Cocaine Withdrawal: Signs, Symptoms + Treatment
Cocaine is a powerful stimulant drug that has a strong addictive potential.1 People who struggle with chronic cocaine misuse often experience brain adaptations that can lead to addiction as well as cocaine withdrawal symptoms if they stop using the drug.2 An estimated 10-15% of people who use cocaine develop a substance use disorder.
If you or someone you know are struggling with cocaine addiction, you can seek help to start the road to recovery. This article will help you understand cocaine withdrawal and its symptoms, how long cocaine withdrawal lasts, how to cope with symptoms, and how to find treatment for a cocaine use disorder.
What Is Cocaine Withdrawal? Anxious man with head in hands
Cocaine withdrawal can occur when someone who regularly uses cocaine suddenly stops or cuts down their cocaine use.3 People who regularly use cocaine may use it daily, while others use it episodically, in binges where they stay awake for several days at a time. Withdrawal can occur after a binge or after long-term regular use. Withdrawal occurs as a result of physiological dependence, which means the body has adapted to the presence of the drug.
When someone who has developed cocaine dependence stops using or significantly reduces their dose, withdrawal symptoms emerge that can cause negative emotions and physical discomfort.4
What Are the Symptoms of Cocaine Withdrawal? Cocaine withdrawal symptoms are not typically life-threatening or medically dangerous, but they can be distressing and lead to certain psychiatric concerns, such as severe depression or suicidal ideation.5 Paranoia, delusions, or other psychotic symptoms associated with sleeplessness or prolonged stimulant use may persist during withdrawal. The greatest risk during cocaine withdrawal is doing harm to oneself.6
Signs and symptoms of cocaine withdrawal may include:5
Depressed mood and anhedonia, or loss of interest in things that once brought a person pleasure. Hypersomnia (sleeping too much) or insomnia (being unable to fall asleep or stay asleep) followed by hypersomnia (excessive sleeping). Physical and mental fatigue. Slowed heart rate. Anxiety and irritability Poor concentration Impaired memory. Psychomotor retardation or agitation, meaning slowed or altered physical movement. Increased hunger, appetite, and weight gain. Cravings, or strong urges to use cocaine.