| Cocaine
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Crack and Cocaine
Cocaine is a powerfully addictive
drug of abuse. Individuals who have tried cocaine have
described the experience as a powerful high that gave them
a feeling of supremacy. However, once someone starts taking
cocaine, one cannot predict or control the extent to
which he or she will continue to use the drug. The major ways
of taking cocaine are sniffing or snorting,
injecting, and smoking (including free-base
and crack cocaine).
Health risks exist regardless of whether
cocaine is inhaled (snorted), injected, or smoked.
However, it appears that compulsive cocaine use may
develop even more rapidly if the substance is smoked
rather than snorted. Smoking allows extremely
high doses of cocaine to reach the brain very quickly
and results in an intense and immediate high. The injecting
drug user is also at risk for acquiring or transmitting
HIV infection/AIDS if needles or other injection equipment
are shared.
Health Hazards
Physical effects. Physical effects
of cocaine use include constricted peripheral blood
vessels, dilated pupils, and increased body temperature, heart
rate, and blood pressure. Some cocaine users report
feelings of restlessness, irritability, and anxiety, both
while using and between periods of use. An appreciable tolerance
to the high may be developed, and many addicts report that
they seek but fail to achieve as much pleasure as they did
from their first exposure.
Paranoia and aggression. High
doses of cocaine and/or prolonged use can trigger paranoia.
Smoking crack cocaine can produce particularly
aggressive paranoid behavior in users. When addicted individuals
stop using cocaine, they may become depressed. This
depression causes users to continue to use the drug to alleviate
their depression.
Long-term effects. Prolonged
cocaine snorting can result in ulceration of the mucous
membrane of the nose and can damage the nasal septum enough
to cause it to collapse. Cocaine-related deaths are
often a result of cardiac arrest or seizures followed by respiratory
arrest.
Added Danger. When people mix
cocaine and alcohol, they are compounding the
danger each drug poses and unknowingly causing a complex chemical
interaction within their bodies. Researchers have found that
the human liver combines cocaine and alcohol
to manufacture a third substance, cocaethylene, which intensifies
cocaine's euphoric effects and possibly increases the
risk of sudden death.
Crack is made by boiling cocaine
hydrochloride with sodium bicarbonate to "free"
the cocaine "base". The base, in turn, separates
from the solution as chunks of crack. The crack
form is typically smoked.
As of 1998, approximately 10% of Americans
have tried cocaine, about 2% in the last year, and
0.8% in the last month. This is approximately 1.8 million
people. Other names for Cocaine: Coke, Snow,
Snow White, Charlie, Toot, Girl, Lady Caine, Nose Candy, Blow,
C-Dust.
In the same study, 2.2% of Americans
said they had tried crack, and 0.3% in the last month.
This is around 668,000 users. Other names for Crack:
Hard Rock, Stones, Baby T, Pony, White Ghost, Sleet, Gravel.
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