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Cocaine Use: Care Instructions


Using cocaine can cause physical and mental harm. It can increase your heart rate and blood pressure, which can lead to a heart attack and even death. It can raise your body temperature. You may have nausea, vomiting, and chills. If you smoke cocaine, the fumes can cause breathing problems. If you snort cocaine, it can damage your nasal passages. If you inject cocaine, it can cause an abscess at the injection site or an infection throughout your body. You may become shaky and restless. You also may see or hear things that are not there (hallucinations) or believe things that are not true (delusions).

When the doctor treated you, they may have:

  • Watched your symptoms or done tests to find out how much cocaine was in your body.
  • Treated you to control your heart rate, temperature, and blood pressure.
  • Given you oxygen to help you breathe.
  • Given you medicine to settle your thoughts and help keep you calm.

The doctor has checked you carefully, but problems can develop later. If you notice any problems or new symptoms, get medical treatment right away.

How can you care for yourself at home?

  • When you use cocaine regularly, your body and brain get used to it. This is called physical dependence. If you are physically dependent on cocaine, you may have withdrawal symptoms when you stop using it. You may feel drowsy, have vivid dreams, or feel hungry, tired, or depressed. You may also feel confused and have trouble thinking clearly. To help you get past these symptoms:
    • Get plenty of rest.
    • Drink lots of fluids.
    • Stay active.
    • Eat a healthy diet.
  • Talk to your doctor about substance use treatment programs that can help you stop using cocaine.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

  • You have symptoms of a heart attack. These may include:
    • Chest pain or pressure, or a strange feeling in the chest.
    • Sweating.
    • Shortness of breath.
    • Nausea or vomiting.
    • Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly or in one or both shoulders or arms.
    • A fast or irregular heartbeat.
    After you call 911, the operator may tell you to chew 1 adult-strength or 2 to 4 low-dose aspirin. Wait for an ambulance. Do not try to drive yourself.
  • You feel you cannot stop from hurting yourself or someone else.

Call your doctor or nurse advice line now or seek immediate medical care if:

  • You have severe side effects from using cocaine. These may include problems with thinking, such as seeing things that aren't there or thinking that someone is trying to harm you (paranoia).
  • You have new or worse withdrawal symptoms.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

  • You need more help or support to stop.

Where can you learn more?

Go to

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Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.