Cocaine Hangovers: Treatments, Remedies, & How Long They Last

Cocaine or coke, a potent stimulant of the CNS (central nervous system), is extracted from the coca plant that is indigenous to South America [1]. It is categorized as a Schedule II controlled substance, demonstrating its risk of abuse and minimal medical value. However, despite being well-known to cause harm, it is still a commonly misused substance.

Cocaine initially causes intense feelings of euphoria, amplified energy, alertness, and confidence. However, over time, as the initial high diminishes, users typically encounter unpleasant or anxiety-like side effects that differ based on personal factors, dosage, and frequency of use. This is referred to as a ‘hangover’ or ‘comedown’ [2]. This sensation may persist for a few hours or possibly days, disrupting daily tasks, relationships, and professional obligations. 

If you or a loved one is showing symptoms of a cocaine hangover, it is crucial to get assistance and be aware of the potential hazards in the future. In this article, we’ll discuss the symptoms and duration of a cocaine comedown and will guide you on how to treat this unpleasant condition. 

What is a Cocaine Hangover?

A cocaine or coke hangover is a collection of physical, emotional, and mental symptoms that appear following cocaine use. This happens when the initial effects of the drug subside, resulting in users feeling exhausted and drained and encountering various negative symptoms as their body works to rid itself of the substance. 

In medical terms, a ‘cocaine crash’ is a brief withdrawal phase caused by the body’s effort to restore equilibrium following the intense high from cocaine drug abuse [3].

Cocaine Hangover and the Brain

Although the exact reasons for a cocaine hangover are not completely known, studies suggest that changes in neurotransmitter levels are involved. Ingesting cocaine causes the brain to produce additional dopamine, a neurotransmitter responsible for generating feelings of pleasure and reward.

As the impact of cocaine diminishes, dopamine levels in the brain decrease, causing people to experience exhaustion, sadness, and various adverse physiological symptoms.

Factors Influencing a Cocaine Hangover

Multiple factors contribute to the probability of experiencing a cocaine comedown. These include the drug’s quality, the quantity consumed, and the frequency of consumption. Additional factors may involve existing medical conditions, inherited traits, and the use of other medications.

In addition, it is crucial to understand that the intensity of a coke comedown can differ significantly among individuals. Certain people might have mild symptoms that disappear quickly, whereas others might have more severe symptoms that persist for a few days. 

Cocaine Comedown Symptoms

While experiencing a cocaine comedown, people may encounter a variety of physiological and psychological symptoms that can range in severity. Moreover, these symptoms can become worse if cocaine is used with alcohol or some other substance.

While not considered life-threatening, experiencing a cocaine hangover can result in emotional turmoil and fuel patterns of addiction. Intense comedowns can raise the likelihood of relapse, since people may resort to bingeing on cocaine to ease their discomfort.

The subsequent symptoms are frequently encountered by individuals experiencing a cocaine hangover:

Physiological Symptoms

• Flu-like Symptoms: These include sluggishness, headaches, and increased body temperature, Moreover, sniffing cocaine causes the vessels in the nose to constrict. After the effects of the drug diminish, the blood vessels dilate more than they did initially, resulting in a sensation of congestion or the onset of symptoms resembling a cold or the flu.
• Increased Appetite: The urge to indulge in comfort food or consume high-fat foods during a coke hangover frequently rises. This is because stimulants decrease hunger, causing individuals intoxicated by cocaine to go without eating for extended periods. When the effects of the drug subside, or they decide to stop the binge, their appetite comes back more intensely. 
• Muscle Pain and Aches: Engaging in physical activity might seem a bit uncomfortable, and this could also be connected to specific neurotransmitter disturbances. Moreover, simple physical tasks may take longer to complete due to slower movements or require additional effort and motivation. Physical tremors are also likely to occur.

Other coke hangover symptoms include:

• Jitteriness
• Increased heart rate
• Increased blood pressure
• Diarrhea
• Dizziness 

Psychological Symptoms

Impaired/Delayed Cognition: Disturbances in typical neurotransmission can cause difficulties in thinking, remembering, and learning new information.

Depression and Mood Swings: As mentioned earlier, the levels of serotonin and dopamine in the brain rise when cocaine is in the system, but decrease when the drug is no longer present, leading to a depletion of these crucial neurotransmitters and adverse effects on mood and overall emotions.

Other cocaine hangover symptoms include:

• Apathy
• Irritability 
• Paranoia
• Anxiety
• Sleep disturbances
• Angry outbursts
• Vivid dreams
• Panic attacks
• Suicidal thoughts

How Long Does a Cocaine Comedown Last?

Typically, the effects of a cocaine comedown can persist from hours to days. However, individuals who have used cocaine for an extended period may experience cocaine hangover symptoms for several weeks or even months following their last dose. 

That being said, the length of a cocaine comedown can differ based on various factors such as how often the drug abuse occurs, the individual’s metabolism and general health, and the quantity of cocaine consumed.

The Dangers of a Coke Hangover

Frequent cocaine hangovers can lead to potential long-term health hazards, especially heart problems. Cocaine can damage the heart muscle, potentially resulting in heart attacks, arrhythmias, and various other heart-related issues. Moreover, the use of cocaine can lead to strokes, lung problems, and mental health disorders. 

Cocaine hangovers also pose a major risk of addiction, which is a difficult and multifaceted disorder that can greatly affect a person’s life and relationships. Individuals who develop a cocaine addiction need significant treatment and assistance [4].

How to Come Down from Cocaine: Treatment for a Cocaine Hangover

Those who are wondering how to cure cocaine hangover should know that dealing with coke hangover can be difficult and uncomfortable. Also, keep in mind that every experience is different; what works for someone else may not work for you. The only guaranteed method to get rid of a cocaine hangover and prevent future ones is to completely avoid using cocaine. [5]

Here are some effective treatment regimens to assist in easing the symptoms and achieving a safe recovery:

1. Avoid Dehydration: Make sure to drink enough liquids to prevent dehydration caused by cocaine. Alcohol and caffeine can make dehydration and anxiety worse. Therefore, it is best to stay away from them. Consume water, herbal tea, and beverages with electrolytes to make cocaine come down easier. 
2. Eat Healthy: Consuming healthy food can help your body recover from a cocaine comedown. Consume foods rich in vitamins, minerals, and antioxidants to restore nutrients and promote overall health. Consuming healthy fats, proteins, and whole grains is also advised. 
3. Rest Fully: Get adequate sleep and rest so that your body can repair itself, recharge, and recover from the adverse physical and mental symptoms of the cocaine hangover. 
4. Practice Mindfulness and Relaxation Techniques: Engaging in deep breathing exercises, meditation, and progressive muscle relaxation techniques can help reduce anxiety levels while encouraging a sense of calm and maintaining a positive mindset. 
5. Avoid Triggers: Avoid situations or locations that could potentially cause cravings for cocaine or other substances. Using the drug repeatedly may be tempting, but it will only result in a pattern of highs and crashes that cause more severe comedown symptoms. 
6. Seek Support: Get in touch with caring friends or family members who can understand what you’re going through. Interacting with loved ones can assist in controlling negative emotions and offer vital assistance in combating depression or suicidal ideation following cocaine use.  Experiencing a cocaine comedown frequently can indicate a potential addiction problem. In this case, seeking professional support can assist you in overcoming cocaine addiction and help you move forward and create a healthier life during your rehabilitation journey. 
7. Join Support Groups: Become a member of a support group for people recovering from cocaine addiction. During meetings, you have the opportunity to connect with individuals who are dealing with comparable challenges and gain insights from their experiences. The connections made during these meetings can establish a long-lasting foundation for your support system during the healing process. 
8. Aftercare Services: After finishing therapy, receiving continuous support from aftercare programs can assist in sustaining sobriety and avoiding a return to substance abuse. 

FAQs

How long does it take to recover from cocaine?

The length of prolonged withdrawal symptoms might vary from person to person. Typically, acute cocaine withdrawal symptoms can persist for approximately 3-4 days. Nevertheless, specific individuals may experience lingering symptoms of cocaine withdrawal for 3-4 weeks.

What are the symptoms of a cocaine comedown?

Common symptoms of a cocaine comedown include a runny nose, headache, brain fog, dizziness, mood swings, sleep disturbances, changes in appetite, and paranoia. 

What is a dopamine hangover?

A dopamine hangover, also called ‘hangxiety’, refers to the anxiety and depression commonly experienced post-alcohol consumption. Drinking alcohol raises dopamine levels in the brain, which rapidly decreases once the alcohol is metabolized and removed, thus causing these symptoms. 

What is the effect of a drug hangover?

Coming down off of drugs can cause feelings of restlessness and nervousness. Alternatively, individuals may experience fatigue when coming down from stimulants such as cocaine or amphetamines. Overall, the symptoms of a hangover differ greatly from individual to individual. 

Get Treatment for Cocaine Addiction at California Detox

If you or someone you know is facing challenges with cocaine addiction, we are available to provide support. We focus on offering specialized treatment programs for cocaine detox and addiction at California Detox in Laguna Beach. 

Our main priority is to assist individuals who are physically dependent or addicted to cocaine. We recognize the distinct obstacles associated with cocaine addiction and are committed to offering the assistance and tools necessary for healing. 

To start your path to recovery, we provide a monitored medical detox program to guarantee a safe and comfortable withdrawal experience. Our skilled healthcare providers will offer the medications needed to control withdrawal symptoms and minimize cravings efficiently. 

We offer various personalized treatment programs, including:

• Drug & Alcohol Detox
• Inpatient Residential Treatment
• Dual Diagnosis
• EMDR Therapy (Eye Movement Desensitization and Reprocessing) 

In all of our treatment programs, we offer personalized care that integrates evidence-based practices and holistic therapies. Our method includes MAT, group and individual counseling, CBT and DBT psychotherapy, family therapy, holistic therapies, and aftercare coordination. 

We are here to assist you at every stage of your recovery from cocaine addiction. 

For instant assistance or to find out more about our programs, reach out to our admissions team at 888-995-4208.

Sources

[1] https://nida.nih.gov/research-topics/cocaine

[2] https://adf.org.au/insights/drug-comedowns/

[3] https://medlineplus.gov/ency/article/000947.htm

[4] https://www.betterhealth.vic.gov.au/health/healthyliving/cocaine

[5] https://nida.nih.gov/sites/default/files/1141-cocaine.pdf