Cocaine Withdrawal Symptoms
Cocaine withdrawal is not considered as immediately dangerous or severe as withdrawal from opioids, benzodiazepines, and alcohol. However, the withdrawal symptoms can be quite severe and put a person through quite an ordeal. Much like with other drugs, cocaine addicts may keep using cocaine in order to avoid withdrawal symptoms.
Summary of Cocaine withdrawal symptoms:
Drug cravings - Anhedonia (inability to feel pleasure in normally pleasurable activities)
- Depression, sadness, negative emotional states
- Exhaustion
- Anxiety
- Insomnia
- Irritability
- Poor concentration
- Lethargy
Cocaine Withdrawal: Crash Phase
When an individual decides to quit cocaine, there will first be an initial “crash” stage. This is where the initial effects of the stimulant wear off and leave the individual with cravings for more of the drug. The person will experience fatigue, sleeplessness, an inability to feel pleasure (anhedonia), as well as feelings of paranoia and anxiety.
Because cocaine only stays in the body for a few hours, the crash stage comes on quickly but can take 24-36 hours to finally subside.
Cocaine Withdrawal: Acute Withdrawal Phase
After the “crash stage” from cocaine, begins the acute cocaine withdrawal stage. In this stage, the cravings for the drug will increase. Also, anhedonia increases and evolves into depression. As well, feelings of sadness, sleeplessness, anxiety, and feelings of unease increase.6-8
Withdrawal is often prolonged in cocaine users and acute cocaine withdrawals can last up to 7 days in some individuals, and some adverse withdrawal reactions can linger far longer. The exact timeline for cocaine withdrawal really depends on how much cocaine you have used, how long you have been a cocaine user, and for how long your last cocaine binge lasted.
The good news is that after the acute cocaine withdrawal phase, an individual experiences an “extinction” of the cravings and dependence symptoms. Recovering cocaine addicts rarely experience the life-threatening symptoms that are common with alcohol, benzodiazepine, and opioid withdrawals.
However, a common and debilitating cocaine withdrawal reaction is the loss of the sense of pleasure, (anhedonia), especially in relation to things that normally would produce positive emotions and interest. Anhedonia increases with the amount of cocaine that was consumed during the binge.14