I see the TL is ready for this thread

I& #39;ll do a short medical thread over the weekend https://twitter.com/sindivanzyl/status/947971872653791233">https://twitter.com/sindivanz...
What is #cocaine ?

• potent stimulant made from the leaves of the coca plant which is native to South America - mostly grown in Bolivia, Colombia, and Peru

Nicknames: coke, blow, snow, powder
What does #cocaine look like?

• fine, white powder

• snorted, rubbed on gums, dissolved and injected into the body
What does #cocaine look like?

• rocks known as crack cocaine

• made by "cooking" cocaine powder with baking powder

• heated up and smoked

• very potent
What does #cocaine look like?

• freebase coke

• cocaine powder dissolved in water + base product + solvent

• very potent

• declined in use over the years
How does #cocaine work?

#dopamine is one of four brain chemicals that are responsible for our happiness

#dopamine helps to regulate movement, attention, learning, and emotional responses
How does #cocaine work?

#dopamine enables us to see rewards

#dopamine motivates us to take action in achieving happiness

Cocaine works by INCREASING the levels of dopamine in the brain

Cocaine FLOODS your brain with dopamine

So you& #39;re happy happy happy
What is the problem with the #cocaine happy?

• it is short-lived

• eventually you need stronger and more frequent doses to achieve the same high

• this leads to addiction and sadly sometimes overdose
What are the short-term effects of #cocaine on the body?

• extreme happiness

• lots of energy

• mental alertness

• you do everything quicker

HOWEVER the effects are short-lived hence you need more cocaine to "maintain" the effects ----> ADDICTION
What are the other effects of #cocaine on the body?

• depression as you come down from the #dopamine high

• loss of appetite leading to weight loss

• disturbed sleeping patterns

• irritability

• anxiety

• paranoia

• psychosis

• tactile hallucinations
#Cocaine also does the following:

• increases your heart rate

• raises your blood pressure

• raises your body temperature

• contracts your blood vessels

• increases your breathing rate

• reduces your decision-making ability
#Cocaine use places your life in danger because of the risk of overdose

Why?

Drug dealers "cut" cocaine to make a larger batch

Cutting = adding anything that comes in a white powder form e.g. laundry detergent

You take more cocaine to achieve the dopamine high ---> overdose
Some dealers cut #cocaine with other stimulants

Again, your life is in danger because of the risk of overdose
What do #cocaine users look like?

Like me and you

Many of the signs and symptoms of cocaine use can be hidden well and missed by others

Who doesn& #39;t want to be on call with an energetic doctor? Who doesn& #39;t want to work with an enthusiastic banker?
What about "functional" #cocaine use?

Unless your #dopamine neurotransmitters are special and different from everyone else& #39;s, you are going to walk the walk to addiction
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