1. Health
Send to a Friend via Email

What to Expect from Cocaine Withdrawal

And How to Feel Better

By

Updated April 04, 2014

Written or reviewed by a board-certified physician. See About.com's Medical Review Board.

Cocaine withdrawal

Cocaine withdrawal can be exhausting.

Image © Melodi2 / Stockxchng

If you have been using cocaine for a while, whether as a regular pattern, in binges, or if you have become dependent, you may want to know what to expect if you stop taking cocaine and go into cocaine withdrawal.

If you have become addicted to cocaine, you are likely to experience some withdrawal symptoms when you quit, but withdrawal can also happen after heavy use. The initial "crash" of cocaine withdrawal can vary in time and intensity, and can last from hours to days -- although in experimental conditions, cocaine withdrawal resolves within 24 hours, some users experience weeks or months of withdrawal symptoms, known as post acute withdrawal syndrome (PAWS).

Everyone’s experience of cocaine withdrawal is different, but there are certain common features, which are outlined here.

Think of getting high on cocaine as taking out a loan -– you get an advance on some good feelings while you are high, but then you are saddled with a debt of those same feelings during the "crash" of withdrawal. This is called a rebound effect, and is part of your body’s way of maintaining homeostasis. Once you have paid off the "debt," you can feel good again naturally.

Cocaine Cravings

Most people who are withdrawing from cocaine experience a strong desire to take more cocaine. This is known as experiencing cravings, and cravings are common among people withdrawing from many addictive substances. Part of the craving is driven by the wish to reduce the symptoms of cocaine withdrawal, and part of it is the desire to re-experience the pleasure of the cocaine high.

Mood Changes

Feeling depressed, anxious or irritable, also known as having a dysphoric mood, is a normal part of cocaine withdrawal, and is the debt for the euphoria you experienced during the cocaine high. Although these feelings are often intense during cocaine withdrawal, they tend to pass once the withdrawal stage is over.

Fatigue

Feeling very tired is a normal part of cocaine withdrawal. You may have tired yourself out through lack of sleep and energetic activity while you were high on cocaine, which will worsen the feelings of tiredness as the effects of cocaine wear off.

Sleep Problems

Despite the tiredness you are probably feeling, cocaine withdrawal often causes sleep problems, such as vivid and unpleasant dreams, insomnia (having trouble getting to sleep or staying asleep), or hypersomnia (too much sleep).

Increased Appetite

Increased appetite is a recognized aspect of cocaine withdrawal, and may be exacerbated by not eating properly while you were high on cocaine.

Physical Slowing or Agitation

People going through cocaine withdrawal often experience a kind of physical slowing down, called psychomotor retardation, or conversely, they can feel physically agitated.

Sources:

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision). American Psychiatric Association. 2000.

Justice Institute of British Columbia. Substance Use/Misuse Certificate Program. Victoria, BC. 2001.

Walsh, S., Stoops, W., Moody, D., Lin, S., & Bigelow, G. "Repeated Dosing with Oral Cocaine in Humans: Assessment of Direct Effects, Withdrawal and Pharmacokinetics." Exp Clin Psychopharmacol 17:205–216. 2009.

  1. About.com
  2. Health
  3. Addictions
  4. Cocaine
  5. Cocaine Withdrawal – What to Expect from Cocaine Withdrawal

©2014 About.com. All rights reserved.

We comply with the HONcode standard
for trustworthy health
information: verify here.