The Cocaine Detox Process: What to Expect

Depending on the dosage and length of abuse, the effects of a detox from cocain might range from moderate to severe. Because cocaine is such a strong and quick-acting stimulant, withdrawal symptoms from cocaine can result in a variety of various physiological and mental health adverse effects.

A cocaine high occurs right away and wears off within a few minutes to an hour, according to a 2016 analysis written by the National Institute on Drug Abuse. There are various psychological symptoms connected with withdrawal and detox because when the high is gone, you are left craving more. Comedowns, anxiety, and depression are some of them.

The mode of administration and drug potency have a significant impact on how someone becomes addicted to cocaine, according to Gerald Opthof, PsyD, LPC, CSW, a psychotherapist and the director of Opthof Center for Psychotherapy, who speaks to WebMD Connect to Care. According to Opthof, someone who uses crack cocaine orally experiences the effects considerably more quickly than someone who uses it intravenously and may need to use more to maintain the high.

The symptoms of cocaine withdrawal can begin as soon as 90 minutes after the last use and extend for up to 10 days or possibly longer, according to American Addiction Centers. How much and how long you have used cocaine can have an impact on how long it takes you to detox.

According to American Addiction Centers, the physical symptoms of a cocaine withdrawal are not as severe as those from other substances. 

Psychological withdrawal symptoms associated with cocaine detox include:

  • difficulty paying attention
  • sluggish movement or slow thinking
  • Hostility
  • Depression
  • Anxiety
  • nightmares or vivid dreams
  • Paranoia
  • Suicidal ideas or behaviours
  • increased desire for cocaine


To handle withdrawal symptoms, cocaine detox is frequently performed on an outpatient basis, although there are specific situations where an inpatient treatment programme may be advised. People with health, familial, or employment concerns might be better served in an inpatient setting, according to Opthof.

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