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The information on these pages is designed to give you and idea of what drugs do and the risks involved. As a service, we accept that drug use is part of the World and Island we live in today and are here to help if you need us.

Drug use is risky, there are no regulations on illegal drugs (such as strength or content) and so you’ll never know what you’ve really bought. We want you to be safe and make informed decisions – it could affect the rest of your life. If your drugs use, or that of a friend, family member or colleague is causing you concern, don’t be ashamed or afraid to get in touch if you need help or support.

 
 
COCAINE
(Coke, Charlie, Snow)
Class A drug which means:

Maximum sentence for possession is 7 years imprisonment and fine

Maximum sentence for supply is LIFE IMPRISONMENT and fine


What is it?

Cocaine is extracted from the leaves of the South American coca plant. When Cocaine is produced from the leaves, it is in what is called it's 'base' form which is an alkaloid. Hydrochloric Acid is added to turn it into a salt form which allows it to be snorted (usually in lines through a hollow tube), swallowed, injected or used on other mucous membranes in the body. Cocaine is a 'local anaesthetic' and numbs the site of injection or when placed on mucus membranes such as the nose or gums.

What does it do?

Cocaine is a powerful stimulant drug, and like other stimulants, speeds up your heart and breathing. Cocaine, like Crack, works by releasing your body's natural chemicals called 'adrenalin'. Adrenalin is normally released as an instinctive response when we feel threatened or in danger / anticipation. This is often referred to as the 'fight or flight' response.

Basically adrenalin increases our awareness of our surroundings, increases the heart rate and breathing which as a result our temperature rises. This is followed by feelings of confidence, alertness and creates a sense of well being, excitement and exhilaration. The down side of that is you may find cocaine users talking about themselves A LOT, talking rubbish and in some cases the adrenalin gets no outlet and they can become violent particularly after a binge.

As we’ve mentioned with amphetamine - what goes up must come down. Its initial euphoric effect lasts about 1 - 2 minutes with the overall effect generally lasting about 60-90 minutes. Again, like Amphetamine and Crack, some people may begin to use more frequently to offset the effects of the come down and continue to use the drug and get on the cycle of regular or heavy use. This is the most addictive part of cocaine - chasing that high.

WARNING ABOUT LEVAMISOLE

A drug once used to treat cancer and now use in veterinary practice can cause 'agranulocytosis' in humans. It affects the infection fighting blood cells in the body which means those using cocaine cut with it may risk contracting infections which cannot be fought off as the body would normally. Users infected may appear with darkened or blacked skin-like burns. It is thought it can be added at the country of source rather than local dealers.

In 2009, Levamisole was increasingly found in over 70% of cocaine samples analysed and was found to cause severe health complications. (EMCDDA REPORT)

See ARTICLE

WARNING ABOUT THE USE OF THE CUTTING AGENT PHENACETIN

This has appeared in the news again (August 2007) after reports in November 2006. See link to News article.

Phenacetin causes Cancer and is a highly toxic substance.

 

 


Are there any risks?

YES. As you already know, all drugs have risks, even legal ones. Whether you use it now and again or regularly, high or REGULAR doses of cocaine by ANY ROUTE can cause the following:

  • the heart to beat erratically and lose it’s natural rhythm (If you get chest pains – see a doctor ASAP)

  • ADDICTION

  • Increased adrenalin & stress on the heart can lead to a HEART ATTACK and HEART FAILURE

  • Because the heart beats faster, your temperature rises which can lead to overheating, seizure or fit - especially in nightclubs.

  • Blackouts, Brain Damage / Stroke / Epilepsy / Paranoia / Depression

  • Bronchitis, Pneumonia, Pleurisy, fluid on the lungs, respiratory failure

  • Liver Damage, Kidney Damage, Stomach Ulcers

  • Weight Loss, Skin Problems (Eczema)

  • Receding Gums due to nerve damage

  • Loss of sense of smell (anosmia), perforated nasal septum

  • Psychosis, paranoia, depression, delusions or anxiety

  • Nausea & Headaches

  • Spontaneous abortion in pregnant women, premature labour, premature separation of the placenta

If you have had mental health problems in the past or experiencing mental health issues now, including depression - cocaine will make your problems a lot worse, it's best to leave it well alone.

Cocaine is very definitely Psychologically Addictive so if you find that your best intentions not to use have gone a miss or promises to yourself that you'll cut down have failed, it's time to have a think about your use and perhaps get some help.

(Risks are various and each route of cocaine administration has it's own particular risks to health either immediate or long term - these are discussed below.)

REQUEST LEAFLET ON COCAINE

 

 

Snorting cocaine can eventually rot the tissue of the inner and upper nostrils so you could end up with one big nostril! You can reduce the risks by washing out the nasal passage with clean water after using.

It can cause loss of the sense of smell (anosmia) which can be temporary or permanent, increased susceptibility to chest infections and sinusitis. There is also a myth that snorting cocaine is not addictive - that's not true - it's just as easy to get addicted by snorting cocaine as it is to smoking it in Crack form, it may just take a bit longer.

 

Injecting Cocaine

The danger, as with injecting other substances is that you don't know what you're injecting (anything could be added to it), unclean needles leaves you open to the risk of bacterial infections leading to abscesses. Remembering that Cocaine is a 'local anaesthetic' once one injection has been made, that site can become numb and users will be unlikely to hit the vein, and there's a danger of missing and digging about injecting under the skin in error or hitting an artery.  There is also a very real risk of septicaemia not only due to the bacteria but also that it is recognised that cocaine and crack both suppress the immune system and thus the body cannot fight off germs and disease as effectively as it would normally. Cocaine can be very compulsive and that coupled with injecting may lead to chaotic use and sharing of  needles.

SPEEDBALL

Whilst mixing heroin with crack or cocaine to inject ( called a Speedball) is becoming more common, in some instances it may be the main drug of choice.  Speedballing has its problems too - as with mixing any other chemicals you will get a reaction.

  • Mixing Heroin and Cocaine /Crack is believed to increase the reinforcement capacity of cocaine. i.e you get addicted more quickly

  • Heroin is a depressant and therefore lowers your breathing rate. In high doses, so can cocaine leading to the increased risk of overdose.

  • The affects of cocaine can lead some people to forget how much heroin they have already used which increases the likelihood of overdose.

  • Two drugs = increased contaminants in the body which increased the risks.

We have specific information on Speedballing, if you would like a copy, EMAIL us and put SPEEDBALLING in the Subject box.

 

 MIXING COCAINE & ALCOHOL

Some people use cocaine only when they've been out drinking, some people drink alcohol when they've been using cocaine. Whichever way round, mixing the two is not advisable. Cocaine and alcohol mixed in the body form another drug called COCAETHYLENE. The action of your liver breaking the two substances down produces the new chemical which unfortunately is more toxic to your liver and exerts more of a strain on your heart than cocaine or alcohol on their own. The studies available all tell different stories as to the psychological effects of cocaethylene. Some say it makes the high last longer other say it makes users feel awful and others say no effect at all but as most users don't know that chemical reaction is taking place anyway it would be difficult for us to say either way. But as we know, everyone's experience of a drug effect depends on a number of factors so we can't say either way just yet.

REQUEST COCAETHYLENE INFO LEAFLET

See new website Drinking With Charlie

HIV / Hepatitis B & C Risks?

YES. The usual risks apply for injecting cocaine as injecting anything else. You can get clean needles from pharmacies in the needle exchange. EMAIL for a list here. Also bear in mind, that snorting may make your nose bleed and these infections can be passed through blood when sharing tubes or banknotes – so don’t share.

Overdose risk?

Yes. As discussed, excessive doses can cause respiratory failure or heart failure but this is rare though risks increase with the addiction of other drugs (including alcohol & prescribed medications).

SYMPTOMS OF A COCAINE OVERDOSE CAN INCLUDE

  • Seizure / Fitting

  • High Temperature

  • Dry Cracking Skin

  • Delirium

Seizures from a cocaine overdose can resemble a Grand Mal fit seen in epileptics. If someone has a cocaine seizure they will drop to the floor, lose consciousness and start to shake uncontrollably. Give them room, move things they could bang into and try and protect their head. When the fit stops, put them in the recovery position and CALL THE AMBULANCE STRAIGHT AWAY.

A MINOR SEIZURE is when someone is still conscious but often staring into space, with strange twitching movements - in this case talk and reassure. If in doubt get medical help.

Because of the high probability of repeated seizures following the first cocaine induced seizure, anyone who suffers one is advised to see their doctor as soon as possible. There is also the issue of 'kindling' where the body does not become more tolerant to seizures but becomes more sensitive so the next one may be fatal - see a doctor!

MIXING WITH OTHER DRUGS

Mixing Drugs isn't a good idea. It makes the effects unpredictable and the risks harder to define. Below is what COULD happen if you mix your own drug cocktail:

Cocaine & Heroin - Known as a 'speedball'. Taken together the drugs double the strength of each other. Cocaine speeds up your heart but as that wears off the heroin kicks in and slows it down again. The result is your heart doesn't know what to do and can lose it's rhythm entirely.

Cocaine & Tranquillisers such as Valium and Temazepam - Similar problem to that above. Remember that Cocaine is a stimulant and speeds up the heart - tranquilisers are depressants and they will slow it and your body systems down. Taking both at the same time increases the risk of OVERDOSE.

Cocaine & Ecstasy - Ecstasy is another STIMULANT. It therefore increases the strain on your body when added to cocaine.

Need Help or Advice / Treatment?

If you are finding your own or someone else's cocaine use getting out of control, there are things we can do to help both for the user and family / friends. There is no magic bullet for drug addiction - and cocaine is psychologically addictive. However, there are people out there who can help on the Island, including ourselves. If you don't know what to do or where to go, call us on 615622 in confidence to discuss what options would be best for you.

REQUEST MORE INFORMATION ON COCAINE OR CRACK

 
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