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What to Expect From Cocaine Detox

  The consequences of detox from cocain can range from moderate to severe, depending on the amount consumed and the period of consumption. Because cocaine is such a potent and fast-acting stimulant, withdrawal symptoms can cause a variety of physiological and mental health negative effects.


A cocaine high occurs rapidly and diminishes within a few minutes to an hour, according to a 2016 review released by the National Institute on Drug Abuse. When the high wears off, you're left wanting more, which is why the withdrawal and detox processes are fraught with psychiatric symptoms. Comedowns, anxiety, and depression are examples of these.


"There is a significant difference in how someone becomes addicted to cocaine, and it really relies on the route of administration and potency of the drug," Gerald Opthof, PsyD, LPC, CSW, director of Opthof Center for Psychotherapy, tells WebMD Connect to Care. "Someone who smokes crack cocaine feels the affects considerably sooner than someone who injects it, and they may end up needing more to maintain the high," Opthof explains.


Cocaine withdrawal symptoms can begin 90 minutes after the last use of the substance and extend up to 10 days or longer, according to American Addiction Centers. The length of time and amount of cocaine consumed can have an impact on the detox phase.


According to American Addiction Centers, cocaine withdrawal symptoms are not as physically acute as other drug withdrawal symptoms. 

Cocaine detox causes psychological withdrawal symptoms such as:

  • Concentration problems
  • Slowing action or thinking
  • Hostility
  • Depression
  • Anxiety
  • Nightmares or vivid dreams
  • Paranoia
  • Suicidal ideas or actions
  • Increased desire for cocaine


Cocaine detox is typically performed as an outpatient procedure to alleviate withdrawal symptoms, although in some cases, an inpatient treatment programme may be necessary. "Those with health, family, or career concerns might be best served in an inpatient setting," Opthof says.

Also check:

Faces of meth

Alcohol withdrawal timeline

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