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Cocaine
powder, freebase and crack are all forms of cocaine.
They are stimulants with powerful, but short-lived,
effects. Stimulants temporarily speed up the
processes of your mind and body.
‘Freebase’ cocaine and ‘crack’ cocaine, can
be smoked, and so can reach the brain very rapidly
in high dosage. Snorted powder cocaine is absorbed
more slowly. Hence, smoked freebase or crack tends
to be much stronger and more addictive than snorted
powder cocaine.
However, all forms of cocaine prepared for injection
(whether powder cocaine or crack) can also reach the
brain rapidly in high doses and so can be very
addictive too.
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For powder cocaine –
coke, Charlie, C, white, Percy, snow, toot.
For crack – rocks, wash, stones, pebbles, base, freebase
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Taking
cocaine makes users feel on top of the world. Its effect
is like the stimulant ‘amphetamines’ (speed) but is
stronger and doesn't last as long. People taking it feel
wide-awake, confident and on top of their game.
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Cocaine
is a stimulant, so it can raise the body’s
temperature, make the heart beat faster and stave off
feelings of hunger.
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The
effects of crack smoking are virtually immediate,
peaking for about two minutes and lasting for only about
10 minutes. For snorted coke there is a slower time to
peak but the effects still don’t last that long
(around 20-30 minutes).
There
are down sides:
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Coke
is very addictive. It can be difficult to resist the
craving and strong psychological dependence due to
changes in the brain. Recent evidence suggests possible
long-term changes to the nervous system.
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Although
psychological dependence is more of a problem than
physical withdrawal symptoms - low moods and feeling
very rough soon after stopping can tempt people to take
more coke.
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After
a big night on cocaine, it's not unusual for people to
feel like they've got the flu.
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Some
people are over-confident on it and so may take very
careless risks.
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The
hit from coke doesn't last long and from ‘crack’
lasts even less. When the effects start to wear off
there can be a very strong temptation to take more,
particularly with the long ‘come down’, the crash
period can happen days later.
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Crack
and cocaine powder users have died from overdoses. High
doses can raise the body's temperature, cause
convulsions and respiratory or heart failure. Risk of
overdosing increases if crack is mixed with heroin,
barbiturates (sedatives) or alcohol.
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Cocaine
is highly risky for anybody with high blood pressure or
a heart condition. Perfectly healthy, young people can
have a fit or heart attack after taking too much coke
and you may not know you’ve got a pre-existing heart
condition.
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Those
who get into cocaine very often find they begin to crave
it more. And because the effects wear off so quickly,
cocaine and crack can become an expensive habit to keep.
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Using
cocaine a lot makes people feel depressed and run down.
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People
who use crack or coke regularly often develop serious
problems with anxiety and paranoia. It's a known cause
of panic attacks.
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Large
or frequent use of coke tends to knock sexual desire on
the head.
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Cocaine
can bring previous mental health problems to the
surface. If a close relative of yours has had serious
mental health problems, it’s possible there might be
an increased risk for you in taking cocaine.
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Injecting
any drug can cause vein damage, ulcers and gangrene,
particularly with dirty equipment. Sharing of needles
and other injecting works can help the spread of HIV and
hepatitis virus infections.
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It's
easier to overdose if you’re injecting your cocaine.
Cocaine is a local anaesthetic and it deadens pain at
the injection site. This makes it harder for users to
notice the damage they may be doing.
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Using
cocaine with other drugs or alcohol (whether with
depressant or stimulant substances) can substantially
increase risk of side-effects.
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Alcohol
and cocaine together can be particularly dangerous as
the substances interact in the body to produce a toxic
chemical. The risks further increase if other drugs are
taken as well.
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Injecting
a mixture of cocaine and heroin, known as a 'speedballing'
is a dangerous cocktail – with potentially fatal
results.
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Taking
cocaine when you're pregnant can damage your baby. It
may cause miscarriage, premature labour and low birth
weight babies. Babies born to mothers who keep using
throughout their pregnancy may experience a withdrawal
syndrome after delivery.
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Heavy
crack users may take heroin to try to dull their
cravings. As a consequence, some crack users have become
dependent on heroin as well.
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Regularly
smoking crack can cause breathing problems and pains in
the chest. Smoking anything damages the lungs
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Sex
on Coke / Cocaine
Both drugs can make you feel physically strong, horny, more
sexually aggressive or confident, and with more stamina for
longer sessions. Your sense of touch can be heightened, and
you might get longer, stronger orgasms.
As your inhibitions are lowered you might be more likely to
have unsafe sex.
The drugs’ pain-killing effect can lead to rougher sex,
making your cock and arse sore or bleed. You might not
notice this damage but it makes it easier for HIV, hepatitis
C and other infections to be passed on.
Problems getting hard-ons, difficulty coming and less sex
drive can be other side effects, especially if the dose is
big or you take it for a long time.
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Cocaine and
crack are Class A drugs - illegal to have, give away
or sell. Possession can get you up to seven years in
jail.
Supplying someone else, including your friends, can get you life
and an unlimited fine.
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Cocaine
Anonymous
Call
0800 612 0225 (10am-10pm every day) or go to
www.cauk.org.uk
National
Drugs Helpline
0800 77 66 00
Talk To Frank
Drugs information web site
www.talktofrank.co.uk
Antidote
A London service for gay and bisexual men concerned
about their alcohol or drug use. Weekly drop-in,
one-to-one counselling, support groups and more.
Call 020 7287 8743 or go to www.thehungerford.org/antidote.asp
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All content within the OUTinLondon Health section is provided
for general information only, and should not be treated as a
substitute for obtaining professional medical advice. OUTinLondon is not
responsible for the content of external internet sites listed,
nor does it endorse any commercial product or service
mentioned or advised on any of the sites.
Always
consult your own GP if you are in any way concerned about your
health.
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