Symptoms indicating cocaine use may include nosebleeds, headache, fatigue, inability to sleep, anxiety, depression, chronic hoarseness, and restlessness. Signs and tests
A medical history of symptoms and history of cocaine use, if known, are important in the diagnosis by the health care provider.
An examination may include neurologic, motor, and sensory testing. Examination may show changes in vision or visual fields, changes in reflexes including abnormal reflexes or abnormal extent of "normal" reflexes, abnormal eye movements, muscle weakness, decreased sensation, and other changes.
Signs of other disorders associated with the use of cocaine may be present.
Urine or blood toxicology screen may be positive, confirming cocaine use.