Primary symptoms may include:
The craving and depression can last for months following cessation of long-term heavy use (particularly daily). Withdrawal symptoms may also be associated with suicidal thoughts in some people.
During withdrawal, there can be powerful, intense cravings for cocaine. However, the "high" associated with ongoing use becomes less and less pleasant, and can produce fear and extreme suspicion rather than joy (euphoria). Just the same, the cravings may remain powerful.
A physical examination and history of cocaine use are sufficient to diagnose this condition.
A toxicology (poison) screen may be performed to see if other drugs may have been taken.
Doyon S. Opiods. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 167.
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