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How To Come Down From Cocaine

by Demarco Moore

July 21, 2023
a man drinks coffee to try to manage his cocaine comedown

If you or someone you care about is trying to come down from a cocaine high, your safety matters most. Cocaine, a powerful stimulant, has a powerful but fleeting “high,” followed by a harsh crash, which can drive a cycle of use that might lead to addiction. This can be hard to manage, so seeking immediate medical attention becomes a safe step toward getting it out of your system, which we’ll explain in this blog.  

Key points:

  • Cocaine comedown involves intense physical and mental symptoms and should be managed under medical supervision.
  • Self-managed cocaine withdrawal comes with short- and long-term health risks.
  • Practical strategies can aid cocaine comedown symptoms but shouldn’t replace professional help for regular users.
  • Treatment providers like Landmark Recovery offer comprehensive cocaine rehab programs.
  • Cocaine myths debunked: Timely treatment is needed, even before ‘hitting rock bottom.’

What is a Cocaine “Comedown”?

A cocaine comedown or “crash” is the first withdrawal stage after a binge. Users experience an intense high for every dose that lasts from 15 to 30 minutes, followed by a stark drop in mood and energy levels.

Withdrawal Symptoms 

Symptoms can range from moderate to severe, including:

  • Paranoia
  • Depression
  • Anxiety
  • Irritability
  • Sleep problems

Read our blog “What Is The Cocaine High and How Does it Feel?” for a deep dive into the immediate sensations of cocaine use.

Dangers and Risks Associated with Cocaine Withdrawal

Attempting to manage cocaine withdrawal without medical intervention can lead to serious health risks. For example, solo cocaine detoxes can increase your risk of accidents due to the following:

  • Impaired judgment and coordination
  • Severe dehydration
  • Increased heart rate

Furthermore, regular use can lead to long-term health issues like:

  • Heart disease
  • Mental health disorders
  • Neurological (brain) damage

How to Handle a Cocaine Comedown: Healthy Tips

Here are three strategies to help manage harmful withdrawal symptoms. 

Stay Hydrated

Quitting cocaine can drain your body, making hydration important. Drink plenty of water and consume nutrient-rich foods to help your body recover. Hydration aids the body’s natural detoxification processes, while nutritious foods help repair and strengthen your system.


Recovering from cocaine abuse is tough on the body; resting is crucial. Create a calm, quiet environment. Soft lighting and soothing sounds can help. If you have trouble sleeping, lying down and focusing on your breath can be beneficial. 

Avoid Temptation

During this period, avoid stressful situations and environments that could trigger cocaine cravings to ease the crash. Instead, surround yourself with supportive people who understand what you’re going through.

Understanding stimulant drugs’ impact on animals can offer a unique perspective on their effects on humans. Check out our piece on “What ‘Cocaine Bear’ Teaches Us About How Drugs and Alcohol Affect Animals

Treating Cocaine Withdrawal at Landmark Recovery

If you or someone you care about struggle with cocaine use, Landmark Recovery offers comprehensive treatment programs to help manage dependence and address root social or mental causes that could lead to health complications like addiction. Our recovery services include the following:

Each program is tailored to meet personal needs. Our expert medical team is dedicated to guiding patients through their recovery journey in a supportive and understanding environment.

Our blog “The Effects of Cocaine” offers a detailed exploration of the impact of this potent drug.

Cocaine Addiction and Rehab: Myths and Realities

Misinformation about cocaine addiction and rehab can sometimes hinder people from seeking help. Here are some common myths and their corresponding realities:

Myth 1

  • Myth: Overcoming addiction is simply a matter of willpower.
  • Reality: Cocaine addiction alters the brain’s structure, making it a complex disease that requires professional treatment.

Myth 2

Find Cocaine Addiction Treatment Near You

At Landmark Recovery, we pride ourselves on comprehensive and compassionate medical care. We offer addiction treatment in multiple locations nationwide, including:

We’re committed to making it easier for you to find addiction treatment near your home. Contact our admissions team today if you or a loved one is struggling with addiction. Our Patient Navigators are available 24/7 on a confidential phone line (888-448-0302).

Related Reading

Our addiction recovery blog has a wealth of information to help you better understand drug addiction and rehabilitation. From the physical and mental effects of regular use to the benefits of professional treatment, these resources can provide valuable insights for anyone affected.

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About the Author

Demarco Moore

Demarco Moore

A graduate of Middle Tennessee State University, Demarco Moore currently writes blogs about drug addiction treatment and recovery to help save lives at treatment provider Landmark Recovery. Before that, he cut his teeth as a sports writer at the Manchester Times, where his coverage and stories won Tennessee Press Association awards in 2016 and 2017.

He’s always had a knack for storytelling. Moore’s written content for junior golf tournaments and helped to amplify the “People Not Profits” message of credit unions. When he’s not writing, Moore loves to travel, laugh and put his mental health into the hands of the Tennessee Titans during football season.