Cocaine Withdrawal & Detox

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Cocaine is a powerfully addictive illicit stimulant, but cocaine withdrawal and detox are neither as intense nor as challenging as detoxing from prescription opioids, alcohol, or illicit narcotics like heroin.

Like all Schedule II controlled substances, cocaine has some medical utility – as an anesthetic – combined with a strong potential for abuse and addiction profile. Tolerance, physical dependence, and addiction can develop with the sustained use of cocaine. Cocaine addiction is clinically described as stimulant use disorder. If you become dependent on cocaine, expect an array of uncomfortable withdrawal symptoms to present in the absence of cocaine.

The more you learn about withdrawals from cocaine, the more effectively you can detox from cocaine and initiate your recovery. This guide shows you how to detox from cocaine as safely and comfortably as possible.

What is Cocaine Withdrawal?

Ongoing use of a stimulant like cocaine causes tolerance to form. When this occurs, the effects of the drug diminish, often leading to higher or more frequent doses of cocaine. Sustained stimulant use and abusive patterns of consumption will accelerate the development of physical dependence. If you become dependent on cocaine, you will experience withdrawal symptoms when you moderate or discontinue use.

Many factors impact the severity and duration of coke withdrawal, including:

  • Severity of stimulant use disorder (cocaine addiction)
  • Duration of cocaine abuse
  • Extent of cocaine abuse
  • Co-occurring mental health conditions
  • Abuse of other addictive substances (polysubstance abuse)

Cocaine withdrawal typically occurs over three distinct phases:

  1. Crash
  2. Withdrawal
  3. Withdrawal extinction

1) Crash

This phase begins from a few hours to a few days after the last use of cocaine and is characterized by the following symptoms:

  • Exhaustion
  • Fatigue
  • Depression
  • Hopelessness
  • Anxiety
  • Suicidal thoughts

2) Withdrawal

Following the initial slump of the cocaine crash, your mood should start improving at the same time as your overall functioning.

Ongoing cocaine withdrawal may trigger anhedonia – the inability to feel pleasure or joy. You may also feel bored and irritated. Expect to experience intense cravings for cocaine during the acute withdrawal period. The chance of relapse is greatest during this phase of cocaine withdrawal.

3) Extinction

Mood swings may persist for many months after quitting cocaine. Cravings are likely to linger for six months.

What are the withdrawal symptoms of cocaine, then?

Symptoms of Cocaine Withdrawal

As you begin the detox process, you will experience the following physical cocaine withdrawal symptoms:

  • Sleepiness
  • Fatigue
  • Muscle aches
  • Restlessness
  • Chills
  • Tremors
  • Increased appetite
  • Nerve pain

The presentation of physical withdrawal symptoms will be more intense in those who have been using cocaine long-term or in high doses.

Most cocaine withdrawal symptoms are not life-threatening, although cocaine detox is associated with the following adverse outcomes:

  • Delirium
  • Heart palpitations
  • Heart attacks
  • Stroke
  • Grand mal seizures

You may also experience psychological withdrawal symptoms, including:

  • Vivid nightmares
  • Agitation
  • Irritability
  • Depression
  • Anxiety
  • Intense cravings
  • Paranoia
  • Suicidal thoughts

Can Cocaine Withdrawal Kill You? 

Cocaine withdrawal might be challenging and uncomfortable, but it is seldom life-threatening in isolation. That said, there are some potential health risks associated with cocaine withdrawal that could provoke serious and fatal medical complications.

One of the primary risks associated with cocaine withdrawal is the potential for seizures. Cocaine use can disrupt the balance of neurotransmitters in the brain, and abruptly discontinuing use can trigger a life-threatening seizure.

Other complications associated with cocaine withdrawal that may be lethal include:

  • Stroke
  • Heart attack
  • Respiratory failure

The risk of fatal outcomes during cocaine withdrawal is highest in those who have been using large amounts of cocaine long-term. Cocaine withdrawal may also inflame underlying physical or mental health conditions.

How long do cocaine withdrawals last, then?

How Long Does Cocaine Withdrawal Last?

How long does it take to detox from cocaine? This depends on factors including the frequency, duration, and extent of cocaine abuse, as well as overall health and wellbeing.

In most cases, cocaine withdrawal lasts for one to two weeks. Symptoms are most intense on the first few days. Physical symptoms like nausea and tremors accompany cravings for cocaine, fatigue, depression, and anxiety.


Here is a typical cocaine withdrawal timeline:

  • Within hours of the last use: The initial symptoms of cocaine withdrawal present. These may include cravings, fatigue, and mood swings.
  • 1 to 3 days after the last use: As cocaine continues to leave the body, withdrawal symptoms may intensify. Expect to experience increased depression, anxiety, and irritability. Physical symptoms like chills, tremors, and muscle pain may also present.
  • 4 to 7 days after the last use: Cocaine withdrawal symptoms usually peak during this time. These may include intense cravings for cocaine, along with symptoms like insomnia, lack of energy, and mood disturbances.
  • 1 to 2 weeks after the last use: As withdrawal symptoms gradually subside, you may still experience mild symptoms of fatigue, anxiety, and depression.
  • 2 to 4 weeks after the last use: Depression and cravings for cocaine may persist.

What Is the Best Way to Detox From Cocaine?

Since there is no cocaine withdrawal medication available, what is the best detox for cocaine?

All addictions are unique so there is no single method of detoxing from cocaine that is universally suitable. There are many options at your disposal when you are ready to commit to recovery, though.

List of Best Methods

  • Medically supervised detox: A medically supervised detox involves detoxification in a medical facility or rehab center under the supervision of a healthcare professional. This approach can help manage withdrawal symptoms and prevent complications. Medical professionals can also prescribe medications to help manage symptoms, such as antidepressants, anti-anxiety medications, or medications to help with insomnia or other physical symptoms. There are no FDA-approved medications to treat cocaine withdrawal.
  • Outpatient detox: Some people may choose to detox on an outpatient basis, taking advantage of regular medical supervision. This approach can be helpful for those with mild to moderate addictions who have strong support systems in place.
  • Holistic detox: Holistic detox may involve therapies like acupuncture, massage, and meditation, as well as exercise and dietary changes.
  • Support groups: Some people find support groups like Cocaine Anonymous can be helpful during detox and throughout the recovery process. These groups provide a sense of community, encouragement, and support, all especially helpful during the challenging early stages of detoxification.
  • Home detox: Some people attempt to quit using cocaine using the cold turkey method at home. This is inadvisable.

 What is Cocaine Detox?

Detoxing from cocaine is also known as cocaine detox or cocaine flush.

Cocaine detox is the first vital phase of recovery from addiction. The process involves purging cocaine and its metabolites from your system and managing the associated withdrawal symptoms. Withdrawal may be medically supervised.

Cocaine detox addresses the issue of physical dependence and paves the way for ongoing treatment to unpack the psychological component of cocaine addiction.

If you’ve been searching for “cocaine detox near me”, we can help you at Ohio Community Health.

Cocaine Detox Program at Ohio Community Health

At Ohio Community Health Recovery Centers, you can kickstart your recovery from cocaine addiction with a supervised medical detox if you are unsure how to clean your system from cocaine. You will have access to emotional and clinical care around-the-clock, streamlining the cocaine detox and withdrawal process.         

Cocaine addiction is fiercely psychological in nature, so transition from detox into ongoing inpatient or outpatient treatment to unchain yourself from stimulant use disorder. Choose from these Ohio Community Health treatment programs:

  • PHP (partial hospitalization program)
  • IOP (intensive outpatient program)
  • Dual diagnosis treatment program (for co-occurring disorders)

When you are ready to move from cocaine addiction into detox and ongoing treatment, contact Ohio Community Health Recovery Centers online or call admissions at 513-757-5000 for immediate assistance and a supervised cocaine detox.

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