Primary symptoms may include:

• Agitation and restless behavior
• Depressed mood
• Fatigue
• Generalized malaise
• Increased appetite
• Vivid and unpleasant dreams
• Slowing of activity

The craving and depression can last for months following cessation of long-term heavy use (particularly daily). Withdrawal symptoms may also be associated with suicidal thoughts in some people.

During withdrawal, there can be powerful, intense cravings for cocaine. However, the "high" associated with ongoing use becomes less and less pleasant, and can produce fear and extreme suspicion rather than joy (euphoria). Just the same, the cravings may remain powerful.

A physical examination and history of cocaine use are sufficient to diagnose this condition.

A toxicology (poison) screen may be performed to see if other drugs may have been taken.

Review Date: 06/17/2011
Reviewed By: Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)