Crack cocaine

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Two grams of crack cocaine

Crack cocaine, commonly known simply as crack, and also known as rock, is a

addictive form of cocaine.[1]

Crack cocaine first saw widespread use as a

crystal meth, ballooned between 1994 and 2004.[3]

Physical and chemical properties

Purer forms of crack resemble off-white, jagged-edged "rocks" of a hard, brittle plastic, with a slightly higher density than candle wax.[4] Like cocaine in other forms, crack rock acts as a local anesthetic, numbing the tongue or mouth only where directly placed. Purer forms of crack will sink in water or melt at the edges when near a flame (crack vaporizes at 90 °C, 194 °F).[1]

Crack cocaine sold on the streets may be

toxic adulterants such as levamisole,[5] a drug used to treat parasitic worm infections, has been documented.[6]

Synthesis

baking soda, a commonly used base in making crack, a metal spoon, a tealight
, and a cigarette lighter. The spoon is held over the heat source to "cook" the cocaine into crack.

Sodium bicarbonate (NaHCO3, common baking soda) is a base used in the preparation of crack, although other weak bases may substitute for it.[7][8] The net reaction when using sodium bicarbonate is

Coc-H+Cl + NaHCO3 → Coc + H2O + CO2 + NaCl

With ammonium bicarbonate:

Coc-H+Cl + NH4HCO3 → Coc + NH4Cl + CO2 + H2O

With ammonium carbonate:

2(Coc-H+Cl) + (NH4)2CO3 → 2 Coc + 2 NH4Cl + CO2 + H2O

Crack cocaine is frequently purchased already in rock form,[4] although it is not uncommon for some users to "wash up" or "cook" powder cocaine into crack themselves. This process is frequently done with baking soda (sodium bicarbonate), water, and a spoon. Once mixed and heated, the bicarbonate reacts with the hydrochloride of the powder cocaine, forming free base cocaine and carbonic acid (H2CO3) in a reversible acid-base reaction. The heating accelerates the degradation of carbonic acid into carbon dioxide (CO2) and water. Loss of CO2 prevents the reaction from reversing back to cocaine hydrochloride. Free base cocaine separates as an oily layer, floating on the top of the now leftover aqueous phase. It is at this point that the oil is picked up rapidly, usually with a pin or long thin object. This pulls the oil up and spins it, allowing air to set and dry the oil, and allows the maker to roll the oil into the rock-like shape.

A close up of the "cooking" process that creates crack

Crack vaporizes near temperature 90 °C (194 °F),[1] much lower than the cocaine hydrochloride melting point of 190 °C (374 °F).[1] Whereas cocaine hydrochloride cannot be smoked (burns with no effect),[1] crack cocaine when smoked allows for quick absorption into the blood stream, and reaches the brain in eight seconds.[1]

Crack cocaine can also be injected intravenously with the same effect as powder cocaine. However, whereas powder cocaine dissolves in water, crack must be dissolved in an acidic solution such as lemon juice (containing

ascorbic acid (Vitamin C) for this purpose.[10]

Recreational use

A woman smoking crack cocaine in San Francisco, CA in December 2005

Crack cocaine is commonly used as a recreational drug. Effects of crack cocaine include

euphoria,[11] supreme confidence,[12] loss of appetite,[11] insomnia,[11] alertness,[11] increased energy,[11] a craving for more cocaine,[12]
and potential paranoia (ending after use).[11][13] Its initial effect is to release a large amount of dopamine,[4] a brain chemical inducing feelings of euphoria. The high usually lasts from five to ten minutes,[4][11] after which time dopamine levels in the brain plummet, leaving the user feeling depressed and low.[4] When (powder) cocaine is dissolved and injected, the absorption into the bloodstream is at least as rapid as the absorption of the drug which occurs when crack cocaine is smoked,[11] and similar euphoria may be experienced.

Adverse effects

Physiological

Main physiological effects of crack cocaine

The short-term physiological effects of cocaine include[11] constricted blood vessels, dilated pupils, and increased temperature, heart rate, and blood pressure. Some users of cocaine report feelings of restlessness, irritability, and anxiety. In rare instances, sudden death can occur on the first use of cocaine or unexpectedly thereafter. Cocaine-related deaths are often a result of cardiac arrest or seizures followed by respiratory arrest.[14]

Like other forms of cocaine, smoking crack can increase heart rate[15] and blood pressure, leading to long-term cardiovascular problems. Some research suggests that smoking crack or free base cocaine has additional health risks compared to other methods of taking cocaine. Many of these issues relate specifically to the release of methylecgonidine and its effect on the heart,[15] lungs,[16] and liver.[17]

Crack cocaine causes DNA damage in multiple organs of rats[22] and mice.[23]

Crack lung

In crack users, acute respiratory symptoms have been reported, sometimes termed "crack lung". Symptoms include fever,

diffuse alveolar hemorrhage, and eosinophil infiltration.[24]

Psychological

Stimulant drug abuse (particularly amphetamine and cocaine) can lead to delusional parasitosis (aka Ekbom's Syndrome: a mistaken belief they are infested with parasites).[25] For example, excessive cocaine use can lead to formication, nicknamed "cocaine bugs" or "coke bugs", where the affected people believe they have, or feel, parasites crawling under their skin[25] (similar delusions may also be associated with high fever or in connection with alcohol withdrawal, sometimes accompanied by visual hallucinations of insects—see delirium tremens).[25]

People experiencing these hallucinations might scratch themselves to the extent of serious skin damage and bleeding, especially when they are delirious.[13][25]

Paranoia and anxiety are among the most common psychological symptoms of crack cocaine use. Psychosis is more closely associated with smoking crack cocaine than intranasal and intravenous use.[26]

Pregnancy and nursing

Crack baby is a term for a child born to a mother who used crack cocaine during her pregnancy. The threat that cocaine use during pregnancy poses to the fetus is now considered exaggerated.[27] Studies show that prenatal cocaine exposure (independent of other effects such as, for example, alcohol, tobacco, or physical environment) has no appreciable effect on childhood growth and development.[28] However, the official opinion of the National Institute on Drug Abuse of the United States warns about health risks while cautioning against stereotyping:

Many recall that "crack babies", or babies born to mothers who used crack cocaine while pregnant, were at one time written off by many as a lost generation. They were predicted to suffer from severe, irreversible damage, including reduced intelligence and social skills. It was later found that this was a gross exaggeration. However, the fact that most of these children appear normal should not be over-interpreted as indicating that there is no cause for concern. Using sophisticated technologies, scientists are now finding that exposure to cocaine during fetal development may lead to subtle, yet significant, later deficits in some children, including deficits in some aspects of cognitive performance, information-processing, and attention to tasks—abilities that are important for success in school.[29]

There are also warnings about the threat of breastfeeding: The March of Dimes said "it is likely that cocaine will reach the baby through breast milk," and advises the following regarding cocaine use during pregnancy:

Cocaine use during pregnancy can affect a pregnant woman and her unborn baby in many ways. During the early months of pregnancy, it may increase the risk of miscarriage. Later in pregnancy, it can trigger preterm labor (labor that occurs before 37 weeks of pregnancy) or cause the baby to grow poorly. As a result, cocaine-exposed babies are more likely than unexposed babies to be born with low birth weight (less than 5.5 lb or 2.5 kg). Low-birthweight babies are 20 times more likely to die in their first month of life than normal-weight babies, and face an increased risk of lifelong disabilities such as mental retardation and cerebral palsy. Cocaine-exposed babies also tend to have smaller heads, which generally reflect smaller brains. Some studies suggest that cocaine-exposed babies are at increased risk of birth defects, including urinary tract defects and, possibly, heart defects. Cocaine also may cause an unborn baby to have a stroke, irreversible brain damage, or a heart attack.[30]

Reinforcement disorders

Tolerance

An appreciable tolerance to cocaine's high may develop, with many addicts reporting that they seek but fail to achieve as much pleasure as they did from their first experience.

drug sensitization) to cocaine's local anesthetic (painkilling) and convulsant (seizure-inducing) effects, without increasing the dose taken; this increased sensitivity may explain some deaths occurring after apparent low doses of cocaine.[11]

Addiction

Crack cocaine is popularly thought to be the most addictive form of cocaine.[1] However, this claim has been contested: Morgan and Zimmer wrote that available data indicated that "smoking cocaine by itself does not increase markedly the likelihood of dependence ... The claim that cocaine is much more addictive when smoked must be reexamined."[31] They argued that cocaine users who are already prone to abuse are most likely to "move toward a more efficient mode of ingestion" (that is, smoking).

The intense desire to recapture the initial high is what is so addictive for many users.[4] On the other hand, Reinarman et al. wrote that the nature of crack addiction depends on the social context in which it is used and the psychological characteristics of users, pointing out that many heavy crack users can go for days or weeks without using the drug.[32]

Overdose

A typical response among users is to have another hit of the drug; however, the levels of dopamine in the brain take a long time to replenish themselves, and each hit taken in rapid succession leads to progressively less intense highs.[4] Nonetheless, a person might binge for 3 or more days without sleep, while inhaling hits from a pipe.[13]

Use of cocaine in a binge, during which the drug is taken repeatedly and at increasingly high doses, leads to a state of increasing irritability, restlessness, and paranoia.[11] This may result in full-blown paranoid psychosis, in which the individual loses touch with reality and experiences auditory hallucinations.[11]

Large amounts of crack cocaine (several hundred milligrams or more) intensify the user's high, but may also lead to bizarre, erratic, and violent behavior.

vertigo, muscle twitches, paranoia, or, with repeated doses, a toxic reaction closely resembling amphetamine poisoning.[11]

Society and culture

Synonyms

Synonyms used to refer to crack cocaine include atari; base; bazooka; beamers; beemers; bebe; bee-bee; berry; bing; bolo; bomb; boulder; boulders; butter; caine; cane; Casper; Casper the ghost; cavvy; chemical; chewies; cloud; cloud nine; crills; crunch and munch; dip; famous dimes; fan; fish scale; fries; fry; glo; golfball; gravel; grit; hail; hamburger helper; hard; hubba; ice cube; kangaroo; kibbles and bits; kibbles; krills; lightem; paste; patico; pebbles; pee wee; pony; raw; ready; ready rocks; redi rocks; roca; rock; rooster; rox; Roxanne; scud; Scotty; scramble; scruples; seven-up; sleet; snowballs; stones; teeth; tension; top gun; tweak; ultimate; wash; white cloud; work; yahoo; yale; yay; yayoo; yeah-O; yeyo; yeo; and yuck.[33]

Drug combinations

Crack cocaine may be

marijuana ("buddha"; "caviar"; "chronic"; "cocoa puffs"; "fry daddy"; "gimmie"; "gremmie"; "juice"; "primo"; "torpedo"; "turbo"; "woolie"; "woola"); heroin ("moon rock"); and phencyclidine ("clicker"; "p-funk"; "spacebase").[33]

Consumption

Crack smoking ("hitting the pipe"; "puffing"; "beaming up (to Scotty)") is commonly performed with utensils such as pipes ("bowl"; "devil's dick"; "glass dick"; "horn"; "Uzi"); improvised pipes made from a plastic bottle ("Masarati"); water pipes ("bong"; "hubbly-bubbly"); and laboratory pipettes ("demo").[33]

Legal status

U.S. Food and Drug Administration
anti-crack poster

Cocaine is listed as a Schedule I drug in the United Nations 1961 Single Convention on Narcotic Drugs, making it illegal for non-state-sanctioned production, manufacture, export, import, distribution, trade, use and possession.[34] In most states (except in the United States) crack falls under the same category as cocaine.

Australia

In Australia, crack falls under the same category as cocaine, which is listed as a Schedule 8 controlled drug, indicating that any substances and preparations for therapeutic use under this category have a high potential for abuse and addiction. It is permitted for some medical use but is otherwise outlawed.

Canada

As a

summary conviction
on possession carries a $1000–2000 fine and/or six months to a year imprisonment.

United States

In the United States, cocaine is a Schedule II drug under the Controlled Substances Act, indicating that it has a high abuse potential but also carries a medicinal purpose.[35][36] Under the Controlled Substances Act, crack and cocaine are considered the same drug.

The

mandatory minimum sentence of five years without parole for possession of five grams of crack; to receive the same sentence with powder cocaine one had to have 500 grams.[37] This sentencing disparity was reduced from 100-to-1 to 18-to-1 by the Fair Sentencing Act
of 2010.

Europe

In the United Kingdom, crack is a

Class A drug under the Misuse of Drugs Act 1971. In the Netherlands it is a List 1 drug of the Opium Law
.

Political scandals

filmed smoking crack while he was in office. Marion Barry, Mayor of Washington D.C., was filmed smoking crack in 1990 in a sting operation.[38]

See also

References

  1. ^ . It is the most addictive form of cocaine
  2. .
  3. ^ "Methamphetamine: The Drug Epidemic of the 90's; Problems and Solutions". Office of Justice Programs. Archived from the original on 2021-08-08. Retrieved 2021-08-08.
  4. ^ a b c d e f g Arias, Jeremy (July 2008). "Crack rocks offer a short but intense high to smokers". A.M. Costa Rica.
  5. PMID 19303517
    . Retrieved August 18, 2009.
  6. ^ Moisse, Katie (June 22, 2011). "Cocaine Laced With Veterinary Drug Levamisole Eats Away at Flesh". ABC News. Retrieved 10 July 2020.
  7. PMID 17551070
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  8. ^ "Cocaine Abuse & Addiction". City of New York.
  9. S2CID 56725689
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  10. .
  11. ^ a b c d e f g h i j k l m n o "DEA, Drug Information, Cocaine", United States DOJ Drug Enforcement Administration, 2008, webpage: DEA-cocaine Archived 2008-06-22 at the Wayback Machine. Public Domain This article incorporates text from this source, which is in the public domain.
  12. ^ .
  13. ^ a b c "Life or Meth – CRACK OF THE 90'S", Salt Lake City Police Department, Utah, 2008, PDF file: Methlife-PDF Archived October 31, 2007, at the Wayback Machine.
  14. ^ "Cocaine Research Report: What are the short-term effects of cocaine use?". National Institute on Drug Abuse. National Institutes of Health. May 2016. Retrieved 12 March 2023.Public Domain This article incorporates text from this source, which is in the public domain.
  15. ^
    S2CID 15619796. Archived from the original
    (PDF) on 2019-03-03.
  16. .
  17. .
  18. ^ Cole, Claire; Jones, Lisa; McVeigh, Jim; Kicman, Andrew; Syed, Qutub; Belis, Mark A. (2010). Cut: A Guide to Adulterants, Bulking Agents and other Contaminants found in Illicit Drugs. Centre for Public Health, Liverpool John Moores University. pp. 6–25.
  19. .
  20. .
  21. ^ a b Lengel, Allan (April 5, 2006). "A Rose With Another Name: Crack Pipe". The Washington Post. Retrieved May 28, 2017.
  22. S2CID 34132872
    .
  23. .
  24. ^ .
  25. ^ a b c d "Delusional Parasitosis", The Bohart Museum of Entomology, 2005, webpage: UCDavis-delusional[permanent dead link].
  26. PMID 15014683
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  27. ^ Okie, Susan (2009-01-27). "The Epidemic That Wasn't". The New York Times.
  28. PMID 11268270
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  29. ^ NIDA – Research Report Series – Cocaine Abuse and Addiction Archived September 26, 2007, at the Wayback Machine
  30. ^ "Street Drugs and pregnancy". March of Dimes. Retrieved 2009-05-26.[permanent dead link]
  31. ^ Morgan, John P.; Zimmer, Lynn (1997). "Social Pharmacology of Smokeable Cocaine". In Reinarman, Craig; Levine, Harry G. (eds.). Crack in America: Demon Drugs and Social Justice. Berkeley, Ca.: University of California Press.
  32. ^ Reinarman, Craig; Waldorf, Dan; Murphy, Sheigla B.; Levine, Harry G. (1997). "The Contingent Call of the Pipe: Bingeing and Addiction Among Heavy Cocaine Smokers". In Reinarman, Craig; Levine, Harry G. (eds.). Crack in America: Demon Drugs and Social Justice. Berkeley, Ca.: University of California Press.
  33. ^
  34. ^ "Single Convention on Narcotic Drugs, 1961" (PDF). International Narcotics Control Board. Archived from the original (PDF) on 2008-05-09. Retrieved 2008-05-01.
  35. ^ "DEA, Title 21, Section 812". Usdoj.gov. Archived from the original on 2008-08-22. Retrieved 2008-09-05.
  36. ^ 21 U.S.C. § 812(b)(2) Retrieved 2008-05-01.
  37. ^ Sterling, Eric. "Drug Laws and Snitching: A Primer". PBS. Retrieved 20 May 2013.
  38. ^ LaFraniere, Sharon (January 19, 1990). "Barry Arrested on Cocaine Charges in Undercover FBI, Police Operation". The Washington Post. p. A1.

Further reading

External links