such as depression or anxiety—that also require treatment. There are several behavioral approaches used in residential and outpatient settings that are effective in the treatment of cocaine addictions. Currently, they are the only approved and evidence-based treatments available for those who use cocaine or crack cocaine. Some of these behavioral treatments include:. There are currently no approved medications to treat cocaine addiction. However, medications such as antidepressants may be used to treat symptoms of depression or anxiety. For more mental health resources, see our National Helpline Database. National Institute on Drug Abuse. Cocaine Research Report. Favrod-Coune T, Broers B. Pharmaceuticals Basel. The Cardiovascular Effects of Cocaine. J Am Coll Cardiol. Clinical Use of Cocaine. Morton WA. Cocaine and Psychiatric Symptoms. Poisoning with illicit substances: toxicology for the anaesthetist. Transient cocaine-associated behavioral symptoms rated with a new instrument, the scale for assessment of positive symptoms for cocaine-induced psychosis SAPS-CIP. Am J Addict. Cocaine DrugFacts. Central nervous system stimulants and sport practice. Br J Sports Med. Hadland SE, Levy S. Sinha R. The clinical neurobiology of drug craving. Curr Opin Neurobiol. Diagnostic sequence of cocaine use disorder in relation to other mental health conditions among college students. J Am Coll Health. Kampman KM. The treatment of cocaine use disorder. Sci Adv. American Society of Addiction Medicine. The Definition of Addiction Long Version. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings , which can also be found in the footer of the site. Drug Use. By Buddy T Buddy T. Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial process. Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. Steven Gans, MD. Medically reviewed by Steven Gans, MD. Learn about our Medical Review Board. How to Recognize Cocaine Cocaine is mostly sold on the street illegally as a fine white powder. Does Cocaine Have Medical Uses? If you suspect someone has overdosed on cocaine, call immediately. Symptoms of Stimulant Use Disorder. Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. See Our Editorial Process. Meet Our Review Board. Share Feedback. Was this page helpful? Thanks for your feedback! What is your feedback? Related Articles.

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Learn more…. How to test cocaine: reduce risk by using a cocaine test kit to check it for adulterants. To test cocaine use reagent tests Marquis , Mecke , Liebermann , Ehrlich and Scott in single-use or multiple-use test kits. Reagent tests are simple chemicals that indicate presence of a substance by reacting with different color change to different substances. To detect fentanyl or test for fentanyl analogs use the fentanyl test strips. A positive or negative test result does not indicate if the substance is safe. TL;DR: Below is an image with a quick cheat sheet how to use the Cocaine Test Kit , and further down you can check out more detailed guide how to test cocaine. Use the cocaine reagent test results chart to see how to use Scott reagent , Marquis , Mecke and Liebermann to test cocaine powder, and what are the expected results. Cocaine test did not react as expected? Watch out! All test results are available in our instructions and the TestDrugs app. Reagents can be divided into primary and secondary. Primary reagents react with the expected substance while secondary produce a vibrant color change with an adulterant. Here are a few key notes:. Scott reagent is the main test for cocaine and produces an instant blue color change with all -caines, such as cocaine, but also inactive pharmaceuticals benzocaine, lidocaine or tetracaine. Liebermann reagent is the follow up primary test to confirm the presence of cocaine, but also detect levamisole, amphetamine and more. Marquis , Mecke and Ehrlich are useful to confirm adulterants, both psychoactive as well as inactive bulking agents. Try secondary reagents. Secondary reagents produce a vibrant color change with an adulterant, but not with the expected substance. Next choose a purity testing kit. It enables you to separate sample into different substances and estimate quantity, however still requires reagent tests to identify detected substances. Fentanyl is an extremely potent and dangerous synthetic opioid, often mixed in street drugs and deadly. Fentanyl test did not react as indicated? Even faint second line result on a fentanyl test strip is enough to rule out the presence of fentanyl. Warning : although our fent strips have very high sensitivity , unfortunately they are also known to produce false positives with ascorbic acid. Unlike other brands you can not use these strips to test your injection cooker residue. A single fentanyl test strip is enough for one test. If the expected substance is not present at all, the reagents will not react at all, or not as expected. If multiple substances are present in your sample, then reagents will either show inconclusive results, or indicate presence of the substance with darkest color change reaction — not necessarily the main ingredient. You can further investigate how many substances are present and estimate their quantity using a TLC purity test. TLC kits enable you to separate sample into different compounds to compare quantity and enable reagent testing the cuts individually. Although cocaine is a local anaesthetic, so are the most common bulking agents, such as lidocaine, benzocaine or tetracaine.. If you are testing with just one or two reagents, then yes. Inconclusive results are common because cocaine is the single most adulterated psychoactive substance. Fizzing is normal when testing powders. Any drug in a form of salt will bubble with most reagent tests, which are strong acids. If you see only fizzing instead of color change, that can indicate presence of a new psychoactive substance. Scott should instantly turn blue, not just the sample powder, but liquid itself. Not necessarily, speed of the reaction does not indicate quantity nor purity. However, if you are having trouble interpreting your result try using a bigger sample. A multiple-use test kit lasts up to 5 ml or 10 ml tests. Each drop equals one test. A single use-test kit contains 2 disposable ampoules 2 tests. List of all PRO Test guides how to test drugs :. How to test 2C-B? How to test MDA? How to test MDMA? How to test LSD? How to test DMT? How to detect NBOMes? Due to abundance of cocaine on the market, the average purity is rapidly increasing. Remember to not mix with alcohol, not overheat and take breaks. Cocaine is both habit forming and one of the most adulterated substances available, therefore regular use can be particularly dangerous. Learn more at erowid. Your email address will not be published. Save my name, email, and website in this browser for the next time I comment. Easy to use All accessories included. Guaranteed results App and support available. Extended shelf life Designed to last you years. How to test drugs? How can I test cocaine? Add one or two drops of Scott reagent test or other supplied on the sample and wait for the results. Check reagent test results with instructions below. Wash testing surface under running water. For full instructions scroll further down below. Cocaine reagent test results color chart click to view. How to use the cocaine test kit? Check test results with Scott reagent : if testing cocaine the reagent liquid should instantly turn blue, not just the sample. Many substances turn blue with the Scott test , but almost only cocaine and other -caines change color of the reagent itself. Pinkish Marquis reagent color change might be caused by presence of naturaly occuring alkaloids. Test as small sample as possible and only try more if you are not getting a conclusive result. Secondary reagent tests for cocaine: Marquis reagent produces a reddish-orange color change with amphetamine, but not levamisole. Liebermann reagent will produce a reddish color change with both amphetamine and levamisole. Liebermann reagent produces a brown or dark brown color change when indicating phenacetin. Mandelin reagent can also tell apart amphetamine green color change and levamisole brown. Ehrlich reagent turns yellow in the presence of benzocaine, procaine and tetracaine. How to detect levamisole with Marquis reagent and Liebermann. How to detect amphetamine in cocaine. TLC test works by separating substances present in a sample in order to reagent test them individually. Semi-quantitative: TLC also helps estimate quantity potency. The bigger the size of the detected spot, the bigger the amount of measured substance. Note that different substances need different calibrated rulers. TLC Purity Test potency scale. To estimate cocaine purity number of ingredients and their concentration use the Substance Purity Test Kit. What is fentanyl? Because of extreme potency microgram range fentanyl is never evenly mixed in. One part of a baggie can be fentanyl free, and another lethal. Grab a test strip and insert the white end into the liquid, no higher than the thick line. Wait until liquid starts visibly moving up the test strip up to 15 seconds. Put the test strip away on a flat dry surface and read the result in 2 minutes. Check test strip result: a single line confirms the presence of fentanyl, while two lines even faint rule it out. What does a faint line indicate? How to test if I inject? Test all substances by dissolving 1 mg in at least 1 ml, preferably mg in ml. Can fentanyl test strip estimate potency? No, fentanyl test strips can not reliably estimate the amount of fentanyl. How many tests can you do with 1 strip? Looking where to buy a test kit for fentanyl? What if my sample is adulterated? Does cocaine numb gums? Are false positives possible? Why is my test bubbling? Why didn't Scott turn more blue? If you still see a weaker reaction than usually, that might indicate extremely low purity. Does faster reaction indicate better purity? How long does a test kit last? How to check if a cocaine reagent test works? Test any substance and compare color reactions with instructions. Keep a sample to compare later in case of doubt. If control sample reacts fine, it means the reagent still works. Looking where to buy a kit for testing cocaine? Leave a Reply Cancel reply Your email address will not be published. I don't feel lucky. Next time. Reagent Bible. No prize. No luck today. Spin to win a prize! Everybody wins! Enter your email address and spin the wheel. This is your chance to get a discount. Rules: One game per researcher By entering your email you agree to receive Chemical Safety sp. We value your privacy This website uses cookies to adjust and correctly display content. Scroll or click 'accept' to accept and continue. Close Privacy Overview This website uses cookies to improve your experience while you navigate through the website. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may have an effect on your browsing experience. Necessary Necessary. Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information. 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