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Cocaine is a powerful, illegal drug that’s been around for decades. It’s derived from the South American coca plant, which was used by local communities to combat fatigue for thousands of years. In the 1900s, the cocaine hydrochloride chemical was extracted for medical and legal recreational uses.[1] Now, cocaine is primarily used illicitly or in extremely limited medical circumstances.
The long history of cocaine has led to it having a long list of street names and slang terms associated with the drug itself or its use. New terms are frequently introduced as drug dealers try to elude law enforcement. It’s important to understand the terminology to identify possible cocaine use.
Street names for cocaine are often based on the appearance of the drug. Standard cocaine comes in white powder, though certain additives can alter the color and texture. The street names include:
Crack cocaine, a free base form of the powder version that’s created using a simple conversion process, is also frequently abused. This form has rock crystals that can be smoked, which is a cheaper and more accessible way to use cocaine and get a powerful high. Additional street names are referring specifically to crack, including:
Cocaine and crack cocaine are sometimes mixed with other substances to intensify or alter the effects of either drug or lessen the negative symptoms of cocaine use. Common substances mixed with cocaine are heroin, marijuana, ecstasy, methamphetamine, LSD, and PCP. These have their nicknames, including:
Becoming familiar with the street names and slang terms around illicit drugs is important to identify potential drug use by your loved ones, especially children. If you know the terminology, you can pick up on conversations surrounding drug use to intervene.
Cocaine is consumed by snorting, injecting, or smoking crack, which can produce an intense, short-lived euphoria. Some of the short-term side effects of cocaine use include:[2]
Some of the risks of cocaine use include:[3]
Yes, cocaine is highly addictive. The drug affects the reward center of the brain, leading to feel-good hormones that encourage repeated use by creating a cycle of craving and compulsive use.[4] Even casual cocaine use builds tolerance, eventually building dependence on the drug. While this isn’t addiction on its own, stopping cocaine if you’re dependent on it can cause withdrawal, making it difficult to stop without help.
Long-term cocaine use can lead to severe physical, psychological, and social consequences. The consequences of cocaine use can include:[5]
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), cocaine addiction is considered a stimulant use disorder. The criteria for a stimulant use disorder include:[6]
Cocaine is often seen as a harmless party drug, but it’s extremely addictive, so it can be difficult to break the cycle and overcome addiction. Cocaine withdrawal isn’t usually dangerous, but it can have intense withdrawal with uncomfortable symptoms that may cause you to relapse to relieve them.
Medical detox is often recommended as the start of addiction treatment. You’ll have a medical team to monitor your health, administer medications, and prevent dangerous complications to keep you safe and comfortable.
Detox provides a strong foundation for addiction treatment, but it’s not enough on its own. After detox, it’s best to enter an addiction treatment program that addresses the social, emotional, and psychological aspects of addiction. In inpatient and outpatient settings, treatment may include a combination of individual and group therapy, support groups, holistic therapies, and behavioral therapies like cognitive behavioral therapy to learn healthier behaviors.
Amanda Stevens is a highly respected figure in the field of medical content writing, with a specific focus on eating disorders and addiction treatment. Amanda earned a Bachelor of Science degree in Social Work from Purdue University, graduating Magna Cum Laude, which serves as a strong educational foundation for her contributions.
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Small amounts of cocaine are called “bumps,” which are commonly snorted off keys or long fingernails. Larger amounts of cocaine are arranged into straight lines to be snorted through a straw or rolled-up bill.
Cocaine is the white powder form of the dried leaves of the coca plant, while crack cocaine is the rock crystal form that’s made by cooking cocaine powder and baking soda, then breaking it into small pieces called rocks.
[1] U.S. Department of Health and Human Services. (2024b, September 27). Cocaine. National Institutes of Health. Retrieved from https://nida.nih.gov/research-topics/cocaine on 2024, December 2.
[2,3,4,5] U.S. Department of Health and Human Services. (2024b, September 27). Cocaine. National Institutes of Health. Retrieved from https://nida.nih.gov/research-topics/cocaine on 2024, December 2.
[6] Stimulant use disorder. PsychDB. (2024d, July 25). Retrieved from https://www.psychdb.com/addictions/stimulants/1-use-disorder on 2024, December 2.