Can a person sleep after using cocaine

What are the real consequences of occasional cocaine use?

Sometimes it is difficult to disenchant the glamorous image of cocaine, which has established itself over many decades. If tabloids are to be believed at least a little (and that's a big IF), celebrity life in the 80s-90s was made up of expensive sports cars, long-legged models, and parties with tons of coke. This image was made in True romance stylized by Tarantino, through BLOW it seemed downright desirable and the iconic white mountain in Scarface everyone still has in mind.
Hollywood and the party scene infiltrated by paparazzi have unquestionably glorified the drug, but it's common everyday use that we need to talk about: as a pick-me-up on Friday evenings after work in the all-too-familiar routine of a drink, a line, and a cigarette .
This behavioral trend does not seem to be weakening when you look at the 2016 annual European Drugs Report, which found an estimated 3.6 million adults (aged 15 to 64) used drugs in Europe over the past year. Among them are 2.4 million under 34 years of age, that is 1.9% of this age group as a whole. Only three countries - the United Kingdom, the Netherlands and Spain - reported a "cocaine prevalence rate of 3% or higher in young adults". This means that the United Kingdom, Spain and the Netherlands are the most widespread young people in Europe in terms of percentage of cocaine use.
And while cocaine may be thought of as a traditionally male drug, its use appears to be equally common among both sexes. The Guardian reported, based on 2014 data, that women are just as likely to use drugs as men. In fact, it's not uncommon to hear a muffled sniff before three or four girls squeeze their way out of the toilet of a London pub.
Everyone knows that cocaine, like other drugs, is highly problematic, not only because of the health effects of its use, but also because of its manufacture and smuggling into Europe. According to VICE, drug cartels in Mexico are responsible for around 55% of the country's homicides, and continued demand for recreational drugs from the UK and Europe is helping keep that staggering rate unchanged. And yet, unfortunately, moral responsibility is not something you typically think of on Friday nights at 11 p.m. So why is it that so many people habitually ignore the all too real causes and the resulting deaths in other parts of the world and swap a chunk of cash for a plastic bag with a mixture-plus-a-bit-cocaine, weekend after weekend?
We spoke to Nicky Walton-Flynn, Founder of Addiction Therapy London and Co-Founder of Wellness Hub UK, about why women in particular can be more susceptible to regular cocaine abuse and the side effects of occasional use. She emphasized that “women are driven to take extreme measures by the pressure placed on them, whether perceived or real. Obviously, cocaine creates confidence and energy, and has quickly become the standard recreational drug for young women. In addition, it is much cheaper today than it was 30 years ago ”, made possible by advancing globalization. This downward trend in cocaine costs, however, often leads to “diluted” mixtures of a small amount of cocaine with other, often unknown, substances.
Here's a quick rundown from Nicky of the physical and mental health consequences, both our personal and public, of using cocaine once or twice a week ...
First of all, could you tell us something about your work? How do you help addicts?
“I work in a private practice and offer an integrative model of talk therapy. I mainly work with people who want to quit cocaine. I rarely use harm-reduction strategies because, in my experience, they rarely work in cocaine addiction. My customers strive to be abstinent. First, I help people understand that once you've been addicted to cocaine, going back to casual use is unrealistic. Psychological support is an essential aspect at the beginning of addiction therapy. I encourage my patients to identify the wider consequences of their cocaine use. These include, for example: physical illness, lost working days, job loss, alienation from friends and family, debts. "
What are the characteristics of an addiction?
“An addiction is often referred to as a 'progressive disease'. As soon as the tolerance levels increase, a higher dose of the drug is required to achieve the same effect. One cannot predict that if someone consumes X grams of cocaine per week for six months, they will become addicted. It is possible to be a 'working addict' for some time before needing help. Not everyone becomes addicted right away, but the likelihood is high due to the drug's influence on the brain's reward system. The risk of addiction depends on various influencing factors, such as a family history of addiction, childhood experiences, recent or long-term trauma. All of this has an impact on motivations for cocaine use and the risk of developing addiction. "
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Cocaine often quickly leads to strong psychological dependence because it stimulates the production of the happiness hormone dopamine

How does a habit become an addiction?
“Through sustained and continuously increasing consumption. Cocaine often quickly leads to severe psychological dependence as it stimulates the production of the happiness hormone and neurotransmitter dopamine and increases its levels in the brain. "
What are the consequences of prolonged use of cocaine on weekends?
“Since cocaine affects the brain's reward system, increasing use over time means that one can no longer experience joy and happiness through 'ordinary' pleasures. One example is sex. When cocaine is repeatedly involved in sex, the ability to experience and enjoy sexual pleasure without cocaine decreases. In addition to the reward system, cocaine also affects the brain's stress response system. In my experience, cocaine addiction often coexists with a stress disorder. Cocaine increases the release of stress hormones. People then increase their consumption to reduce stress. This is how the addiction cycle arises. "


What are the short-term effects of cocaine use?
“Loss of appetite, malnutrition, increased heart rate and increased blood pressure, vasoconstriction, accelerated breathing, dilated pupils, headaches, sleep disorders, nausea, abdominal pain and overstimulation. In addition, there are strange, unpredictable and sometimes violent behavior as well as risky sexual behavior, hallucinations, extreme excitability, irritability and anger. Most of the time, people experience an intense feeling of euphoria, followed by a very depressed mood and depression. In extreme cases: tactile hallucinations, which create the illusion of insects burrowing under the skin, itching and scratching attacks as well as severe anxiety, irritability, paranoia, depression in connection with an intense desire for the drug, panic and psychosis, convulsions, fits and in rare cases of sudden death from an overdose. "
And the long-term effects of cocaine use?
“They can turn out very differently and range from permanent damage to the blood vessels of the heart and brain to high blood pressure and the resulting heart attacks, strokes and death to damage to the liver, kidneys and lungs. In addition, there is the destruction of the nasal mucous membranes when sniffing, infectious diseases and abscesses when injecting and breathing stops when smoking. Malnutrition and weight loss as a result of appetite suppression. Tooth decay. Sexual health problems such as fertility problems and infertility (in both men and women). Disorientation, apathy, confusion and exhaustion. Irritability and severe mood swings. Acoustic hallucinations, increasing frequency of dangerous and high-risk behavior - especially in sexual terms - and unpredictable and increasingly irrational behavior that leads to psychosis and / or delirium and clinical depression. "


Why do we think we have a more casual relationship with cocaine than with other drugs?
“The glorification in the media, combined with falling prices, ensures that broader sections of the population have access to it. It is no longer exclusively available to celebrities and high paid business people. Over the past few decades, coke has been glorified in movies, songs, and the media. It's considered cool. And most importantly: it ensures that we temporarily feel good. So we ask ourselves Then how can it be harmful? There is also a lack of awareness-raising campaigns in the public that would educate young people about their actual risk potential. "
What behavioral tendencies should one look out for in oneself or in others?
“An important indicator is whether cocaine use has gone from being a social habit that people control to becoming an addiction that prevents someone from sticking to an initial cocaine-free night decision and goes on to buy coke anyway. This decision is typically made after consuming alcohol. Such a thing is a clear sign of a power shift. The drug now has you in its power, you have lost control of your own consumption behavior and your freedom of choice. That means addiction / addiction. At this stage we observe a denial of addiction: 'I have a choice, I just want to have fun, I don't harm anyone else, I'm only young once, I stop as soon as I settle down or get married as soon as I do Have children as soon as I'm 25, 28, 35 ... 'This is the denial of my own addiction and the most common narrative I hear in my treatment room. If someone notices something like this, I would advise them to seek help. "
“Other obvious signs: It takes longer and longer to recover from a night on coke, hangovers get worse, you need more and more of the drug to get the same effect, the high doesn't last that long, and depressed mood and depression occur faster and faster. At some point there is no euphoria and the consumer only feels anxiety and paranoia instead. "


Why do you think young women are particularly vulnerable to occasional cocaine use?
“Cocaine gives people a sense of self-worth and makes them perceive themselves as sexy. Young women (20 to 35) are under greater pressure to appear smart, funny, charming, sexy, beautiful, slim, clever, professional, powerful, etc. Cocaine induces these sensations in young women, relieves them of the associated stress and offers them short-term and deceptive experiences of achievement. Coke is also very disinhibiting, so young women confidently display behaviors that would otherwise be alien to them. This applies to sexual behavior, for example. "
How old are your cocaine addicts typically?
"Between 24 and 45."
In your opinion, what common fallacies do people fall victim to when considering their own use of drugs?
“Addiction is a disease that makes you feel like you're not sick. Denial. People reassure themselves by comparing their consumption to that of an acquaintance who takes even more. So they have no problem. They tell themselves that their acquaintances all coke and that it is completely normal. In this way they downplay their own consumption and downplay the consequences. "
What's in Modern Street Cocaine?
“Cocaine was traditionally blended with glucose or laxatives. Nowadays it is becoming more and more common to intersect with benzocaine, a dental anesthetic that mimics the numbing effects of cocaine, and levamisole, a de-wormer for cows and horses. The BBC has an extensive inventory of foreign substances found in cocaine. "
In Germany, more cocaine addicts were registered again in 2015 for the first time after years of constant, declining development. The death toll from overdose has also increased.