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Cocaine is a highly addictive stimulant drug that’s produced from the dried leaves of the coca plant that’s native to South America. Crack cocaine is produced using a simple conversion process of powder cocaine to smoke it.
These two drugs are similar pharmacologically and highly addictive. There are some key differences between crack cocaine and powder cocaine, however.
Crack cocaine is a derivative of cocaine. Both drugs are stimulants that cause euphoria, making them Schedule II controlled substances.[1]
However, crack causes a more rapid and stronger high than powder cocaine, which is caused by the fast-acting effects of smoking a drug rather than the crack cocaine form.[2]
Powder and crack cocaine have similar effects on the brain, influencing the release of neurotransmitters that affect behavioral patterns and movement, including dopamine, serotonin, and norepinephrine.[3] This action inhibits their reuptake, allowing them to build up in the brain and produce euphoria.
Cocaine’s effects come on quickly and include:[4]
Crack cocaine is a solid free-base form of cocaine.[5] It gets its name from the crackling sound it makes when heated. Crack is made by mixing cocaine powder into water and baking soda, then heating it to create a solid rock form that can be smoked.
The Anti-Drug Abuse Act of 1986 created a special status for crack that led to extreme legal consequences for using and possessing the drug.[6]
Powder cocaine is a byproduct of the coca plants that grow in South America. Cocaine hydrochloride, the pure chemical form, was isolated from the plant for use in tonics and as a local anesthetic.[7] It’s now a recreational drug that comes in a fine white powder to be snorted or dissolved in water and injected into a vein.
Crack and powder cocaine are essentially the same drugs, but they are used differently and have different effects and risks. Their chemical forms differ, as powder cocaine is a water-soluble hydrochloride salt, and crack cocaine is a water-insoluble freebase form of cocaine that is created using a simple conversion process to make it smokable.
The differing physical forms of these substances influence their common methods of use: powder cocaine is typically snorted or dissolved and injected, leading to rapid but slightly delayed effects compared to crack cocaine. Crack cocaine, when smoked, allows for almost immediate absorption through the lungs, resulting in a quicker and more intense rush.
While the drugs have the same addiction potential, these differences in their method of use factor into how addictive they are.[8] With crack, the effects are rapid and intense but fade quickly, leading people to binge the drug to chase their high.
Whatever the differences, crack and powder cocaine have significant risks with short- and long-term use. With snorting, smoking, or injecting cocaine, there can be detrimental effects on the heart and brain.
However, some methods of use carry additional risks. Smoking crack adds to the dangers of lung damage and asthma, while snorting can cause nosebleeds and sinus damage. Injecting cocaine can damage the brain and may lead to infectious diseases like HIV.
A cocaine addiction is a stimulant use disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). The criteria include:[9]
Crack cocaine addiction can be challenging to overcome, but treatment can help you not only address the substance use itself but the factors that contribute to it. Successful outcomes often involve individualized treatment programs.
The first step in cocaine addiction treatment is often detox. Cocaine withdrawal isn’t life-threatening, but it can be uncomfortable and intense. Detox provides a safe and comfortable environment with medical supervision to manage withdrawal symptoms and build a strong foundation for addiction treatment.
Once detox is complete, you may transition into an inpatient or outpatient program, depending on your needs. These settings offer different levels of support and supervision, but they often include therapies like cognitive behavioral therapy (CBT), motivational interviewing (MI), motivational enhancement (MET), contingency management, creative arts therapies, and group therapies.
Whether you’re struggling with crack or powder cocaine addiction, it’s important to seek help as soon as possible. Both of these drugs carry serious risks with regular use – as well as some additional risks with how they’re used. Though cocaine addiction is challenging to overcome, recovery is possible with treatment.
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Cocaine is addictive in every form and with every method of use, but smoking crack can have a higher risk of addiction because of how rapid and intense the effects are. Euphoria happens quickly and then fades, so people may binge crack to maintain their high.
There are several differences, but the primary difference is that crack cocaine is a rock form that’s derived from powder cocaine.
Cocaine is a Schedule II substance under the Controlled Substances Act (CSA) because of its abuse potential and limited medical uses. All forms of cocaine used to have similar legal consequences, but in 1986, with the “Crack Epidemic,” the CSA was updated to include more severe penalties for crack than powder cocaine. This wasn’t revised until 2010 with the Fair Sentencing Act, which reduced the penalties to a 10-to-1 ratio for crack to powder cocaine.[11]
[1] Drug fact sheet: Cocaine – dea.gov. (n.d.-b). Retrieved from https://www.dea.gov/sites/default/files/2020-06/Cocaine-2020_1.pdf
[2] Hatsukami, D.K., Fischman, M.W. (n.d.). Crack cocaine and cocaine hydrochloride. are the differences myth or reality?. JAMA. Retrieved from https://pubmed.ncbi.nlm.nih.gov/8918856/
[3] Cocaine Hydrochloride. Cocaine Hydrochloride – an overview | ScienceDirect Topics. (n.d.). Retrieved from https://www.sciencedirect.com/topics/chemistry/cocaine-hydrochloride
[4] U.S. Department of Health and Human Services. (2021b, June 13). What are the short-term effects of cocaine use?. National Institutes of Health. Retrieved from https://nida.nih.gov/publications/research-reports/cocaine/what-are-short-term-effects-cocaine-use
[5] Crack Cocaine Fast Facts. (n.d.-a). Retrieved from https://www.justice.gov/archive/ndic/pubs3/3978/index.htm
[6]Corporate Author. US Congress. Address Washington. (n.d.). NCJRS Virtual Library. Anti-Drug Abuse Act of 1986 | Office of Justice Programs. https://www.ojp.gov/ncjrs/virtual-library/abstracts/anti-drug-abuse-act-1986#
[7] Powdered cocaine fast facts. (n.d.). Retrieved from https://www.justice.gov/archive/ndic/pubs3/3951/index.htm
[8] Hatsukami, D.K., Fischman, M.W. (n.d.). Crack cocaine and cocaine hydrochloride. are the differences myth or reality?. JAMA. Retrieved from https://pubmed.ncbi.nlm.nih.gov/8918856/
[9] Stimulant use disorder. PsychDB. (2022, November 30). Retrieved from https://www.psychdb.com/addictions/stimulants/1-use-disorder
[10] Crack cocaine offenses and the First Step Act of 2018: Overview and Implications of Terry v the United States. (n.d.-a). Retrieved from https://crsreports.congress.gov/product/pdf/LSB/LSB10611