Coming Down from a Cocaine Binge: Signs and Symptoms

Table of contents

Key Points
  • Coming down from cocaine can lead to a range of physical and psychological symptoms, including fatigue, anxiety, paranoia, and insomnia.
  • The severity of withdrawal symptoms depends on the extent of cocaine use. In severe cases, individuals may experience seizures, hallucinations, and suicidal thoughts.
  • Attempting to quit cocaine without professional help can be dangerous and increase the risk of relapse.
  • It's crucial to seek help from qualified professionals to safely manage withdrawal symptoms and overcome addiction.
  • A supervised detox program can provide medical support and reduce the intensity of withdrawal symptoms.

If you’ve ever experienced coming down from cocaine on your own, you know how challenging it can be. Symptoms can be both physical and psychological in nature, and none of them are pleasant. However, you may be wondering what all can happen during cocaine withdrawal. Is it just uncomfortable, or can it actually be dangerous? What can you expect?

Coming Down from Cocaine: Initial Symptoms

A woman is slumped in front of her laptop and notes while she is coming down from cocaine

During the first few hours after your coke binge wears off, you will likely suffer the following symptoms:[1]

  • Fatigue
  • Anxiety
  • Drowsiness
  • Paranoia
  • General discomfort
  • Slowing of activity
  • Increased appetite

You’ll also experience sleeplessness that persists regardless of your state of exhaustion.[2] Cocaine users report that this sleepless state keeps them in a fog for long periods of time during which they are unable either to get to sleep or to get fully awake. You may also feel anxious or depressed. You can expect these psychological symptoms to last for several hours while coming down from coke.

A person who observes your symptoms but who is not aware of your cocaine usage can easily conclude that you’re suffering from a very bad flu, sometimes called cocaine flu. Indeed, many of the symptoms of coming down from cocaine mimic the flu. However, depending on your level of abuse, more serious symptoms can develop as well. This means it’s important to be honest about what you’re going through so that you can seek the right help.‍

Severe Symptoms of Cocaine Withdrawal

If you used larger amounts of cocaine or you have used cocaine for longer periods of time, you’ll likely develop more intense symptoms while coming down from cocaine that may last for months after stopping use.[3] These symptoms might include seizures, a lack of muscular coordination, violent or irrational behavior, and episodes of paranoia.[4] These issues are indications of cocaine addiction. The path to addiction begins with increased tolerance, which is marked by your needing larger amounts of cocaine to achieve the same effects.[5] Unfortunately, if you have become addicted to cocaine, you will exhibit more severe symptoms as you are coming down from coke. Those symptoms are typical of withdrawal from chemical addictions to other dangerous substances.

At this level of withdrawal, you will have a desperate craving for more cocaine.[6] However, if you do use it, you will experience none of the high-energy and euphoric feelings that you felt when you first used cocaine. Cocaine use at the addiction withdrawal stage does little more than stave off additional cravings and the extreme feelings of sickness that accompany those cravings causing users to try using more to compensate, leading to an increased risk of overdose.[7]

Some people even present with suicidal thoughts or actions while coming down from cocaine.[8] If you have ever exhibited mental illness symptoms in the past, it’s important that you seek supervised detox while coming down from coke. Otherwise, you could be a danger to yourself.‍

Help for Cocaine Addiction

No two people react to cocaine in an identical manner, and symptoms that are obvious in one person may be obscured in another. Obscured or subtle withdrawal symptoms may be dangerous. For this reason, no one should try coming down from coke on their own. With the help of experienced professionals, you can attain sobriety safely.

Fortunately, the Last Resort Recovery Center is experienced in guiding men through withdrawal and into treatment and eventual recovery. Some of our programs include:

Please call the Last Resort Recovery Center near Austin for more information on common signs and symptoms that accompany coming down from cocaine.

Frequently Asked Questions About Drug Rehab In Austin

What are the immediate effects of coming down from cocaine?
The immediate effects of cocaine withdrawal can vary in severity but typically involve a crash. This crash is characterized by intense fatigue, depression, and anxiety. You may also experience physical symptoms like muscle aches, chills, and loss of appetite.
How long does cocaine withdrawal last?
The duration of cocaine withdrawal can vary depending on the individual and the extent of their addiction. While the most intense symptoms may subside within a few days, the psychological effects can linger for weeks or even months.
What are the risks of quitting cocaine cold turkey?
Quitting cocaine cold turkey can be dangerous and increase the risk of severe withdrawal symptoms. These can include intense cravings, depression, anxiety, and, in some cases, suicidal thoughts. It's crucial to seek professional help to manage withdrawal safely and effectively.

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[1, 3, 6, 7] Cocaine withdrawal: MedlinePlus Medical Encyclopedia. (n.d.). https://medlineplus.gov/ency/article/000947.htm

[2, 4, 8] Morton, W. A. (1999). Cocaine and psychiatric symptoms. The Primary Care Companion for CNS Disorders, 1(4). https://doi.org/10.4088/pcc.v01n0403

[5] Understanding Drug Use and Addiction DrugFacts | National Institute on Drug Abuse. (2023, December 21). National Institute on Drug Abuse. https://nida.nih.gov/publications/drugfacts/understanding-drug-use-addiction