What Causes Cocaine Withdrawal?

Using Cocaine increases the amount of the “feel-good” chemical dopamine in the brain. When someone uses Cocaine for a long period of time, they develop a tolerance to the drug’s euphoric effects.

Eventually, the Cocaine user’s brain needs the drug to produce any dopamine or even to feel “normal.” As a result, withdrawal symptoms emerge when someone stops using Cocaine. Many addicted people continue abusing Cocaine just to avoid these side effects.

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Symptoms of Withdrawal

Cocaine’s euphoric “rush” fades quickly, meaning withdrawal symptoms follow shortly after the last dose. Many Cocaine users “binge,” or take more and more of the drug over a short amount of time, to delay withdrawal symptoms. Cocaine binging can lead to fatal overdose.

Common symptoms of withdrawal from Cocaine include:

  • Increased appetite
  • Fatigue
  • Depression
  • Agitation
  • Restless behavior
  • Nightmares
  • Anxiety
  • Suicidal thoughts

Duration of Withdrawal

Withdrawal symptoms start within hours of stopping use. However, the worst cravings and withdrawal symptoms appear during the first month of quitting.

The intensity of withdrawal symptoms depends on the amount taken and the frequency of use.

Withdrawal symptoms can last for months after the last dose. Some symptoms can be uncomfortable, making Cocaine a difficult drug to quit. Severe depression and suicidal thoughts are the most dangerous side effects of quitting Cocaine “cold turkey.”

Cocaine Withdrawal Timeline

First 1-3 hours
Symptoms emerge as soon as usage stops. Users start to feel irritable, anxious, exhausted and have an increased appetite. Cocaine cravings actually decrease during this period.
Week 1
Intense Cocaine cravings arise. Users feel exhausted but have trouble falling asleep. Vivid, unpleasant dreams are common, as well as depressive mood swings.
Weeks 2-4
Depression and strong Cocaine cravings continue. Recovering users might find it hard to concentrate or stay on an “even keel” emotionally. Irritability and agitation are also common.
Weeks 5-10
The mind and body begin to heal, and withdrawal symptoms diminish. Cocaine cravings can still crop up during this period. General anxiety and uneasiness sometimes return as well.
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Cocaine Detox and Treatment

Supervised, inpatient detox can provide a safe environment for Cocaine addicts to get sober; however, all treatment programs require work and dedication.

The biggest thing to remember is when you start treatment or when you’re trying to get sober, it’s uncomfortable — and that’s the point. You have to be uncomfortable, because you’re trying to change things. Once that uncomfortable feeling starts to become comfortable, that’ll be your new normal; sobriety will be your new normal.

- Donnie L., in recovery from Cocaine addiction

Quitting Cocaine, however, may not require full-time medical attention. Outpatient detox is a less time-consuming, effective rehab option for many recovering Cocaine users. Patients visit a hospital or treatment center 10-12 hours a week. On-site doctors and counselors perform physical and mental check-ups during addiction recovery. Learn more about the differences between inpatient and outpatient rehab.

Featured Centers Offering Detox from Cocaine

Cocaine Addiction Treatment

The most difficult withdrawal symptoms to overcoming Cocaine addiction are anxiety, depression and cravings.

There are medications that can be prescribed to help alleviate the withdrawal symptoms like depression and anxiety. Community groups and psychotherapy are often effective in beating Cocaine addiction.

Twelve-step groups like Narcotics Anonymous (NA) and Cocaine Anonymous (CA) surround recovering addicts with non-using peers and emotional support.

Individual and group counseling can also equip users with coping skills to stay sober. Cognitive behavioral therapy (CBT) is a popular counseling framework used to treat addicted people.

Cocaine addiction is difficult to overcome, but help is available. Contact a treatment provider to learn more about Cocaine detox or other forms of treatment.

Published:

Author

Jeffrey Juergens

Photo of Jeffrey Juergens
  • Jeffrey Juergens earned his Bachelor’s and Juris Doctor from the University of Florida. Jeffrey’s desire to help others led him to focus on economic and social development and policy making. After graduation, he decided to pursue his passion of writing and editing. Jeffrey’s mission is to educate and inform the public on addiction issues and help those in need of treatment find the best option for them.

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Reviewed by Certified Addiction Professional:

Theresa Parisi

Photo of Theresa Parisi
  • Theresa Parisi is a Certified Addiction Professional (CAP), Certified Behavioral Health Case Manager (CBHCM), and International Certified Alcohol and Drug Counselor (ICADC) with over 12 years of experience in the addiction treatment field.

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Sources

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Hawaii Island Recovery

Kailua-Kona , HI

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The Camp Recovery Center

Scotts Valley , CA

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Azure Acres Recovery

Sebastopol , CA

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Bayside Marin Treatment Center

San Rafael , CA

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Newport Institute for Young Adults

Sunol , CA

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Duffy’s Napa Valley Rehab

Calistoga , CA

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Amend Treatment

Malibu , CA

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Oceanside Malibu

Malibu , CA

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4 Seasons Detox and Recovery House

Simi Valley , CA

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Tarzana Recovery Center – TRC

Tarzana , CA

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CNV Detox

Los Angeles , CA

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Noho Recovery

North Hollywood , CA

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Hollywood Hills Recovery

Los Angelos , CA

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Gratitude Lodge Drug & Alcohol Rehab

Long Beach , CA

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The District Recovery Community

Huntington Beach , CA

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Luxe Recovery

Los Angeles , CA

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