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How to Help Your Cocaine-Addicted Friend
Every month, nearly 2 million Americans use cocaine, reports the National Survey on Drug Use and Health 1. Of those, almost 1.4 million meet the criteria for dependence or abuse of cocaine. Cocaine is considered one of the most addictive drugs, which means that someone might start using cocaine occasionally only to find that she cannot stop when she wants to. The most addictive form of cocaine is crack, which offers a short burst of euphoria followed by a low when the drug wears off.
Have a Heart-to-Heart
If your friend has confided to you that he is addicted to cocaine, you need to figure out if he is willing to stop taking the drug. Sit him down and have a heart-to-heart conversation to find out what his concerns and fears are about quitting the drug. Most people appreciate being listened to non-judgmentally about their problems. You can use this opportunity to reassure your friend that you will support him when he decides he is ready to quit cocaine.
- If your friend has confided to you that he is addicted to cocaine, you need to figure out if he is willing to stop taking the drug.
- You can use this opportunity to reassure your friend that you will support him when he decides he is ready to quit cocaine.
Address Withdrawal Symptoms
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Although stopping cocaine use doesn't cause dangerous withdrawal symptoms, cocaine is a difficult drug to discontinue because of the unpleasant side effects of withdrawal 2. Make your friend comfortable, because she is likely to experience restlessness, irritability and insomnia. She will also experience cravings to use cocaine again, so have plenty of things to distract her. Making meals together is a good idea, as she is likely to feel quite hungry as the drugs wear off. If you cannot cope with her withdrawal at home, contact a drug treatment center for advice and assistance.
- Although stopping cocaine use doesn't cause dangerous withdrawal symptoms, cocaine is a difficult drug to discontinue because of the unpleasant side effects of withdrawal 2.
- She will also experience cravings to use cocaine again, so have plenty of things to distract her.
Protect Against Relapse
Former cocaine users have a high relapse risk, even if they have been abstinent from the drug for some time. Keep your friend away from anything that reminds him of when he was taking drugs, because memories associated with drug use often cause overwhelming cravings. Help him avoid places where he did drugs and people he did them with. Perhaps you could introduce him to a healthy new hangout or a new group of friends.
- Former cocaine users have a high relapse risk, even if they have been abstinent from the drug for some time.
- Keep your friend away from anything that reminds him of when he was taking drugs, because memories associated with drug use often cause overwhelming cravings.
Reward Your Friend for Doing Well
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The community reinforcement approach, a tool used in drug treatment services, is based on the concept that drug addicts are more likely to stay clean when they are rewarded for being abstinent 3. You could give your friend a special treat for every month she stays clean, such as a nice dinner or a night out. Rewards do not have to cost money -- hugs and encouraging words will also help keep your friend on the path of recovery.
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References
- National Institute on Drug Abuse: Cocaine: Abuse and Addiction
- Medline Plus: Cocaine Withdrawal
- Alcohol Research and Health: The Community Reinforcement Approach
- National Institute on Drug Abuse. What is cocaine?. Updated July 2018.
- Favrod-Coune T, Broers B. The Health Effect of Psychostimulants: A Literature Review. Pharmaceuticals (Basel). 2010;3(7):2333-2361. doi:10.3390/ph3072333
- Havakuk O, Rezkalla SH, Kloner RA. The Cardiovascular Effects of Cocaine. J Am Coll Cardiol. 2017;70(1):101-113. doi:10.1016/j.jacc.2017.05.014
- National Institute on Drug Abuse. Cocaine. Research Report Series. Why are cocaine users at risk for contracting HIV/AIDS and hepatitis? Updated May 2016.
- Middleton RM, Kirkpatrick MB. Clinical Use of Cocaine. Drug-Safety. 1993;9:212-217. doi:10.2165/00002018-199309030-00006
- Morton WA. Cocaine and Psychiatric Symptoms. Prim Care Companion J Clin Psychiatry. 1999;1(4):109-113. doi:10.4088/pcc.v01n0403
- National Institute on Drug Abuse. Cocaine. 2020.
- Tang YL, Kranzler HR, Gelernter J, Farrer LA, Pearson D, Cubells JF. Transient cocaine-associated behavioral symptoms rated with a new instrument, the scale for assessment of positive symptoms for cocaine-induced psychosis (SAPS-CIP). Am J Addict. 2009;18(5):339-345. doi:10.3109/10550490903077937
- Substance Abuse and Mental Health Services Administration. National Survey on Drug Use and Health. Key Substance Use and Mental Health Indicators in the United States: Results from the 2017 National Survey on Drug Use and Health. 2018.
- Wong GTC, Irwin MG. Poisoning with illicit substances: toxicology for the anaesthetist. Anaesthesia. 2013;68:117-124. doi:10.1111/anae.12053
- Hadland SE, Levy S. Objective Testing: Urine and Other Drug Tests. Child Adolesc Psychiatr Clin N Am. 2016;25(3):549-565. doi:10.1016/j.chc.2016.02.005
- Sinha R. The clinical neurobiology of drug craving. Curr Opin Neurobiol. 2013;23(4):649-654. doi:10.1016/j.conb.2013.05.001
- Liu Y, Ball JD, Elliott AL, Jacobs-Elliott M, Nicolette G. Diagnostic sequence of cocaine use disorder in relation to other mental health conditions among college students. J Am Coll Health. 2019:1-4. doi:10.1080/07448481.2019.1583657
- Kampman KM. The treatment of cocaine use disorder. Science Adv. 2019;5(10). doi:10.1126/sciadv.aax1532
- American Society of Addiction Medicine. The Definition of Addiction (Long Version). 15 August 2011.
Writer Bio
Beth Burgess is a health and happiness expert. Burgess works as a therapist, specializing in addiction, anxiety, stress and mental well-being. Author of "The Recovery Formula" and "The Happy Addict," she writes articles to help others achieve happy lives and healthy relationships.