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Is Cocaine Coming Back? A Commentary.

Jane Carlisle Maxwell1

  • 1Addiction Research Institute, Steve Hicks School of Social Work, University of Texas at Austin, Austin, Texas, USA.

Substance Use & Misuse
|October 25, 2019
PubMed
Summary
This summary is machine-generated.

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Cocaine use is increasing, indicated by rising cultivation, treatment admissions, and overdose deaths. Targeted prevention and intervention are crucial due to the lack of medication-assisted treatment.

Area of Science:

  • Public Health
  • Epidemiology
  • Substance Abuse Treatment

Background:

  • Cocaine use and its associated harms are resurging.
  • There is an urgent need for effective intervention and treatment strategies.
  • Understanding current trends is vital for public health responses.

Purpose of the Study:

  • To present epidemiological data indicating an anticipated rise in cocaine use.
  • To analyze historical and current indicators of cocaine use trends.
  • To inform prevention and treatment efforts.

Main Methods:

  • Examined increases in cocaine cultivation acreage.
  • Analyzed trends in treatment admissions, laboratory identifications, poison center data, and overdose fatalities.
  • Compared demographic and clinical characteristics of current cocaine treatment seekers with those from 23 years prior.
Keywords:
Cocainecocaine puritycocaine treatmentcrackdependence

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Main Results:

  • Evidence suggests a potential resurgence of cocaine use.
  • Increases observed in cultivation, treatment admissions, toxicological findings, poison control cases, and overdose deaths.
  • Shifts in the characteristics of individuals seeking treatment for cocaine use disorders.

Conclusions:

  • Prevention and intervention programs require targeted approaches based on user characteristics.
  • The absence of FDA-approved medication-assisted treatment for cocaine necessitates a focus on non-pharmacological strategies.
  • Proactive measures are essential to avert a cocaine epidemic of the magnitude seen in the 1990s.