Cocaine, also known as coke, is a strong stimulant mostly used as a recreational drug.[10] It is commonly snorted, inhaled as smoke, or dissolved and injected into a vein.[9] Mental effects may include loss of contact with reality, an intense feeling of happiness, or agitation.[9]Physical symptoms may include a fast heart rate, sweating, and large pupils.[9] High doses can result in very high blood pressure or body temperature.[11] Effects begin within seconds to minutes of use and last between five and ninety minutes.[9] Cocaine has a small number of accepted medical uses such as numbing and decreasing bleeding during nasal surgery.[12]

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