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It is most commonly snorted, but it is also injected intravenously (shoot) or smoled, primarily as crack. Crack, also called rock ...) can be created by mixing the hydrochloride of cocaine (with bicarbonate) or ammonia. Take care because cocaine is frequently combined with various other substances.
The effects of smoking cocaine are felt in 10 to 1 hour. The effects of smoking and shooting are stronger, more rapid, and last longer, which means they are a higher risk for addiction.
Crack is a form of smoking of cocaine. Its effects are stronger than cocaine's. It appears more rapid but disappearing more quickly ("flash effect").
The effects of cocaine may result in hypertension, artery constriction and heart attacks. An excessive dose may cause hypertension, arousal and spasms. Cocaine can be an irritant which often causes mucous and skin membrane lesions which can lead into necrosis (irritation of the nasal septum, irritation of the anal mucosa, bleeding risk of skin abscess at the point of needle). Regular use can result in psychiatric problems like mood swings and severe anxiety. Delusions that are persuading, dementia, depression and other mental disorders. The desire to continue using it until you're out of it, or to have more is an indication of psychological dependence.
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Fetal problems are more common in pregnant women. The impact can trigger fatigue and muscle cramps as well as depression.
The risks when injecting cocaine, or taking it in a "base" (crack/free) form increase. Overdoes (cardiac rhythm disturbances) are more likely with injection. Brain damage occurs quickly after an injury (paranoia, suicidal states).
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