sofidexFor patientsAre you a clinician? Clinical site
Ask Sofi
Listen
Patient SupportEmergencies & Reporting
Log inSign up

Warning-sign checks

Cocaine withdrawal: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Urgent or emergency care is appropriate for suicidal intent, severe confusion, hallucinations, chest pain, seizures, stroke symptoms, breathing problems, or suspected overdose.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the treatment team sooner if cravings increase, cocaine use resumes, medications cause concerns, or depression and anxiety are worsening.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up is useful even when the early crash has passed.

    Recovery often involves changing symptoms, cravings, and needs rather than steady improvement every day.

    Routine visits may focus on sleep, mood, cravings, physical health, treatment goals, and practical barriers such as transportation or housing.

    Clinicians may also screen for infections, heart problems, dental concerns, or other effects linked to the route and pattern of use.

    Follow-up should be adjusted over time rather than ended solely because withdrawal symptoms have improved.

The article also says

A written plan can identify personal triggers, supportive contacts, coping steps, treatment services, and what to do during a crisis.

Every sign above is quoted from the sofidex article on Cocaine withdrawal. If you are not sure, err upward — it is always reasonable to be checked.