cocaine - Answers stimulant
- active chemical in the coca plant
- historically recognized as increasing strength and endurance while decreasing the need for food
- plant in the family Erythroxylaceae, native to north-western South America.
- plant plays a significant role in traditional Andean culture
- best known throughout the world because of its alkaloids, which include cocaine
- Simple and inexpensive processing of 500 kilograms of coca leaves yields 1 kilogram of cocaine
types: coca paste, cocaine hydrochloride, freebase, crack and rock
stimulants - Answers - Substances that excite the central nervous system
- Cocaine and amphetamine are restricted stimulants
- Caffeine and nicotine are readily available stimulants
History of Cocaine use - Answers - use began to increase again at the end of the 1960s
- Prior to 1985, major form available was cocaine hydrochloride (snorted)
> relatively expensive; use was associated with status, wealth, and fame
- Inexpensive crack ($5 to $10 a hit) is form of smokeable cocaine
> Smoked cocaine has a greater abuse potential than snorted
> Cocaine experience became available to anyone with $5 to $10
- Crack cocaine is perceived as cheaper but it is actually more expensive than powder cocaine
legal control of Cocaine - Answers - classified into Schedule I under the Controlled Drugs and
Substances Act
> Unlawful possession is subject to fines up to $1000 or imprisonment for up to six months or both for
a first offence
> penalties increase with multiple offences or trafficking
- United Nations Office on Drugs and Crime World Drug Report 2009
> Colombia remained the world's largest cultivator of coca bush, followed by Peru, and Bolivia
> Colombia primary source country for powder cocaine destined for the Canadian market
- U.S. Drug Enforcement Administration (DEA) agents assist local police in countries where the
product is formed in large amounts to deal with 'gorilla forces' (irregular war-fair tactics)
supplies of illicit cocaine in Canada - Answers 1. Mexico:
- role as a transit country for cocaine destined for Canada has increased
2. United States:
- remained primary transit country for cocaine destined for Canada
Ports of entry:
- largest proportion of cocaine smuggled into Canada via major ports of entry located in British
Columbia, Ontario, and Quebec.
Trends:
- increases in smuggling of cocaine in liquid form
- liquid cocaine concealed within bottles of alcohol or in hygiene/health products
forms of cocaine - Answers 1. Coca paste
- Crude extract created during the manufacture of cocaine
- Can be mixed with tobacco and smoked
2. Cocaine hydrochloride
- Most common form of pure cocaine
- Stable water-soluble salt
3. Freebase
- Prepared as a chemical base
- Can be heated and the vapors inhaled
4. Crack or rock
- Lumps of dried, smokeable cocaine
- Prepared by mixing cocaine with water and baking soda
coca wine - Answers - made by Angelo Mariani, French chemist
- coca leaf extract
- suck on a coca lozenge, drink coca tea, or obtain the coca leaf extract in any of a large number of
other products
, - used by Incas peoples for a thousand years and was used by Americans who drank early versions of
Coca-Cola
- extract of the coca leaf lifted their spirits, freed them from fatigue, and gave them a generally good
feeling
Cocaines Mechanism of Action - Answers - Effects on neurotransmitters in the mesocorticolimbic
dopamine system
> blocks the reuptake of dopamine, norepinephrine, and serotonin, causing a prolonged effect of
these neurotransmitters
- behavioural effects depend on an interaction of multiple neurotransmitters, including dopamine,
serotonin, GABA, and glutamate
- snorting: get very fine cocaine hydrochloride powder into the nasal passages and from there it is
absorbed quite rapidly and, through circulatory mechanisms reaches the brain rather quickly
- intravenous use of cocaine delivers a very high concentration to the brain, producing a rapid and
brief effect
- cocaine molecules are metabolized by enzymes in the blood and liver, and the activity of these
enzymes is variable from one person to another.
> 1 hr half life (very quick) and major metabolites have a half-life of 8 hour
Early uses of cocaine - Answers 1. Local Anaesthesia
> often in dentistry and eye surgery
2. Early Psychiatric Uses
> Sigmund Freud
> very small doses of it regularly against depression and against indigestion
> non-medical and quasi-medical use of cocaine was widespread at the start of the twentieth century
> treatment for morphine dependence (later opposed use of the drug after nursing a friend through
cocaine psychosis)
3. self-prescribed to overcome fatigue
> athletes and entertainers felt that they could not consistently perform at their peak without the
assistance of cocaine
4. religious ceremonies and as currency
> coca leaf was important part of inca culture
> Natives of the Andes chewed coca leaves for greater strength and endurance
Causes for Concern for cocaine - Answers Acute toxicity: Acute cocaine poisoning leads to profound
CNS stimulation, progressing to convulsions, which can lead to respiratory or cardiac arrest
> cocaine combined with alcohol can cause formation of toxic chemical cocaethylene
> significant individual variation in the uptake and metabolism of cocaine so its difficult to estimate
the size of a lethal dose
Chronic Toxicity: Regularly snorting cocaine, and particularly cocaine that has been "cut" with other
things, can irritate the nasal septum, leading to a chronically inflamed, runny nose
> damage to heart muscle
> users often have persistent cuts, burns, and open sores or wounds on their lips, gums, and inner
mouth lining
> can lead to a state of increasing irritability, restlessness, and paranoia
> can cause paranoid psychosis
Reproductive Effects: crack baby, immediate problems including the risk increases for both
spontaneous abortions (miscarriages) and a torn placenta
administration and absorption of cocaine - Answers - Chewing or sucking coca leaves
> Slow absorption and onset of effects
- "Snorting" through nasal mucous membranes
> Rapid absorption and onset of effects
- Injected intravenously
>Rapid and brief effects
- smoked
> Rapid and brief effects
Cocaine Dependence Potential - Answers - accounts for one of the largest proportions of admission
for drug treatment