Doctor insights on:
It can screw you up: Pretty bad. Cocaine prevents Dopamine in the brain from being recycled. So Dopamine builds up at the synapse (between two neurons). This can cause a person to feel “high”. Cocaine can ^ heart rate, ^ blood pressure, ^ temperature, v appetite, cause nausea, abdominal pain, nausea & constriction of blood vessels. It can also lead to heart attacks or strokes. ...Read more
Define long-term cocaine use? With rec use during college & months of nonuse in between what's the liklihood of permanent damage? No use since then.
Unable to say: I have seen people who used Cocaine for years on an episodic basis have a heart attack after using the same amount they have always used. I have also seen deaths from apparent cardiac arrhythmias under the same kind of circumstances. Also depends on route of administration - snorting, injecting or smoking. You also don't know what its cut with - levamisole has caused deaths in the us. ...Read more
Behavior changes: Someone might be using if they show some of the following: they seem more energetic, loud, funny and excited when they are normally more reserved. They may have a runny nose, they touch their nose often and excuse themselves to go to the restroom frequently. Cocaine is a very "selfish" drug, and users need to "top up" a lot, leading to frequent "disappearances" in social settings. ...Read moreSee 2 more doctor answers
Why would a doctor prescribe my friend Vyvanse (lisdexamfetamine) when he has heavily abused Adderall ritalin and illegal amphetamines like cocaine and meth ?
UNINFORMED: I would wonder if your "friend" has been honest about the medications that have been abused. Vyvanse (lisdexamfetamine) is a prodrug and is not active if snorted ot injected. Still it is an amphetamine. Your friend will eventually be caught as there are more and more externally systems that monitor for doctor shopping and drug abuse. ...Read moreSee 2 more doctor answers
What sorts of medicine should be prescribed to a person who stopped taking cocaine.What could help by cravings?
Stimulants: Thus far, the combination of cognitive behavior therapy and pharmacotherapy has elicited the best results for treating Cocaine dependence. The use of stimulant medications for the treatment of Cocaine dependence has shown some promising results, but there is not yet a proven drug treatment that has shown consistent efficacy. ...Read moreSee 1 more doctor answer
Prepare to fail test: and suffer the consequences of your actions. Which is ultimately what life is about, except for those who have given themselves over to the delusions of being drug abusers. Worry more about dealing with your cocaine problem than getting caught and you may perhaps have some benefit from your current circumstances. Trying to 'beat' the test is almost always unsuccessful and gives you more trouble. ...Read more
Cocaine detox: The most promising future for Cocaine detox lies in the endorphin system. Blockade of the κ opioid system can also block dysphoric-like effects associated with withdrawal from drugs of abuse and block the development of compulsive-like responding during extended access to drugs of abuse koob 2013. No meds exist for this however the use of Gabapentin and Baclofen in conjuction with bupropion helps. ...Read more
911: Overdose of cocaine, as with any overdose, requires immediate intervention by trained professionals. Even in moderate doses, Cocaine can increase the risk of heart attack, stroke, and other forms of sudden cardiac death. In higher doses, observation in an emergency room or intensive care unit may be needed. There heart monitors can detect arrhythmias which can be treated with medication. ...Read moreSee 2 more doctor answers