User:Mr. Ibrahem/Cocaine use disorder

Cocaine use disorder (CUD) is cocaine use in a manner that results in significant impairment. This may involve taking more than was intended, ongoing desire to use, use resulting in work or school issues, and not stopping despite health problems from such use. Other symptoms may include those of cocaine intoxication, cocaine withdrawal, psychosis, and weight lose. Complications may include heart disease, HIV/AIDS, hepatitis C, muscle breakdown, and homelessness. Use is associated with anxiety disorders and depression.

Risk factors included adult ADHD, with 10% being affected, schizophrenia, antisocial personality disorder, other substance use disorders, and an unstable home environment. The severity can be divided into mild, moderate, and severe. Diagnosis may be supported by a urine drug screen, which may remains positive 3 days after a single use and 12 days after heavy use.

The evidence for specific treatments is limited. Efforts may include contingency management programs, which provides vouchers for avoiding use, and cognitive behavioral therapy. No medications have been approved for this use. Evidence for providing other stimulants is insufficient as of 2020.

About 19 million people used cocaine in 2018 (0.4% of adults). Use is most common in Australia, North America and Europe. About a million people in the United States have cocaine use disorder. In Uruguay 43% of people who used cocaine were considered to have cocaine use disorder. Young adults are most commonly affected. In the United States, in 2019, nearly 16,000 overdose deaths involved cocaine.