Delirium—Cocaine

Also called: Blow, C, Coca, Coke, Crack, Flake, Snow

Cocaine is a white powder. It can be snorted up the nose or mixed with water and injected with a needle. Cocaine can also be made into small white rocks, called crack. Crack is smoked in a small glass pipe.

Cocaine speeds up your whole body. You may feel full of energy, happy, and excited. But then your mood can change. You can become angry, nervous, and afraid that someone’s out to get you. You might do things that make no sense. After the “high” of the cocaine wears off, you can “crash” and feel tired and sad for days. You also get a strong craving to take the drug again to try to feel better.

No matter how cocaine is taken, it is dangerous. Some of the most common serious problems include heart attack and stroke. You are also at risk for HIV/AIDS and hepatitis, from sharing needles or having unsafe sex. Cocaine is more dangerous when combined with other drugs or alcohol.

It is easy to lose control over cocaine use and become addicted. Then, even if you get treatment, it can be hard to stay off the drug. People who stopped using cocaine can still feel strong cravings for the drug, sometimes even years later.

NIH: National Institute on Drug Abuse

• Cocaine withdrawal (Medical Encyclopedia)
• Substance use — cocaine (Medical Encyclopedia)
• Tips for Teens: The Truth about Cocaine (Substance Abuse and Mental Health Services Administration) – PDF

Delirium is a condition that features rapidly changing mental states. It causes confusion and changes in behavior. Besides falling in and out of consciousness, there may be problems with

• Attention and awareness
• Thinking and memory
• Emotion
• Muscle control
• Sleeping and waking

Causes of delirium include medications, poisoning, serious illnesses or infections, and severe pain. It can also be part of some mental illnesses or dementia.

Delirium and dementia have similar symptoms, so it can be hard to tell them apart. They can also occur together. Delirium starts suddenly and can cause hallucinations. The symptoms may get better or worse, and can last for hours or weeks. On the other hand, dementia develops slowly and does not cause hallucinations. The symptoms are stable, and may last for months or years.

Delirium tremens is a serious type of alcohol withdrawal syndrome. It usually happens to people who stop drinking after years of alcohol abuse.

People with delirium often, though not always, make a full recovery after their underlying illness is treated.

• Delirium (Medical Encyclopedia)
• Delirium tremens (Medical Encyclopedia)