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Cocaine, also known as coke, is a strong stimulant most frequently used as a recreational drug. It is commonly snorted,inhaled as smoke, or dissolved and injected into a vein.Mental effects may include loss of contact with reality,an intense feeling of happiness, or agitation.Physical symptoms may include a fast heart rate,sweating, and large pupils. High doses can result in very high blood pressure or body temperature.Effects begin within seconds to minutes of use and last between five and ninety minutes.Cocaine has a small number of accepted medical uses such as numbing and decreasing bleeding during nasal surgery.

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Cocaine is addictive due to its effect on the reward pathway in the brain. After a short period of use,there is a high risk that dependence will occur. Its use also increases the risk of stroke,myocardial infarction,lung problems in those who smoke it,blood infections, and sudden cardiac death. Cocaine sold on the street is commonly mixed with local anesthetics,cornstarch,quinine, or sugar,which can result in additional toxicity. Following repeated doses a person may have decreased ability to feel pleasure and be very physically tired

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The major disadvantages of this use are cocaine’s potential for cardiovascular toxicity, glaucoma, and pupil dilation.

Some ENT specialists occasionally use cocaine within the practice when performing procedures such as nasal cauterization.

Even when used this way, some of the used cocaine may be absorbed through the oral or nasal mucosa and give systemic effects.[citation needed]

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Cocaine is a powerful nervous system stimulant.

Its effects can last from fifteen or thirty minutes to an hour. The duration of cocaine’s effects depends on the amount taken and the route of administration.

Cocaine can be in the form of fine white powder,bitter to the taste. When inhaled or injected,it causes a numbing effect.

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Cocaine use leads to increases in alertness, feelings of well-being and euphoria,increased energy and motor activity, and increased feelings of competence and sexuality.

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