Cocaine
Stimulant · popular
A short-acting stimulant that blocks dopamine and noradrenaline reuptake. Intense confidence and euphoria for 20-45 minutes, followed by a crash and a strong compulsion to re-dose. Highest risks are cardiac - heart attack and stroke - especially when mixed with alcohol.
Dose and effect data: PsychonautWiki (CC BY-SA 4.0) and TripSit (PolyForm Noncommercial 1.0.0).
Before you dose
Dose
Published population range
No weight-based model for this substance — published ranges only.
Check an amount you already have
Timeline (insufflated)
Bars show relative time in each phase, scaled to the total duration. Each phase keeps its colour in the list above.
Expected effects
- Intense euphoria
- Confidence and talkativeness
- Energy and alertness
- Reduced appetite
- Increased libido
- Very reduced need for sleep
Possible side effects
- Strong compulsion to re-dose
- Raised heart rate and blood pressure
- Chest pain and heart attack risk
- Nosebleeds and damage to the nasal septum
- Anxiety and paranoia
- Insomnia and then exhaustion
- Crash and low mood after use
- Vasoconstriction (cold, pale extremities)
- Stroke risk
- Seizures at high doses
Known toxicity
- individuals have died from as little as 30 mg applied to mucous membranes, whereas addicts may tolerate up to 5 grams daily
Harm reduction
- Test for fentanyl and nitazenes, and be aware that stimulant powders are the most commonly contaminated category.
- Do not drink while using. Alcohol plus cocaine forms cocaethylene in the liver, which is more cardiotoxic than either alone.
- Chest pain, severe headache, one-sided weakness or slurred speech means emergency services, not sleep it off.
- The compulsion to re-dose is a pharmacological effect, not a decision you are making freely. Set a hard stop and tell someone.
- Nasal use damages the septum. Alternate nostrils, rinse with saline, and do not share straws or notes (hepatitis and other infections travel that way).
- Do not combine with other stimulants, MAOIs or tramadol.
- Test your substance. Cocaine, amphetamine and MDMA powders are routinely cut with fentanyl or nitazenes, and stimulant pills are frequently counterfeits.
- Do not mix stimulants with each other, with alcohol, or with MAOIs, SSRIs or tramadol - the cardiovascular and serotonin risks compound.
- Watch body temperature. Overheating and dehydration cause more stimulant emergencies than heart attacks do. Take breaks, cool down with water and air, and sip (do not gulp) fluids.
- Eat and sleep. Sleep deprivation plus stimulants is the standard route into stimulant psychosis.
Identify what you have
Reagent tests show what a substance probably is, not how pure it is or what else is in the mix. Fentanyl and nitazene test strips are the only reliable check for those, and quantitative lab testing is better than both.
Mixing
See interaction notes for details.
Stimulants increase respiration rate allowing for a higher dose of opiates than normal. If the stimulant wears off first then the opiate may overcome the individual and cause respiratory arrest.
Tramadol and stimulants both increase the risk of seizures.
This combination is poorly explored
See interaction notes for details.
The combined stimulating effects of the two can lead to an uncomfortable body-load, while the focusing effects of cocaine can easily lead to thought loops. Coming down from cocaine while the DOx is still active can be quite anxiogenic
See interaction notes for details.
Cocaine and 2c-t-x both provide considerable stimulation. When combined they can result in severe vasoconstriction, tachycardia, hypertension, and in extreme cases heart failure.
The anxiogenic and focusing effects of stimulants increase the chance of unpleasant thought loops. The combination is generally unnecessary because of the stimulating effects of psychedelics.
See interaction notes for details.
This combination can easily lead to hypermanic states
Cocaine can decrease some of the intoxicating effects of alcohol, causing some people to drink more than they otherwise would, which leads to greater behavioral and physical health risks. There is also some debate about cocaethylene, a metabolite produced when combining alcohol and cocaine, with some researchers positing that it is more cardiotoxic than cocaine on its own. Use moderation when combining these substances.
Tolerance, dependence and detection
Sources
• PsychonautWiki — Cocaine (CC BY-SA 4.0)
https://psychonautwiki.org/wiki/Cocaine
• TripSit wiki — Cocaine (PolyForm Noncommercial)
https://wiki.tripsit.me
• Erowid experience reports (external)
https://www.erowid.org/experiences/subs/exp_Cocaine.shtml
Dosina is educational harm-reduction information, not medical advice. Doses are population ranges from published sources and cannot account for your tolerance, health conditions or what is actually in your substance. Possession and use may be illegal where you live.