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Cocaine
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What is cocaine?
What are common
street terms used for cocaine?
What is crack?
What is freebase?
What are the short-term effects of cocaine use?
What are the long-term effects of cocaine use?
What treatments are
effective for cocaine addiction?
Where can I buy a
home test kit for cocaine?
Where can I find a
substance abuse facility for cocaine?
What is cocaine?
(top)
Cocaine is a powerfully addictive stimulant that directly
affects the brain. Cocaine was labeled the drug of the 1980s and ‘90s,
because of its extensive popularity and use during this period. However,
cocaine is not a new drug. In fact, it is one of the oldest known drugs.
The pure chemical, cocaine hydrochloride, has been an abused substance
for more than 100 years, and coca leaves, the source of cocaine, have
been ingested for thousands of years.
What are common
street terms used for cocaine?
(top)
Coke, snow, flake,
blow, powder
What is crack?
(top)
Crack is the street
name given to a freebase form of cocaine that has been processed from
the powdered cocaine hydrochloride form to a smokable substance. The
term “crack” refers to the crackling sound heard when the mixture is
smoked. Crack cocaine is processed with ammonia or sodium bicarbonate
(baking soda) and water, and heated to remove the hydrochloride.
Because crack is
smoked, the user experiences a high in less than 10 seconds. This rather
immediate and euphoric effect is one of the reasons that crack became
enormously popular in the mid 1980s. Another reason is that crack is
inexpensive both to produce and to buy.
What is freebase?
(top)
There are basically
two chemical forms of cocaine: the hydrochloride salt and the
“freebase.” The hydrochloride salt, or powdered form of cocaine,
dissolves in water and, when abused, can be taken intravenously (by
vein) or intranasally (in the nose). Freebase refers to a compound that
has not been neutralized by an acid to make the hydrochloride salt. The
freebase form of cocaine is smokable.
What are the short-term effects of cocaine use?
(top)
Cocaine’s effects appear almost immediately after a single
dose, and disappear within a few minutes or hours. Taken in small
amounts (up to 100 mg), cocaine produces some or all of the below;
What are the long-term effects of cocaine use?
(top)
Cocaine is a
powerfully addictive drug. Thus, an individual may have difficulty
predicting or controlling the extent to which he or she will continue to
want or use the drug. Cocaine’s stimulant and addictive effects are
thought to be primarily a result of its ability to inhibit the
re-absorption of dopamine by nerve cells. Dopamine is released as part
of the brain’s reward system, and is either directly or indirectly
involved in the addictive properties of every major drug of abuse.
Common long-terms effects of cocaine include;
What treatments are
effective for cocaine addiction?
(top)
Cocaine abuse and
addiction is a complex problem involving biological changes in the brain
as well as a myriad of social, familial, and environmental factors.
Therefore, treatment of cocaine addiction is complex, and must address a
variety of problems. Like any good treatment plan, cocaine treatment
strategies need to assess 3 main aspects of the patient’s drug abuse;
Behavioral therapy
Many behavioral
treatments have been found to be effective for cocaine addiction,
including both residential and outpatient approaches. Indeed, behavioral
therapies are often the only available, effective treatment approaches
to many drug problems, including cocaine addiction, for which there is,
as yet, no viable medication. It is important that patients receive
services that match all of their treatment needs. For example, if a
patient is un-employed, it may be helpful to provide vocational
rehabilitation or career counseling. Similarly, if a patient has marital
problems, it may be important to offer couples counseling. A behavioral
therapy component that is showing positive results in many
cocaine-addicted populations is contingency management. Contingency
management may be particularly useful for helping patients achieve
initial abstinence from cocaine. Some contingency management programs
use a voucher-based system to give positive rewards for staying in
treatment and remaining cocaine free. Based on drug-free urine tests,
the patients earn points, which can be exchanged for items that
encourage healthy living, such as joining a gym, or going to a movie and
dinner.
Cognitive-behavioral therapy
Cognitive-behavioral
therapy, or “Relapse Prevention,” is another approach.
Cognitive-behavioral treatment, for example, is a focused approach to
helping cocaine-addicted individuals abstain—and remain abstinent—from
cocaine and other substances. The underlying assumption is that learning
processes play an important role in the development and continuation of
cocaine abuse and dependence. The same learning processes can be
employed to help individuals reduce drug use and successfully cope with
relapse. This approach attempts to help patients recognize, avoid, and
cope; i.e., recognize the situations in which they are most likely to
use cocaine, avoid these situations when appropriate, and cope more
effectively with a range of problems and problematic behaviors
associated with drug abuse. This therapy is also noteworthy because of
its compatibility with a range of other treatments patients may receive,
such as pharmacotherapy.
Therapeutic
communities (TCs)
Therapeutic communities (TCs), or residential programs with
planned lengths of stay of 6 to 12 months, offer another alternative to
those in need of treatment for cocaine addiction. TCs focus on
re-socialization of the individual to society, and can include on-site
vocational rehabilitation and other supportive services. Of course,
there is variation in the types of therapeutic processes offered in TCs.
Click
here to buy home test kits for cocaine
Where can I find a
substance abuse facility for cocaine?
(top)
Click here for a National Substance Abuse Treatment Facility Locator
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