Drugs A to Z

Cocaine: Factsheet

Dangers of cocaine
Targeted Drugs:
Bronze

This resource has undergone expert review.

Year:
Year 9–10, Year 11–12
Time Allocated

Partial lesson (under 45mins)

Origin

Australian

Cost

Free

What is Cocaine?

In Australia, Cocaine is known as coke, blow, charlie, C, dust, flake, nose candy, snow, white, crack, rock, freebase.

Cocaine is produced from the leaves of Erthroxylon coca plant, and comes in three main forms:

  • A paste which is often off-white or light brown 
  • A powder which is often white or off-white 
  • A white or off-white crystal rock known as crack cocaine.

In Australia, cocaine is most commonly in a powder form which is often snorted. As with all powder drugs, it is often sold ‘cut’ (mixed) with other white powder substances which can sometimes be harmful in their own right. 

Personal Stories

How many young people have tried Cocaine?

According to the 2022-2023 Australian secondary schools' survey, 1 in 100 students (1%) aged 12–17 used cocaine in the past month.

What are the effects of Cocaine?

When snorted or injected, cocaine quickly produces an intense ‘rush’. This feeling or ‘high’ doesn’t last very long — usually around 30–45 minutes if snorted.

The effects of cocaine can be immediate or long-term, as listed in the table below.

Immediate Long-term
Enlarged pupils Dependence (see glossary)
Irregular heart beat Nasal and sinus problems including damage to the nasal septum
Not feeling hungry Depression
Increased energy and confidence Heart damage
Feeling of euphoria (a "high") Lung problems
Nausea and vomiting Kidney failure
Anxiety and panic attacks Increased risk of strokes and seizures
A "comedown" or crash (see glossary)  
Aggressive behaviour   
Headaches and dizziness  
Twitches and tremors  
Insomnia  
Paranoia (feeling extremely suspicious and frightened)  
Hallucinations (seeing or hearing things that aren't really there)  
Delusions (strong beliefs that do not reflect reality)  
Psychosis (see glossary)  
Overdose  

Evidence Base

This factsheet was developed following expert review by researchers at the Matilda Centre for Research in Mental Health and Substance Use at the University of Sydney, the National Drug & Alcohol Research Centre at the University of New South Wales, and the National Drug Research Institute at Curtin University.

  • Credit to the Home Office for quotes adapted from Talk to Frank

Sources

  1. Scully, M., Koh, I., Bain, E., Wakefield, M., & Durkin, S. (2023). ASSAD 2022–2023: Australian secondary school students’ use of alcohol and other substances. Cancer Council Victoria.
  2. WHO, 2004. Neuroscience of psychoactive substance use and dependence. 2. Bucello, C., Degenhardt, L., Calabria, B., Nelson, P., Roberts, A., Medina-Mora, M. and Compton, W., 2010. What do we know   about the extent of cocaine use and dependence? Results of a global systematic review. NDARC Technical Report No . 308,   National Drug and Alcohol Research Centre, University of New South Wales: Sydney.
  3. Kuhar, M., Ritz, M. and Boja, J., 1991. The dopamine hypothesis of the reinforcing properties of cocaine. Trends in Neuroscience.  14: p. 299 - 302.
  4. WHO/UNICJRI, 1995. Cocaine Project.
  5. Julien, R., Advokat, C. and Comaty, J., 2011. A primer of drug action, 12th Edition, New York: Worth Publishers.
  6. Australian Crime Commission, 2012. Illicit Drug Data Report 2010-11, Australian Crime Commission: Canberra.
  7. Sindicich, N. and Burns, L., 2012. Australian Trends in Ecstasy and related Drug Markets 2011. Findings from the Ecstasy   and Related Drugs Reporting System (EDRS). Australian Drug Trend Series No. 82. , National Drug and Alcohol Research   Centre, University of New South Wales: Sydney.
  8. Stafford, J. and Burns, L., 2012. Australian Drug Trends 2011. Findings from the Illicit Drug Reporting System (IDRS). Australian  Drug Trend Series No. 73 National Drug and Alcohol Research Centre, University of New South Wales: Sydney.
  9. Australian Institute of Health and Welfare, 2023. National Drug Strategy Household Survey 2022-2023 report, AIHW: Canberra.
  10. Kaye, S. and Darke, S., 2003. Non-Fatal Cocaine Overdose and Other Adverse Events Among Injecting and Non-Injecting  Cocaine Users. NDARC Technical Report No. 170, National Drug and Alcohol Research Centre, University of New South Wales:  Sydney.
  11. National Drug and Alcohol Research Centre, 2012. On Ice booklet, University of New South Wales: Sydney.
  12. Darke, S., Torok, M., Kaye, S. and Duflou, J., 2010. Cardiovascular disease risk factors and symptoms among regular  psychostimulant users. Drug and Alcohol Review. 29(4): p. 371-7.
  13. Darke, S., Kaye, S., McKetin, R. and Duflou, J., 2008. Major physical and psychological harms of methamphetamine use. Drug  and Alcohol Review. 27(3): p. 253-62.
  14. Herbst, E.D., Harris, D.S., Everhart, E.T., Mendelson, J., Jacob, P. and Jones, R.T., 2011. Cocaethylene formation following ethanol  and cocaine administration by different routes. Experimental and Clinical Psychopharmacology. 19(2): p. 95-104.
  15. Farooq, M.U., Bhatt, A. and Patel, M.B., 2009. Neurotoxic and Cardiotoxic Effects of Cocaine and Ethanol. Journal of Medical  Toxicology. 5(3): p. 134-138.
  16. van Beek, R.D.A.M.I., 2001. Cocaine injecting: the sharp end of drug-related harm! Drug and Alcohol Review. 20(3): p. 333-342.
  17. Mahoney, J.J., 3rd, Kalechstein, A.D., De La Garza, R., 2nd and Newton, T.F., 2008. Presence and persistence of psychotic   symptoms in cocaine- versus methamphetamine-dependent participants. American Journal on Addictions. 17(2): p. 83-98.
  18. Kaye, S. and Darke, S., 2004. Injecting and non-injecting cocaine use in Sydney, Australia: physical and psychological morbidity.  Drug and Alcohol Review. 23(4): p. 391-398.
  19. American Psychiatric Association, 2000. Diagnostic and statistical manual of mental health disorders, fourth edition, text  revision, Washington, DC: American Psychiatric Association.

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