Updated on November 5, 2024
5 min read

How Long Does Cocaine Stay in Your System?

Key Takeaways

  • Cocaine stays in the system for 1 to 4 days, usually longer for heavy users.
  • Metabolism, weight, and usage frequency affect cocaine’s presence in the body.
  • Cocaine leads to short-term euphoria and potential long-term health problems.
  • Treatment includes rehab, therapy, and support groups for recovery from addiction.

How Long Does Cocaine Stay in Your Urine?

Cocaine typically stays in your urine for three to four days. But, it can be detected for up to a couple of weeks for heavy users. Meanwhile, cocaine’s metabolites will show up in urine 3 to 6 hours after last use.

Cocaine’s main metabolite in urine is benzoylecgonine, followed by ecgonine methyl ester. Benzoylecgonine is typically used in drug testing because it has a urine concentration 50 to 100 times greater than the concentration of cocaine.

Other Ways Cocaine is Detected in the Body

Here’s a breakdown of how long cocaine can stay in your system using different drug tests:

  • Blood: Cocaine and its metabolites usually show in a blood test for up to 2 days after the last use.
  • Hair: Hair testing can demonstrate cocaine abuse from months up to years after the last use.
  • Saliva: A saliva test will show traces of cocaine for up to 2 days following the last use.
How Long Does Cocaine Stay in Your System
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Factors that Affect How Long Cocaine Stays In Your Urine

The half-life of cocaine is approximately 1 hour. This means that after an hour, approximately half of the cocaine in the body’s bloodstream has been eliminated. However, heavy or long-term use can cause longer elimination times.

The method of cocaine use affects how quickly the substance reaches the brain. However, it doesn’t affect how long cocaine remains in your urine or overall system.

Various other factors can influence the amount of time cocaine stays in someone’s body. These include:

  • Metabolism
  • Weight
  • Dose
  • Frequency of use
  • Urine pH
  • Concentration of urine
  • Kidney or liver impairment
  • Drinking alcohol

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What are the Side Effects of Cocaine Use?

Cocaine is a quick-acting central nervous system stimulant drug. It gives users an intense yet short euphoric high that lasts between a few minutes to an hour, depending on how it’s taken.

For example, injecting or smoking cocaine gives users a rush, followed by a high. Other methods of taking cocaine just provide a high. The speed of onset of cocaine’s effects, along with the duration of the high, depends on the method of use:

  • Snorting cocaine: Produces effects within 3 to 5 minutes. These feelings usually persist for up to 30 minutes.
  • Smoking cocaine: Produces effects within 5 to 10 seconds. They continue for up to 10 minutes. 
  • Injecting cocaine: Leads to effects experienced within 5 to 10 seconds. These last for up to 20 minutes.
  • Oral ingestion: Side effects can be felt within ten to 30 minutes and persist for longer periods of up to 90 minutes.

It’s common for people to use the stimulant drug repeatedly in short timeframes to maintain the high. This is known as a binge, often concluding with an unpleasant crash. In some cases, users may continue using cocaine to stop the crash.

What are Cocaine’s Long-Term Effects?

Repeated cocaine substance use can lead to various health conditions and long-term effects. These include an increased tolerance to the drug and addiction.

Other long-term side effects include:

  • Increased risk of stroke and seizures
  • Inflammation of the heart muscle
  • The reduced capability of the heart to contract
  • Aortic ruptures
  • Increased risk of Parkinson’s disease
  • Malnourishment 
  • Weight loss
  • Loss of sense of smell
  • Nosebleeds
  • Difficulty swallowing
  • Chronic inflamed and runny nose
  • Increased risk of HIV and hepatitis
  • Worsening of asthma

Cocaine Addiction Treatment Options

Deciding to seek treatment for cocaine addiction is the first and most crucial step toward recovery. Once someone admits to struggling with cocaine substance abuse, the only way to go is forward.

Cocaine addiction is a complex disease, so treatment must address the illness alongside other co-occurring mental health disorders. If you or a loved one are experiencing cocaine addiction, there are several treatment options to overcome the disorder.

Rehabilitation

Rehabilitation for cocaine addiction usually involves detox and therapy at an inpatient program. These offer a supportive environment where people experiencing cocaine addiction can recover and won’t be tempted to use it. 

These programs also help people learn how to live a healthy and fulfilled life without relying on cocaine. Most rehabilitation treatments last between 30 to 90 days. However, they can last longer, depending on the patient’s needs. 

A typical rehab program may include a combination of:

  • Cocaine detox
  • Mental health therapy
  • Equine counseling 
  • Art therapy
  • Holistic therapies
  • Cognitive-behavioral therapy
  • Dialectical behavioral therapy
  • Support groups
  • Relapse prevention
  • Aftercare planning

Support Groups

Once former cocaine users leave therapy, they can have a support system to avoid relapse. Consistent participation in support groups helps recovering cocaine users connect with other people who face similar challenges and share experiences.

Support groups can provide a safe, understanding, and empathetic environment to help people cope with their struggles. You can also help others who are recovering from addiction.

Some support groups are designed for recovering cocaine users. These include Narcotics Anonymous and Cocaine Anonymous. These organizations are located throughout the United States and offer 12-step plans to help cocaine users achieve long-term sobriety.

Cognitive Behavioral Therapy

Cognitive-behavioral therapy is a treatment for cocaine abusers that can be taken at rehabilitation or separately. Therapy is a common way to support people with various addictions.

Therapists teach patients how to recognize and understand harmful thoughts about themselves that may lead to a relapse. Patients also learn how to resist using cocaine again.

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Updated on November 5, 2024
6 sources cited
Updated on November 5, 2024
  1. NSDUH Annual National Report, National Survey on Drug Use and Health.” Substance Abuse and Mental Health Services Administration, 2020.
  2. Roque et al. “On Behalf Of The Oemonom Researchers. Cocaine: An Updated Overview on Chemistry, Detection, Biokinetics, and Pharmacotoxicological Aspects including Abuse Pattern.” Toxins (Basel), 2022.
  3. Schwartz et al. “Cocaine Use Disorder (CUD): Current Clinical Perspectives.” Subst Abuse Rehabil, 2022.
  4. NIDA. “What are the long-term effects of cocaine use?” National Institute on Drug Abuse, 2020.
  5. American College of Medical Toxicology. “Interpretation of urine analysis for cocaine metabolites.” Journal of medical toxicology: official journal of the American College of Medical Toxicology, 2015.
  6. Cocaine Drug Facts.” National Institute on Drug Abuse, 2020. 

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