Addiction Drug Use Cocaine How Long Does Withdrawal From Cocaine Last? By Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. Learn about our editorial process Updated on September 19, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print DedMityay / Getty Images Table of Contents View All Table of Contents Overview Signs & Symptoms Coping Warnings Treatment Cocaine is a highly addictive stimulant drug. While it is sometimes used recreationally, it is illegal in the United States. The National Institute on Drug Abuse (NIDA) reports that nearly 15% of adults in the U.S. have used cocaine at least once during their lifetime. Regular use of cocaine can lead to physical dependence, which means that people will experience symptoms of withdrawal once they stop taking the drug. Here is what you can expect if you stop taking cocaine and go into cocaine withdrawal. Overview How Long Will Symptoms Last? It is important to remember that the effects of withdrawal, although intense, are not permanent. The initial "crash" of cocaine withdrawal can vary in time and intensity and can last from hours to days. Some users experience weeks or months of withdrawal symptoms, known as post-acute withdrawal syndrome (PAWS). If you have become dependent or addicted to cocaine, you are likely to experience some withdrawal symptoms when you quit, and these symptoms can become more severe after heavy use. One way of understanding why cocaine users experience withdrawal is that it's like taking out a loan of some good feelings while you are high, but then when it is time to repay the debt of those same feelings, you feel much worse during the "crash" of withdrawal. This is called a rebound effect and is part of your body’s way of maintaining homeostasis. What to Know About Cocaine Use Signs & Symptoms of Cocaine Withdrawal Everyone’s experience with cocaine withdrawal is different, but there are certain common symptoms that are typical of the withdrawal experience. Cocaine Cravings Most people who are withdrawing from cocaine feel a strong desire to take more cocaine. These feelings are known as cravings and are common among people withdrawing from many addictive substances. Cravings are driven by the wish to reduce the symptoms of cocaine withdrawal as well as the desire to re-experience the pleasure of the cocaine high. How to Cope With Withdrawal Cravings Mood Changes Feeling depressed, anxious, or irritable is a normal part of cocaine withdrawal. 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. In addition to the exhaustion that you naturally feel after the stimulating effects of cocaine, you may have tired yourself out through lack of sleep and energetic activity while you were high on cocaine. Cocaine can mask the discomfort that you usually feel when you are overactive. This will worsen the feelings of tiredness as the effects of cocaine wear off. Sleep Problems One of the frustrations that people can have during cocaine withdrawal is difficulty sleeping. Despite the tiredness, 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. However, it is important to support your recovery through eating a healthy diet, and small, manageable amounts, rather than bingeing. 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. How Long Does Cocaine Stay In Your System? Coping With Cocaine Withdrawal While there are no FDA-approved medications to help reduce the effects of cocaine withdrawal, there are self-care strategies you can use to find some relief. Detox from the drug. This is a process that can vary depending on how much and how long you have been taking the drug. Compared to some other types of drugs, the cocaine detox process is relatively short, but it can often be intense. Seek social support. The most important thing to do during this time is to get support from people who understand what you are going through, whether that includes loved ones or medical professionals.Practice regular self-care. As you are going through the detox and withdrawal process, focus on taking care of yourself physically and mentally. Healthy habits like getting regular exercise, eating nutritious food, and getting enough sleep can be a good jump-start toward feeling better. How Exercise Can Help You Beat an Addiction Warnings Detoxing on your own at home can present risks if your withdrawal symptoms become severe. While cocaine withdrawal is generally safe, medically-supervised detox may sometimes be necessary. Side effects of withdrawal can sometimes result in severe depression, paranoia, psychosis, or suicidal thoughts. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database. People who are experiencing severe cocaine withdrawal symptoms need inpatient treatment or hospitalization as they go through the detox process. Remember that you do not need to go through this alone. Talk to your healthcare provider if you feel that you need extra support during this time either through residential or outpatient treatment. Addiction professionals can offer evidence-based treatment options that will help you develop to overcome drug cravings and prevent future relapses. Long-Term Treatment for Cocaine Withdrawal While the first phase of cocaine withdrawal, often referred to as "the crash," typically passes within a few days, people usually continue to experience withdrawal symptoms that include cravings, irritability, and low energy levels for several weeks. Because cocaine use can create lasting changes in the brain, addiction can be hard to treat and relapses can happen. Long-term treatment for cocaine addiction usually focuses on individual counseling that incorporates behavioral therapy. People learn new skills that will help them fight drug cravings and change underlying thoughts and behaviors that might contribute to drug use. Contingency Management Contingency management is one treatment option that utilizes motivational incentives to encourage people to abstain from drugs such as cocaine. In exchange for clean drug tests, people can earn vouchers that can be used for items that help encourage healthy choices (such as gym memberships, dinners at local restaurants, etc.). This approach can be particularly effective during the initial phases of treatment to help encourage drug abstinence. Cognitive-Behavioral therapy (CBT) Particularly when used in conjunction with other treatments, CBT can be effective for supporting long-term abstinence and relapse prevention. Research suggests that the severity of cocaine dependence as well as the frequency of recent use play a role in determining treatment success. Chronic, heavy, and recent use may make recovery more difficult. Resources Online and community-based recovery groups can also be helpful during cocaine withdrawal and addiction treatment. Cocaine Anonymous is one such group that utilizes a 12-step approach to achieving and maintaining abstinence over the long-term. Talk to your doctor if you need help going through cocaine withdrawal. You can also call the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 or use their online treatment locator to find treatment options in your area. A Word From Verywell Cocaine withdrawal can be difficult, but overcoming drug use is possible. Having a support system that includes friends, family, medical professionals, and treatment resources can help you cope with this challenging phase of your recovery. 4 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Institute on Drug Abuse. Cocaine. MedlinePlus. Cocaine withdrawal. National Institute on Drug Abuse. How Is Cocaine Addiction Treated? Ahmadi J, Kampman KM, Oslin DM, Pettinati HM, Dackis C, Sparkman T. Predictors of Treatment Outcome in Outpatient Cocaine and Alcohol Dependence Treatment. Am J Addict. 2009;18(1):81-86. doi:10.1080/10550490802545174 Additional Reading Ahmadi, J, Kampman, KM, Oslin, DM, Pettinati, HM, Dackis, C, and Sparkman, T. Predictors of treatment of outcome in outpatient cocaine and alcohol dependence treatment. Am J Addict. 2009; 18(1): 81-86. doi: 10.1080/10550490802545174. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: Author; 2013. 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. doi:10.1037/a0016469 By Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Get Treatment for Addiction Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.