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Cocaine Addiction

Signs, Symptoms, and Rehab in Fort Lauderdale

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Cocaine has an extremely powerful stimulating effect on the central nervous system, drastically increasing dopamine levels in the brain. Users experience a euphoric high followed by an almost immediate crash.

Addiction to cocaine can develop quickly as a result of this, and what began as recreational use can easily lead to daily use, strained finances, and damaged personal relationships. The crashing ‘comedown’ from cocaine can create intense depression and feelings of hopelessness, making quitting extremely difficult. If you find yourself unable to stop using cocaine, it is important for you to seek out help to successfully recover. Agape Treatment Center utilizes evidence-based practices to provide treatment for cocaine addiction via comprehensive programs that address both the physical and psychological components of stimulant use disorder.

Key Points
  • Cocaine is a powerful stimulant that increases dopamine in the brain, creating intense euphoria but also leading to rapid addiction development.
  • Cocaine use can cause heart attacks, strokes, and seizures even in first-time users, with risk increasing significantly when combined with alcohol or opioids.
  • Withdrawal from cocaine doesn’t typically require medical detox like alcohol or benzodiazepines, but the psychological symptoms including depression and cravings are severe.
  • At Agape Treatment Center, our cocaine recovery programs include Partial Hospitalization (PHP), Intensive Outpatient (IOP), and Outpatient treatment with specialized care for stimulant addiction.

Cocaine is derived from the coca plant and acts as a powerful stimulant to the central nervous system. Due to its high potential for abuse, cocaine is classified as a Schedule II drug in the United States.[1] Cocaine is found in two forms: powder, which is typically inhaled or injected, or crack, which is smoked.

Cocaine produces an intense euphoria due to the extreme levels of dopamine flooding the brain. Duration of the high is short in both forms: about 15-30 minutes for powder cocaine, and about 5-10 for crack. For this reason, users tend to binge on cocaine consumption, using repeatedly until the drug runs out or they become too exhausted to continue. According to the National Survey on Drug Use and Health, millions of Americans use cocaine each year and the largest demographic of users are young adults aged between 18-and-25 years old.[2]

Cocaine is highly addictive because of how it affects the reward center of the brain.[3] Repeated use creates a physical and psychological dependence on cocaine to create dopamine levels normally created by a person’s brain.
As a result, some of the symptoms associated with cocaine addiction are:[4]

  • Frequent nasal bleeding due to snorting.
  • Enlarged pupils
  • Inordinate amounts of energy followed by lethargic
  • crashes that can last up to several hours.
  • Unstable emotional states (mood swings, erratic behavior).
  • Loss of weight due to suppression of appetite.
  • Spending large amounts of money on drugs resulting in financial hardships.
  • Increased risk-taking behaviors
  • Develop paranoia and anxiety or irritability.
  • Needle marks on extremities

In addition to the above-mentioned symptoms, people who abuse cocaine tend to exhibit changes to their social behavior, such as no longer taking care of their responsibilities, being secretive about where they are or who they’re with, abandoning activities that they used to enjoy, relationships becoming strained, and continuing to use cocaine regardless of the negative impact.

The withdrawal or comedown phase from cocaine has been proven time and again as a critical factor for continued use.[5] As the effects of cocaine wear off, severe feelings of anxiety, depression, intense cravings, irritability, exhaustion, inability to concentrate, and increased appetite begin to present.
Withdrawal symptoms can range from:

  • Depression lasting from weeks to months after stopping use
  • Fatigue or loss of energy
  • Anhedonia (inability to feel pleasure)
  • Vivid dreams or nightmares
  • Increased appetite and decreased processing ability
  • Intense cravings

While cocaine withdrawal does not pose as much of an immediate physical risk as alcohol or benzodiazepine withdrawal, the severity of the psychological effects associated with cocaine withdrawal can lead to relapse if proper support is not provided.[6]

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Cocaine can cause serious health issues.[7] Some examples include:
Cardiovascular Risks: Rapid heart rate or blood pressure, heart attack or stroke (even within a young population), irregular heartbeat, damage to blood vessels, and possibility of clots.
Neurological Issues: Seizures, headaches, loss of smell (from snorting), decrease in memory and cognition, and increased probability of developing Parkinson’s Disease.
Mental Health Issues: Severe levels of anxiety and panic attacks, paranoia, risk of suicidal thoughts or behaviors, depression, and aggressive or violent behavior.
Other Health Issues: Respiratory issues, damage to nasal passages, reduced blood flow to the intestines, which can cause bowel ischemia and tissue death, increased risk of infectious disease (from injecting and sharing needles), and malnutrition and weight decrease.
Overdose: Cocaine overdose, especially when combined with opioids (often referred to as a “speedball”) or alcohol, can cause dangerously high body temperature, seizures, heart attack or stroke, and respiratory failure.

Trying to quit cocaine on your own is extremely difficult due to the intense psychological cravings and severe depression during withdrawal. Professional treatment at a specialized cocaine rehab center provides structured support, evidence-based therapies proven effective for stimulant addiction, dual diagnosis treatment for underlying mental health conditions, peer support from others in recovery, and skills to maintain sobriety long-term.
At Agape Treatment Center in Fort Lauderdale, Florida, we understand the unique challenges of cocaine and crack addiction. Our experienced team provides compassionate, judgment-free care tailored to your individual needs. We work with most insurance providers, and our admissions team can verify your insurance coverage before you begin treatment.

If you or someone you know suffers from addiction, Agape Wellness Retreat is here to help.

If you or a loved one is struggling with cocaine addiction, don’t wait. The cardiovascular risks alone make cocaine use extremely dangerous. Recovery is possible with the right support. Contact Agape Treatment Center today to take the first step toward a healthier, cocaine-free life.

FAQ

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Sources

[1] Drug scheduling. (n.d.). DEA. https://www.dea.gov/drug-information/drug-scheduling

[2] Substance Abuse and Mental Health Services Administration. (2025). Key substance use and mental health indicators in the United States: Results from the 2024 National Survey on Drug Use and Health (HHS Publication No. PEP25-07-007, NSDUH Series H-60). Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. U.S. Department of Health and Human Services. https://www.samhsa.gov/data/data-we-collect/nsduh-national-survey-drug-use-and-health/national-releases

[3] National Institute on Drug Abuse. (2020, July 6). Drugs and the brain. National Institutes of Health. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain
[4] National Institute on Drug Abuse (NIDA). (2024, March 7). Cocaine. National Institute on Drug Abuse. https://nida.nih.gov/research-topics/cocaine

[5] [6] [7] National Institute on Drug Abuse. (2020, July). Cocaine research report: What are the long-term effects of cocaine use? National Institutes of Health. https://nida.nih.gov/research-topics/cocaine#long-term