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How long does cocaine last ? Understanding effects and detection

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If you’re curious about cocaine, or concerned about someone’s cocaine use, you might start to have questions about how the drug functions, how long cocaine stays in the system, or how addiction develops. If you’re a cocaine user yourself, perhaps you’re looking to educate yourself more on the substance and its effects on your body after last use.

This guide provides essential information about cocaine’s duration in the body, detection methods, risks, and available addiction treatment options.

How long do the effects of cocaine last?

How long someone can feel the effects of cocaine largely depends on how they are taking the drug. In general, effects can be felt for between 30-60 minutes, however it is often much shorter than this.

Several factors affect how long cocaine’s effects last in your system:

  • Method of use: Different consumption methods lead to varying onset times and effect durations
  • Dosage: Higher doses typically produce longer-lasting effects
  • Individual metabolism: Body chemistry and metabolic rate influence how quickly cocaine breaks down
  • Frequency of use: Regular users may process cocaine differently than occasional users

Here’s a breakdown of how long cocaine lasts based on different methods of consumption:

Snorting cocaine

If someone is snorting cocaine, the drug is delivered to their bloodstream through the thin blood vessels in the nose and lungs. This results in quite quick delivery, with effects being felt within the first few minutes and lasting between 15-30 minutes.

Smoking cocaine

If someone is smoking cocaine, particularly crack cocaine, the vaporizing of the drug means faster absorption by the blood vessels in the lungs. This leads to a much shorter and more intense high, with effects peaking within the first few minutes and lasting between 5-10 minutes.

Injecting cocaine

If someone is injecting cocaine, the drug is delivered directly into their blood without the need for absorption at all. The effects are practically immediate and can peak within seconds, leading to a high of between 5-10 minutes.

Swallowing cocaine

If someone is swallowing cocaine, the drug needs to travel into the stomach and start to be digested to be absorbed by the lining of the stomach. This leads to a much slower onset of effects, within about 30 minutes, and lasting up to an hour.

How long does cocaine stay in your system?

While the euphoric effects of cocaine may be short-lived, the drug and its metabolites remain detectable in the body long after the last use. This information is particularly important for those concerned about drug testing or understanding the drug’s impact on their health.

Various factors affect how long cocaine stays in your system:

  • Metabolism: Individual metabolic rates significantly impact cocaine clearance
  • Kidney and liver function: These organs primarily process and eliminate cocaine
  • Hydration levels: Well-hydrated bodies may clear cocaine somewhat faster
  • Frequency of use: Regular use can lead to accumulation in fatty tissues
  • Amount consumed: Larger doses take longer to be eliminated
  • Body mass and composition: Body fat percentage can influence retention time

How long does cocaine stay in urine?

Cocaine is typically detectable in urine for about 1-3 days after use. However, this can vary depending on the frequency and quantity of cocaine used, someone’s individual metabolism, and what type of drug test is being conducted.

In some cases where people are using high amounts of cocaine for longer periods of time, cocaine could be detectable over a longer period, up to 5 days. Urine tests are one of the most common ways to detect cocaine, as they’re relatively non-invasive and have a reasonable detection window.

Detection times in other test types

Different testing methods can detect cocaine for varying periods after last use:

  • Blood tests: Can detect cocaine for approximately 1-2 days
  • Saliva tests: A saliva test can typically detect cocaine for 1-2 days after use
  • Hair tests: The longest period of detection is typically with hair samples, which could show cocaine use up to 90 days or even longer after use, depending on the hair length

It is important not to attempt to “flush out” your system using excessive water intake, juices, “cleanses,” supplements, or “medicines” that promise you a “clean” test. These attempts to beat the system can pose massive risks to your health and result in cardiac events, gastrointestinal distress, and potential kidney damage.

What are the risks of taking cocaine?

Cocaine use, even casually, can have some significant risks. It’s important to remember that illicit drug use can affect many aspects of a person’s life.

Physical health risks

  • Cardiovascular effects: Cocaine places enormous stress on the cardiovascular system, with increased heart rate, elevated blood pressure, and irregular heart rhythms. This could lead to immediate risks like heart attack or stroke, as well as long-term damage.
  • Nasal damage: Snorting cocaine can damage and deteriorate the nasal passages and create chronic nosebleeds, loss of smell, and respiratory issues. It can even degrade the cartilage between the nasal cavities beyond repair.
  • Respiratory issues: For those smoking cocaine, it can cause severe lung damage and lead to chronic coughing.
  • Neurological complications: Cocaine functions primarily on the central nervous system. While this leads to extreme highs, it can also potentially lead to seizures, strokes, headaches, and more neurological complications. Seizures and strokes, in particular, may cause permanent disability or death.
  • Overdose risk: Cocaine overdose is a severe risk, with symptoms including chest pain, high fever, confusion, seizures, and can be fatal.
  • Infectious disease risk: Sharing drug paraphernalia, such as needles, can lead to the transmission of infectious diseases like HIV or hepatitis.
  • Contaminants: Cocaine is often mixed with various substances, including dangerous adulterants. Users may unknowingly consume harmful chemicals which may cause their own problems or have pharmacological interactions in the body.

Mental health risks

  • Psychiatric conditions: Cocaine use and misuse are associated with a higher risk of both developing mental health problems and making existing mental health problems worse. This includes anxiety, depression, mood swings, paranoia, hallucinations, and more.
  • Addiction: Cocaine is highly addictive, and casual use can quickly escalate into either physical or psychological dependence. This leads to cocaine withdrawal symptoms when attempting to stop using.
  • Psychosis: Prolonged use of cocaine can lead to a condition called cocaine-induced psychosis, characterized by extreme paranoia, delusions, and hallucinations.

Social health risks

  • Behavioral issues: Cocaine use can lead to erratic and impulsive behavior, which can result in accidents, injuries, or involvement in risky situations.
  • Relationship strain: Cocaine use can strain relationships with family, friends, and colleagues, leading to social isolation and conflicts.
  • Legal consequences: Possession and use of cocaine are illegal in many places, leading to potential legal problems, including arrests, fines, and imprisonment.
  • Financial impact: The financial strain of using cocaine excessively can be significant. Cocaine use can be expensive, and individuals may resort to theft or other illegal activities to fund their addiction.

It is important to note that all of these risks are significantly higher if you’re taking cocaine simultaneously with other drugs. This is true even for prescription medications.

Cocaine abuse and addiction

Many people start using cocaine at parties or in clubs to get a boost to their night. However, the ecstatic sensations and wild nights can start to be a high that you’re chasing more and more.

Cocaine works on the central nervous system of the brain as a stimulant by targeting the pleasure neurotransmitters. Cocaine blocks the reabsorption of dopamine by the brain, resulting in a flooding of dopamine into the synaptic gaps between neurons. Norepinephrine uptake is also inhibited, creating a similar ‘flooding’ effect that increases feelings of alertness and energy.

The effects of cocaine include increased energy, alertness, and confidence, as well as reduced fatigue and appetite. However, these effects are usually short-lived, leading to a “crash” characterized by feelings of depression, anxiety, and extreme fatigue when the drug wears off.

Cocaine’s influence on the brain’s reward system and the reinforcement of drug-seeking behaviors are key factors in its high addiction potential. Chronic use can lead to significant changes in brain function and structure, contributing to long-lasting cognitive and emotional impairments.

Signs of cocaine addiction

If you’re wondering if your cocaine use, or the cocaine use of someone you love, is starting to get out of hand, some good questions to ask yourself can be:

  • Do you take more cocaine, or for a longer time, than you intend to?
  • Have you made attempts to quit, or cut down before, but haven’t been successful?
  • Do you spend an inordinate amount of time obtaining, using, or recovering from cocaine use?
  • Do you ever experience an urge or craving to use?
  • Have you started failing to meet your work, family, or school obligations because of your cocaine use?
  • Do you keep using cocaine despite people expressing their concern, or it causing problems in your life?
  • Have you started to withdraw, and stopping spending time with loved ones or lost interest in previous hobbies?
  • Do you use cocaine in situations where it would be dangerous to do so, physically?
  • Do you keep using cocaine even though you see it causing physical or psychological problems?
  • Do you need to take increasing amounts of cocaine to get the same ‘high’ that you’re used to?
  • Do you ever experience cocaine withdrawal symptoms after using?

It’s important to note that you do not necessarily need to identify as having an addiction, or meet the criteria above to have a problematic relationship with cocaine. It’s possible that you may want to reduce or stop your use because of how it affects you and your life without being a “cocaine addict”.

Cocaine addiction treatment at Clinic Les Alpes

Clinic Les Alpes is a world-leader in cocaine addiction treatment and rehabilitation. If you have a friend or family member suffering from cocaine addiction, or other addictions, we can help.

Located in the hills by Lake Geneva, people looking to start their recovery journey can do so in complete privacy, security, and comfort. Offering a luxury experience and 24/7 access to medical staff, family and friends can rest assured that their loved ones are safe in their detox and treatment.

Under the guidance of dedicated personal therapists, individuals collaborate closely with our comprehensive interdisciplinary team to devise a personalized treatment plan that supports their participation in our Minnesota Model-based program. Our team utilizes a wide range of evidence-based treatments and approaches to empower patients in their recovery journey, encompassing therapeutic interventions, psychoeducational sessions, and complementary therapies. These methods address the comprehensive spectrum of physical and psychological aspects associated with addiction.

If you would like more information about our cocaine addiction treatment programs, please do not hesitate to contact us. Our team is available to answer any questions about referrals, our treatments, and facilities.

Summary about effects of long cocaine

While cocaine use can start out innocently enough, it’s an extremely powerful drug, and the risks it poses to its users should not be overlooked. Understanding how long cocaine lasts in your system and how it affects your body is just the beginning; taking action to protect yourself and others is difficult, but with support, it is not impossible.

For those who find themselves asking “How long does cocaine last in the system” or “How long does cocaine keep you high for,” it may be that you would benefit from seeking out more support from a loved one or a professional. Remember that cocaine addiction treatment is available, and recovery is possible with the right help and resources.you would benefit from seeking out more support from a loved one or a professional.

Clinically Reviewed By

Brittany Hunt

Brittany Hunt is an internationally experienced clinician, specialised in treating addictions and co-occurring disorders. Having worked in the public and private sector, she utilises holistic and evidence-based approaches designed to empower the patients in their recovery journeys. A graduate of The University of Auckland, she has a Bachelor of Health Sciences majoring in Mental Health and Addictions, a diploma in Psychology and Counselling and a Post-Graduate degree in Health Sciences, majoring in Addictions. She is a fully registered practitioner under the Drug and Alcohol Association of Aotearoa New Zealand (DAPAANZ).

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