Cocaine causes a short-lived, intense high that is immediately followed by the opposite—intense depression, edginess and a craving for more of the drug. People who use it often don’t eat or sleep properly. They can experience greatly increased heart rate, muscle spasms and convulsions. The drug can make people feel paranoid, angry, hostile and anxious—even when they aren’t high.
Regardless of how much of the drug is used or how frequently, cocaine increases the risk that the user will experience a heart attack, stroke, seizure or respiratory (breathing) failure, any of which can result in sudden death.
Effects of Cocaine
- Raising the body’s temperature
- Making the heart beat faster
- Reducing feelings of hunger
- After a big night on cocaine, it's not unusual for people to feel like they've got the flu.
The effects of crack smoking are virtually immediate, peaking for about two minutes and lasting for only about 10 minutes. When snorting coke it takes longer to peak but the effects still don’t last that long, only around 20-30 minutes. When the effects of any cocaine use start to wear off there can be a very strong temptation to take more, particularly with the long ‘come down’, the crash period sometimes lasting for days afterwards.
History of Cocaine
Coca is one of the oldest, most potent and most dangerous stimulants of natural origin. Three thousand years before the birth of Christ, ancient Incas in the Andes chewed coca leaves to get their hearts racing and to speed their breathing to counter the effects of living in thin mountain air.
Native Peruvians chewed coca leaves only during religious ceremonies. This taboo was broken when Spanish soldiers invaded Peru in 1532. Forced Indian laborers in Spanish silver mines were kept supplied with coca leaves because it made them easier to control and exploit.
Cocaine was first isolated (extracted from coca leaves) in 1859 by German chemist Albert Niemann. It was not until the 1880s that it started to be popularized in the medical community.
Austrian psychoanalyst Sigmund Freud, who used the drug himself, was the first to broadly promote cocaine as a tonic to cure depression and sexual impotence.
In 1884, he published an article entitled “Über Coca” (About Coke) which promoted the “benefits” of cocaine, calling it a “magical” substance.
Freud, however, was not an objective observer. He used cocaine regularly, prescribed it to his girlfriend and his best friend and recommended it for general use.
While noting that cocaine had led to “physical and moral decadence,” Freud kept promoting cocaine to his close friends, one of whom ended up suffering from paranoid hallucinations with “white snakes creeping over his skin.”
He also believed that “For humans the toxic dose (of cocaine) is very high, and there seems to be no lethal dose.” Contrary to this belief, one of Freud’s patients died from a high dosage he prescribed.


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