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Cocaine Poisoning

Cocaine Poisoning is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Sympathomimetic
  • Inhibits neurotransmitter reuptake at the nerve terminal
  • Metabolism:
    • Hepatic degradation
    • Nonenzymatic hydrolysis
    • Cholinesterase metabolism

Etiology

  • IV, nasal, oral administration of cocaine
  • Oral ingestion:
    • Body stuffers:
      • Ingest hastily wrapped packets in attempt to evade police.
    • Body packers:
      • Ingest cocaine packets to smuggle the drug using couriers’ oral, rectal, and vaginal cavities.
      • Cocaine is wrapped carefully in packets containing large amounts of drug.

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Citation

Rosen, Peter, et al., editors. "Cocaine Poisoning." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307379/all/Cocaine_Poisoning.
Cocaine Poisoning. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307379/all/Cocaine_Poisoning. Accessed April 25, 2019.
Cocaine Poisoning. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307379/all/Cocaine_Poisoning
Cocaine Poisoning [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 25]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307379/all/Cocaine_Poisoning.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Cocaine Poisoning ID - 307379 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307379/all/Cocaine_Poisoning PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -