Casual Cocaine Use - How Dangerous Is It?

Cocaine is one of the most common recreational drugs in the United States. In fact, in 2022, an estimated 478,000 people tried cocaine for the first time. For many of those people, cocaine will remain an intermittent and “casual” thing. For others, it goes on to become an important part of their lives. In fact, in 2022, an estimated 0.5% of the population, or 1.4 million Americans over the age of 12 had a cocaine use disorder.

Cocaine is often seen as a relatively light and even casual drug. It’s touted for wearing off quickly, having a low addiction profile, and for being “safe” to use compared to heroin or even pain pills. Unfortunately, while cocaine can be safer than opioids in some respects, cocaine is not a safe drug to use, even recreationally or casually. There’s a lot of data that goes into that, but even a single cocaine usage can send you to the hospital. And, with 1.4 million Americans experiencing addiction to cocaine, it’s also addictive.

Cocaine is Addictive

Cocaine is an addictive drug and the more you use it, the more likely you are to develop a reliance and addiction. Most “casual” users feel that they are safe from addiction because they don’t use often. However, for many people, addiction is also about exposure and vulnerability to exposure. Using the first time is what prompts you to use more – and each time you do, you’re more likely to increase usage. This means that any usage will result in a higher risk of addiction. It’s also true that many people experience tolerance and you need increasingly more of the drug to get the same results – which again, increases risks of addiction.

Cardio and Heart Problems

Cocaine is a stimulant that elevates the heart rate and puts stress on the heart. That can cause immediate problems for individuals with high blood pressure or a weak heart. For example, if you have a family history of heart disease, have had heart surgery, or have other heart problems, you are at high risk of experiencing heart problems from cocaine.

In addition, cocaine puts stress on the heart which can result in long-term problems, weakening the heart, and increasing risks of heart attack with each successive use. Long-term spikes in blood pressure are also uncommon in exercise and normal activity. This means that the 60+ minutes of average cocaine use can result in significant spikes to blood pressure which can mean you have a stroke resulting in paralysis or even death.

And those can all turn into long-term side-effects with chronic arrythmia, infarctions, or coronary artery disease. These can greatly increase your need for medical care and will decrease your quality of life.

Overdose Risks

Most people don’t think of cocaine as something you can overdose on. But, in 2020, 19,447 people died of cocaine overdose in the U.S. alone. That overdose can happen for a number of reasons. The most common are that someone is unaccustomed to using cocaine and takes too much or that they take too much in quick succession. For example, a common way to use cocaine is to take a line and then pass it around, taking more to extend the high as the evening progresses. If you don’t wait long enough in between doses, the drug builds up in your system, eventually resulting in an overdose. And, that overdose can be extremely difficult to treat in a hospital – especially as many people reach the ER for cardio related issues and heart attack rather than for cocaine overdose.

Symptoms include:

• Significant sweating
• High body temperature
• High blood pressure
• Agitation
• Seizures
• Tremors or shaking
• Difficulty breathing
• Hallucinations or visual distortions
• Arrythmia
• Heart attack
• Stroke

In each of these cases, a medical team may not realize that you’re suffering from anything but a heart attack or stroke until it’s too late. That means they may treat only the symptom rather than the overdose which will continue to cause issues.