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  Cocaine / Crack

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

  • 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.

  • Cocaine is a stimulant, so it can raise the body’s temperature, make the heart beat faster and stave off feelings of hunger.

  • 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:

  • 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.

  • 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.

  • After a big night on cocaine, it's not unusual for people to feel like they've got the flu.

  • Some people are over-confident on it and so may take very careless risks.

  • 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.

  • 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.

  • 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. 

  • 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.

  • Using cocaine a lot makes people feel depressed and run down.

  • People who use crack or coke regularly often develop serious problems with anxiety and paranoia. It's a known cause of panic attacks.

  • Large or frequent use of coke tends to knock sexual desire on the head.

  • 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.

  • 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.

  • 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.

  • Using cocaine with other drugs or alcohol (whether with depressant or stimulant substances) can substantially increase risk of side-effects.

  • 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.

  • Injecting a mixture of cocaine and heroin, known as a 'speedballing' is a dangerous cocktail – with potentially fatal results.

  • 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.

  • 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.

  • Regularly smoking crack can cause breathing problems and pains in the chest. Smoking anything damages the lungs

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.


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.


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

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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