Cocaine Withdrawal
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Due to the intense feelings of joy and energy that are experienced when a person takes this
popular drug, cocaine is extremely addictive.
When an individual attempts to stop abusing cocaine, however, he or she suffers from
cocaine withdrawal symptoms.
Some of these withdrawal symptoms such as depression, craving, and displeasure, are as
excessive and strong as the withdrawals experienced with any other drug.
Cocaine Addiction
Cocaine is a powerfully addictive stimulant that directly affects the brain. Cocaine elicits a sense of intense
joy, euphoria, and quick energy that is caused by the brain’s releasing of higher than normal amounts of certain
biochemicals such as dopamine and serotonin.
Since, however, cocaine also interferes with the re-absorption of dopamine, if the person is to again experience
the desired “high,” he or she needs to take more cocaine.
Cocaine addiction can occur very rapidly and can be extremely difficult to overcome. This fact points to at
least one major difference between alcohol abuse and drug abuse: it usually takes significantly longer to become
dependent on alcohol than on drugs such as cocaine.
Cocaine and Psychological Addiction
Regular use of cocaine can lead to strong psychological addiction. Psychological addiction occurs when a
person starts to rely on drugs in order to experience “good feelings” such as self-esteem, and freedom from
anxiety, self-confidence, and relaxation.
Individuals who suddenly stop taking cocaine usually experience cocaine withdrawal symptoms as their brain and
body attempts to readjust to functioning without the drug.
The length and intensity of cocaine withdrawal depends on the amount that is taken and the frequency of
use. Since no two people are identically alike, cocaine withdrawal also varies from person to person.
| In a study of more than 450 American alcoholics and 80 heroin addicts, it was found
that the absent father is a very typical occurrence. In fact, according to this study, it is
the rule rather than the exception. |
Cocaine and
Physical Addiction
According to some research scientists, cocaine is also physically addictive. Physical addiction occurs when an
individual needs drugs in order for their body to function normally. If the drug is not taken, unpleasant and
painful withdrawal symptoms typically take place.
What complicates the entire issue, however, is that according to the vast majority of users, the only way to
avoid the withdrawal symptoms is to take more cocaine.
While this “quick fix” may appear to be promising in the beginning, increased tolerance and dangerous life
choices usually follow repeated cocaine use.
Indeed, cocaine addicts have been known to go to great lengths to get and take cocaine in spite of the fact that
it hurts their job or school performance and typically disrupts or destroys their most significant
relationships.
| Even though a number of medications have been effective in treating drug
abuse, there is, however, no "magic bullet." That is, no single medication exists that is
effective in every situation or with every person. |
The Brain and Cocaine Addiction
Unlike alcohol or heroin, which are known to produce severe physical withdrawal symptoms when heavy users
abruptly stop their use, the physical withdrawal symptoms experienced by most cocaine addicts are usually less
excessive.
In fact, unlike the physical addiction and the corresponding strong withdrawal symptoms experienced by heroin or
alcohol addicts when they stop using their respective drug, the physical addiction to cocaine essentially takes
place in the brain. With repeated use, the brain becomes addicted to cocaine.
To understand why discontinuing cocaine use leads to agitation and other unpleasant withdrawal symptoms, it is
necessary to briefly discuss the relationship between dopamine and cocaine.
Dopamine is one of the brain’s natural “pleasure” neurochemicals. Cocaine abuse interferes with the
re-absorption of dopamine, thus leading to a surplus of dopamine in the brain.
Since, however, the overall synthesis of this dopamine by the neurons is reduced by cocaine use, the cocaine
abuser experiences depression, fatigue, and altered moods because of lowered levels of "usable" dopamine in the
brain.
Essentially, this dopamine shortage results in feelings of agitation and anxiety and makes a person feel
miserable.
The “solution,” all too frequently, is to simply take more cocaine. It is this vicious cycle that can
escalate and lead to out-of-control behavior that can and does result in severe mental and physical health problems
and possibly in death.
| As serious as drug addiction is, it can be treated. Substance
abuse treatment programs typically use a combination of counseling and medications to help a
person stop taking drugs. Although most addicts need help to recover from their disease,
research has shown that with support and treatment, many people are able to stop taking
drugs and restore their lives. |
Cocaine Withdrawal Symptoms
When cocaine use is suddenly stopped, a “crash” follows almost instantaneously that is characterized by an
intense craving for more cocaine.
Although cocaine withdrawal does not typically have visible physical symptoms like “the shakes” and vomiting
that are common with heroin or alcohol withdrawal, the level of depression, lack of pleasure, and craving caused by
cocaine withdrawal equals or surpasses what is experienced with most other withdrawal symptoms.
The good news is that cocaine withdrawal symptoms can disappear completely over time. The bad news,
however, is twofold. First, if the abuse has been chronic, various symptoms such as depression and craving can
actually last for months.
And second, the research literature points out that many people who experience cocaine withdrawal frequently try
to self-medicate themselves with anti anxiety medications (such as valium), sedatives, alcohol, or
hypnotics.
Obviously, self-medication is ill advised mainly because each “new” addiction results in a shift from one
substance to another.
Moreover, since at least 50% of the individuals who are addicted to cocaine have a co-existing mental disorders
such as attention-deficit disorder or depression, these latter conditions must be addressed and treated along with
the person's cocaine addiction.
| A number of family-oriented interventions have been used to help prevent drug
abuse. These interventions include the following: family preservation programs, family
services, family therapy, family skills training programs, in-home family crisis services, and
family education programs. |
Common Cocaine Withdrawal Symptoms
The following represents a list of common cocaine withdrawal symptoms:
- Fatigue
- Depression
- Lack of pleasure
- Generalized malaise
- Anxiety
- Vivid and unpleasant dreams
- Increased appetite
- Irritability
- Slowing of activity
- Agitation and restless behavior
- Sleepiness
- Extreme suspicion
| About 9% of the population is believed to misuse opiates over the course of their
lifetime, including illegal drugs like heroin and prescribed pain medications such as
Oxycontin. |
Cocaine Withdrawal Complications
If cocaine addiction is not treated professionally and immediately, the following long-term complications are
possible:
- Extreme depression
- Overdose
- Suicide
| Studies have shown that inpatient detoxification programs are more effective and
longer lasting than outpatient detox programs. The important issue here, however, is the
following: the more severe the withdrawal symptoms, the more likely that inpatient detox
programs should be used. |
Cocaine Abuse Warning Signs
Like most addictions, cocaine use and abuse possesses various identifiable and predictable "warning signs."
The following list represents some of the signs of cocaine use:
- An unusual, frequent need for money
- A runny nose or frequently sniffing
- A change in eating or sleeping habits
- Noticeable behavioral changes
- Red, bloodshot eyes
- Avoidance of long-term friends
- Depression
- Acting withdrawn or extremely tired
- A sudden change in friends
- Carelessness about personal appearance
- Loss of interest in family, school, or in activities that used to be important or fun (such as sports)
| With or without treatment, one fact is certain: the longer an individual
abstains from drugs, the more likely he or she will be able to remain abstinent. |
Cocaine Withdrawal: Conclusion
Cocaine is a highly addictive stimulant that directly affects the brain. Due to the fact that cocaine
elicits a sense of instant energy, euphoria, and intense joy, addiction can occur quite rapidly and can be
exceptionally difficult to overcome.
When people who are addicted to cocaine abruptly stop taking the substance, an almost immediate “crash” takes
place. This sudden let down is typified by an extreme craving for more cocaine.
If the person refuses to give in to this craving, he or she will experience a number of cocaine
withdrawal symptoms that are signals by the brain that it is trying to adjust to the drug to which it
had become acclimated.
Due to the fact that cocaine addiction is exceptionally complex, immediate treatment is imperative if recovery
is possible. Like any quality treatment protocol, cocaine treatment approaches need to assess the social,
pharmacological, and psychological factors of the patient's drug abuse.
| In many instances, people abuse drugs or alcohol in order to have "fun" or to get a
"buzz." Many people, in fact, report that having a few drinks makes them feel more
comfortable in social situations. The danger, however, is this: repeated alcohol or drug
abuse can result in addiction. |
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