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What is cocaine?
Cocaine, or coke as it is commonly known, is a stimulant and has a similar effect to amphetamines like speed and ice, but produces a more intense effect and shorter ‘high’ depending upon dosage. Cocaine is a white crystalline powder with a bitter numbing taste. Cocaine hydrochloride can be further processed to produce cocaine base, which comes in two forms known as freebase and crack. Freebase is also a white powder, while crack generally comes in the form of crystals ranging in colour from white or creamy to transparent with a pink or yellow tinge. Cocaine is known by a variety of other names, including: coke, Charlie, blow, C, pepsi, nose candy. Crack cocaine is also known as a variety of other names, including: rock, base and sugar block. Pure cocaine was originally extracted from the leaf of the Erythroxylon coca bush, which grew primarily in Peru and Bolivia. After the 1990s, and following crop reduction efforts in those countries, Colombia became the nation with the largest cultivated coca crop. Today, cocaine is a Schedule II drug, which means that it has high potential for abuse but can be administered by a doctor for legitimate medical uses, such as local anesthesia for some eye, ear, and throat surgeries. Cocaine is generally sold on the street as a fine, white, crystalline powder and is also known as “coke,” “C,” “snow,” “flake,” or “blow.” Street dealers generally dilute it with inert substances such as cornstarch, talcum powder, or sugar, or with active drugs such as procaine (a chemically related local anesthetic) or amphetamine (another stimulant). Some users combine cocaine with heroin-in what is termed a “speedball.” There are two chemical forms of cocaine that are abused: the water-soluble hydrochloride salt and the water-insoluble cocaine base (or freebase). When abused, the hydrochloride salt, or powdered form of cocaine, can be injected or snorted. The base form of cocaine has been processed with ammonia or sodium bicarbonate (baking soda) and water, and then heated to remove the hydrochloride to produce a smokable substance. The term “crack,” which is the street name given to freebase cocaine, refers to the crackling sound heard when the mixture is smoked. How does cocaine produce its effects?
Research has led to a clear understanding of how cocaine produces its pleasurable effects and why it is so addictive. Scientists have discovered regions within the brain that are stimulated by all types of reinforcing stimuli such as food, sex, and many drugs of abuse. One neural system that appears to be most affected by cocaine originates in a region of the midbrain called the ventral tegmental area (VTA). Nerve fibers originating in the VTA extend to a region known as the nucleus accumbens, one of the brain's key areas involved in reward. Animal studies show that rewards increase levels of the brain chemical (or neurotransmitter) dopamine, thereby increasing neural activity in the nucleus accumbens. In the normal communication process, dopamine is released by a neuron into the synapse (the small gap between two neurons), where it binds to specialized proteins (called dopamine receptors) on the neighboring neuron and sends a signal to that neuron. Dopamine is then removed from the synapse to be recycled for further use. Drugs of abuse can interfere with this normal communication process. For example, scientists have discovered that cocaine acts by blocking the removal of dopamine from the synapse, which results in an accumulation of dopamine and an amplified signal to the receiving neurons (see image "Cocaine in the brain"). This is what causes the initial euphoria commonly reported by cocaine abusers.
What are the short-term effects of cocaine use?
Cocaine's effects appear almost immediately after a single dose and disappear within a few minutes or within an hour. Taken in small amounts, cocaine usually makes the user feel euphoric, energetic, talkative, and mentally alert, especially to the sensations of sight, sound, and touch. It can also temporarily decrease the need for food and sleep. Some users find that the drug helps them perform simple physical and intellectual tasks more quickly, although others experience the opposite effect. The duration of cocaine's euphoric effects depends upon the route of administration. The faster the drug is absorbed, the more intense the resulting high, but also the shorter the duration. The high from snorting is relatively slow to arrive but it may last 15 to 30 minutes; in contrast, the effects from smoking are more immediate but may last only 5 to 10 minutes. The short-term physiological effects of cocaine use include constricted blood vessels; dilated pupils; and increased body temperature, heart rate, and blood pressure. Large amounts of cocaine may intensify the user's high but can also lead to bizarre, erratic, and violent behavior. Some cocaine users report feelings of restlessness, irritability, anxiety, panic, and paranoia. Users may also experience tremors, vertigo, and muscle twitches. There also can be severe medical complications associated with cocaine abuse. Some of the most frequent are cardiovascular effects, including disturbances in heart rhythm and heart attacks; neurological effects, including strokes, seizures, headaches, and coma; and gastrointestinal complications, including abdominal pain and nausea. In rare instances, sudden death can occur on the first use of cocaine or unexpectedly thereafter. Cocaine-related deaths are often a result of cardiac arrest or seizures followed by respiratory arrest. In addition research has also revealed a potentially dangerous interaction between cocaine and alcohol
Buyer be aware
Assuming decriminalisation or legalisation are not on the table, targeting suppliers in an illegal market such as this is unlikely to eradicate the problem. One possible complement would be to focus on consumer awareness and information - an anti-cocaine campaign that tries to reduce demand. Something that pushes buyers to face up to these not-so-hidden costs.
Types of Cocaine
Cocaine hydrochloride It uses “coke”, “C”, “snow”, “flake” or “blow” as street names. Characterized as white and powdery in consistency, it comes in the form of salt, particularly hydrochloride salt, which is quite soluble in water.It is usually either sniffed (snorted) or injected.This substance cannot be smoked, for it will be destroyed when burned.
Freebase Cocaine Chemically modified, it is otherwise known as alkaloidal cocaine. As base form of cocaine, it is practically insoluble in water.This type is administered by smoking, and usually makes the user feel ”high” immediately by being immersed to the brain very quickly.It then releases the metabolite methylecgonidine, which is not only cardiotoxic, but also detrimental to the pulmonary and hepatic tissues.
Crack Cocaine A modified type of freebase cocaine, it is usually in the form of small crystals or rocks, very hard and brittle, and off-white to brown in color Also used for smoking, it stimulates the brain almost instantly.[9, 10, 11]
Routes of Administration
Oral “Numbies”, “gummers” and “cocoa puffs” are usually used.Cocaine powder is usually rubbed along the gum lines or smoked onto a cigarette filter, numbing the oral cavity. This can also be exemplified by snow bombs, wherein a small amount of cocaine is wrapped up in a rolling paper and is swallowed.Coca leaves may also be chewed, with its juices absorbed and ingested.Once cocaine is orally administered, it will take around 30 minutes before it reaches the bloodstream.
Insufflation Also known as snorting, sniffing or blowing, it is the most common method for ingesting recreational cocaine.In this route, approximately 30-60% of the alkaloid is absorbed through mucous membranes of the sinuses.The average time with which the sniffed cocaine peaks in the blood is estimated to be around 14 to 15 minutes.
Injection Cocaine injection provides the highest blood levels of drug in the shortest amount of time. Within only 3 minutes of administration, symptoms of euphoria can manifest.
Inhalation This can be done either by heating the solid drug and inhaling its vapor, or by smoking freebase or crack form using a small glass tube pipe.Effects of which may last for only 5 to 15 minutes. Suppository Otherwise known as plugging, this method uses an oral syringe. Dissolved cocaine is withdrawn to the syringe and inserted into the anus or vagina.[9, 12,13]
The powdered form of cocaine is either inhaled through the nose (snorted), where it is absorbed through the nasal tissue, or dissolved in water and injected into the bloodstream.Crack is a form of cocaine that has been processed to make a rock crystal (also called “freebase cocaine”) that can be smoked. The crystal is heated to produce vapors that are absorbed into the blood-stream through the lungs. (The term “crack” refers to the crackling sound produced by the rock as it is heated.)
The intensity and duration of cocaine’s pleasurable effects depend on the way it is administered. Injecting or smoking cocaine delivers the drug rapidly into the bloodstream and brain, producing a quicker and stronger but shorter-lasting high than snorting. The high from snorting cocaine may last 15 to 30 minutes; the high from smoking may last 5 to 10 minutes.
In order to sustain their high, people who use cocaine often use the drug in a binge pattern-taking the drug repeatedly within a relatively short period of time, at increasingly higher doses. This practice can easily lead to addiction, a chronic relapsing disease caused by changes in the brain and characterized by uncontrollable drug-seeking no matter the consequences.
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