When people use cocaine, they are usually seeking the effects of euphoria, increased energy and decreased need for sleep. However, they also tend to disregard the potential risks. Cocaine has the ability to negatively impact numerous aspects of a person’s life and well-being.

Physically, cocaine use can have dangerous side effects, such as cardiac issues and severe weight loss. Cocaine use can also create many negative consequences mentally, including the possibility of cocaine psychosis.

What Is Cocaine-Induced Psychosis?

With both short- and long-term use, cocaine wreaks havoc on the body. Possible cocaine side effects include:

  • Cocaine Side Effects

    Improved mood

    High energy

    Hypersensitivity to light, sound, and touch

    Increased body temperature

    Higher blood pressure




Though these effects have a negative impact on the individual, cocaine-induced psychosis can harm the person using the drug as well as those around them.

Psychosis is a term used to describe a situation where a person is removed from reality. During a period of psychosis, the person’s thoughts, feelings, and behaviors are no longer matching up with the world around them. In a psychotic state, the person is sure that their perceptions are entirely accurate. In truth, their perspectives can be dangerously far from reality.

Cocaine psychosis may occur in more than 50% of people who use this drug. Other stimulants, such as methamphetamine and medications used for attention-deficit/hyperactivity disorder (ADHD), may produce psychosis as well. This occurs because people addicted to stimulants like cocaine commonly binge on the drug by consuming very large amounts over a period of hours or days. This binging period can cause cocaine psychosis.

See Related: Alcohol-induced schizophrenia

Cocaine Psychosis Symptoms

People will experience a range of uncomfortable and dangerous symptoms during a period of psychosis. Some of the most common cocaine psychosis symptoms include:

  • Cocaine Paranoia

    Paranoia and an extreme sense of suspiciousness are some of the first symptoms linked to cocaine-induced psychosis. In this state, people begin to mistrust the people around them and their surroundings. They may become suspicious of loved ones, law enforcement or government agencies. These symptoms are not rare, with as many as 84% of users reporting cocaine-induced paranoia.

  • Cocaine Delusions

    As paranoia increases, people may develop delusions. These are unrealistic thoughts and beliefs a person experiences about themselves and the world around them. For example, delusions may involve someone thinking the police are conspiring against them or that they are an incredibly gifted genius.

  • Cocaine hallucination

    Someone with cocaine psychosis will likely experience flawed sensory perceptions called hallucinations. Hallucinations can make people think that they are seeing, hearing, touching, smelling or tasting something that is not there. The most common form of cocaine hallucination is auditory, which means hearing something that is not present.

  • Violence

    As the person is confused and paranoid, there is a higher risk of distress and agitation. People may be in danger of causing harm to themselves or others around them. In the worst situations, someone experiencing a stimulant-induced psychosis could kill.

The cocaine psychosis symptoms will vary from person to person, but the danger is always present. People thinking about using the substance must know the risks.

How Long Does Stimulant Psychosis Last?

There is no set timeline for the length of stimulant psychosis. When someone is experiencing a cocaine psychosis, they could feel the effects as long as they are intoxicated.

Several factors dictate how long the intoxication will last, including:

  • Intoxication Length Factors

    The type of drug consumed

    The dose or amount used

    The route of administration (snorted, injected or smoked)

    The person’s tolerance to the substance

    Alcohol or other drugs being used in combination

Generally, someone smoking a small dose of crack cocaine will have an intense intoxication. However, this effect won’t last as long as the effects caused by snorting large amounts of powder cocaine. This difference is due to the drug’s ability to get into the blood and brain quicker when smoked.

Most of the time, cocaine psychosis effects end a few hours or days after the last use. People must practice caution, though, because these unwanted symptoms can last for a month in some cases.

Cocaine and other stimulants are problematic drugs known to create many troublesome effects. If you are struggling to manage the consequences of cocaine use, it might be time for professional treatment. The experts at The Recovery Village Palm Beach at Baptist Health are able to identify and treat substance use disorders as well as other co-occurring mental health conditions. Contact us today to learn more about treatment programs that can work well for you.

Medical Disclaimer: The Recovery Village Palm Beach at Baptist Health aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.