Cocaine Addiction Signs and Symptoms
Defining Cocaine Addiction
Cocaine addiction is characterized by frequent cocaine abuse. When you know the cocaine addiction signs and symptoms, you can assist someone who uses cocaine regularly.
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What is Cocaine Dependence?
One of the major cocaine addiction signs is a dependence on the drug. When someone takes large amounts of cocaine over time, they will likely form a physical and psychological dependence on the drug.
This means that they will likely have withdrawal symptoms if they stop taking it. From there, if they have a dependence on the drug, they will feel like they can’t function without it. A cocaine dependence can lead to common patterns of addiction, making it difficult for someone to stop using the drug on their own.
What Do People Mix Cocaine With?
Other stimulants, like methamphetamine, are also known to be mixed with cocaine. Fentanyl, a synthetic opioid, is also combined with cocaine, and this can have a very dangerous, often fatal, effect.1
When someone takes cocaine that has been mixed with another drug, the combination of substances can increase the likelihood of the person experiencing adverse effects from the drugs. This can lead to overdoses and other life-threatening complications.
Crack vs Cocaine
The main difference between crack and cocaine is the way that the drugs are administered. Cocaine is usually consumed via snorting, being rubbed on the gums, or injecting. Crack is typically smoked.
Smoking crack generally leads to a quicker, shorter, and more intense high than people receive when they use regular powdered cocaine. Physical signs of crack cocaine addiction are usually similar to the signs of cocaine addiction.
Signs and Symptoms of Cocaine Addiction
Early Symptoms of Cocaine Use
- Dilated pupils
- Erratic behavior
- Excitability
- Heightened confidence
- Irritable
- Paranoia
- Unusually high energy
Symptoms of Cocaine Abuse
Common symptoms that occur with cocaine abuse include the following:
- Dilated pupils
- Disrupted sleep patterns
- Faster heartbeat
- High blood pressure
- Nosebleeds
- Psychosis
- Severe anxiety
- Sweating
- Weight loss
The Dangers of Cocaine Use

Symptoms of Cocaine Overdose
If someone frequently consumes high doses of cocaine, a cocaine overdose may occur. If someone overdoses, it is important that you call 911 or take them to the emergency room. Your top priority should be to seek immediate medical attention because overdose symptoms can indicate that a life-threatening outcome may occur.
Here are some common cocaine overdose symptoms:
- Chest pain
- Excessive sweating
- Increased heart rate
- Paranoia
- Seizures
- Trouble breathing
- Unresponsiveness
Signs of Cocaine Addiction
Common signs of cocaine addiction are as follows:2
- Deterioration of personal hygiene
- Financial difficulties
- Increased need for privacy
- Intense cravings for cocaine
- Lying
- Paranoia
- Problems at work or school
- Relationship problems
- Risky behavior
- Trouble sleeping
Understanding Cocaine Withdrawal Symptoms
Symptoms in Initial Phase
Some of the most common withdrawal symptoms in the initial phase include the following:
- Fever
- Irritability
- Mild sadness
- Weight gain
Symptoms in Peak Withdrawal Phase
Once someone reaches the peak withdrawal phase, they will begin to experience more serious symptoms that can range from uncomfortable to unmanageable. Serious withdrawal symptoms are the reason why proper medical treatment and support are necessary during the detox phase of the recovery process.
These are some of the most common symptoms that appear during the peak phase:
- Anxiety
- Depression
- Intense cravings for cocaine
- Paranoia
- Suicidal thoughts
- Trouble sleeping
Long-Term Effects of Cocaine Abuse

Cocaine addiction can have many dangerous long-term effects on someone’s health and well-being.3 Health issues stemming from cocaine addiction can cause long-term and irreversible problems.
Some of the long-term effects of cocaine abuse include asthma, hepatitis C, HIV, and respiratory infections. With the right help and support system, the long-term effects of cocaine abuse can be avoided. Thankfully, there are many cocaine addiction treatment options for those searching for help.
Treatment for Cocaine Addiction
Recovery from cocaine addiction is possible. If you or someone you know is experiencing any of these cocaine addiction signs, talking to a doctor or going to a treatment center can be a good first step.
Successful treatment programs include detoxing, attending therapy, developing coping mechanisms, and creating a long-term plan for success. After completing a treatment program, therapy and a form of aftercare, like the 12-Step Program, can make it easier to maintain long-term sobriety.