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What are the effects of Cocaine?
When snorted or injected, cocaine quickly produces an intense ‘rush’. This feeling or ‘high’ doesn’t last very long — usually around 30–45 minutes if snorted.

The effects of cocaine can be immediate or long-term, as listed in the table below.

Immediate Long-term
Enlarged pupils Dependence (see glossary)
Irregular heart beat Nasal and sinus problems including damage to the nasal septum
Not feeling hungry Depression
Increased energy and confidence Heart damage
Feeling of euphoria (a “high”) Lung problems
Nausea and vomiting Kidney failure
Anxiety and panic attacks Increased risk of strokes and seizures
A “comedown” or crash (see glossary)
Aggressive behaviour
Headaches and dizziness
Twitches and tremors
Insomnia
Paranoia (feeling extremely suspicious and frightened)
Hallucinations (seeing or hearing things that aren’t really there)
Delusions (strong beliefs that do not reflect reality)
Psychosis (see glossary)
Overdose

What is cocaine?

Cocaine is an illegal, highly addictive drug made from the leaves of the South American coca bush. It is a central nervous system stimulant, which causes high levels of dopamine to be released. Dopamine is a brain chemical associated with pleasure and reward.

Cocaine is a white powder with a bitter, numbing taste. It is typically snorted through the nose, but it can also be:

injected
rubbed into the gums
added to food and drinks
It comes in 3 main forms: cocaine hydrochloride, freebase and crack. Cocaine hydrochloride is a white powder usually mixed or ‘cut’ with other substances. Freebase is a white powder and crack cocaine is generally found in the form of larger crystals. Freebase and crack are usually smoked.

Cocaine is also known as:

C
coke
crack
nose candy
snow
white lady
toot
Charlie
blow
white dust
stardust
What are the effects of taking cocaine?
People who use cocaine get a rush, making them feel:

happy
confident
alert
Other physical and psychological effects may include:

The feeling excited and energetic
feeling upset
feeling numb
having a higher sex drive
taking risks
moving more quickly than usual
a loss of appetite
Some side effects of taking cocaine include:

headaches
dizziness
chest pain
large pupils
high temperature
feeling restless
finding it hard to concentrate
losing motivation
losing interest in sex
The effects start a few minutes after taking cocaine and may last from a few minutes to a few hours.

Cocaine can affect people differently based on:

how much they take
how strong it is
their size, height and weight
whether they are used to taking it
whether they take other drugs at the same time
What can go wrong with cocaine?
After taking cocaine, a user may:

take risks
feel anxious or agitated
ignore pain
display unpredictable or violent behaviour
When coming down from cocaine, you may experience:

irritability
paranoia
mood swings
exhaustion
feeling uncomfortable
You can also overdose on cocaine if you have too much, or if you have used a strong batch. Sometimes cocaine batches are mixed with other substances, so a user may not know how much they are taking.

A person who has overdosed may:

be very panicked, agitated or paranoid
hallucinate
have muscle twitches
feel nauseous (feel sick)
vomit (be sick)
have a high temperature
An overdose can cause:

seizures
a stroke
a cardiac arrest (where your heart stops beating — this is a medical emergency)
These can lead to a coma and death.