Sam was a budding, successful 30 year old bridge professional. In April 2023, Sam was at a Boca Raton regional recreationally using cocaine with other bridge pros in the evenings after playing bridge during the days. Unfortunately one evening the cocaine contained fentanyl, and Sam died during the night.
I have recently learned that within the bridge world, a community so dear to my heart, there are players that continue to use cocaine. So that Sam's death may not be totally in vain, I need to say, please don't. And if you must, please do so in the company of people who possess Narcan and are keenly aware of the symptoms of fentanyl overdose.
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From a public health point of view, cocaine (COC) presents serious clinical problems and deaths from overdose and lifelong addiction patterns, not to mention its involvement in crime, in the United States. This study subjected rhesus monkeys to one intravenous administration of COC (1 mg/kg), which closely imitates the smoking of "crack" COC with regard to dose and effect. We monitored plasma concentrations over time, beginning when the primates were in a state of hyperarousal. Blood was sampled at 1, 6, 12, and 40 min after dosing. Plasma concentrations of COC decreased rapidly with a half life of 15.7 min. Mean COC concentrations in the drug-treated group (n = 7) for the four timepoints were 296, 225, 187, and 80 ng/mL, respectively. Ecgonine methyl ester (EME) concentrations ranged from 57 to 91 ng/mL. When compared with the 1-min COC concentrations, the mean EME concentration was 30.7%. Benzoylecgonine (BZE) ranged from 34 to 42 ng/mL, and the mean concentration was 11.5% of the mean COC concentration at 1 min. EME and BZE concentrations did not vary appreciably over the time course of the study. Plasma norcocaine concentrations were less than the limit of detection of 25 ng/mL. Because a rapid decline in plasma COC concentrations over time was observed along with a very small change in EME and BZE concentrations, we attribute tissue redistribution of COC, particularly to the brain, as significant and metabolism or hydrolysis of COC as minor.
Cocaine is a drug that is used by people in a variety socio-economic status. It can be the homeless living in the street to the executive on Wall Street being able to function. Until it becomes totally debilitating Cocaine is a powerfully addictive. It is a stimulant drug made from the leaves of the coca plant native to South America.
It creates a sense of short-term euphoria, energy, and talkativeness in addition to potentially dangerous physical effects like raising heart rate and blood pressure. Some people have been known to show up at hospital emergency rooms thinking they were having a heart attack.
Cocaine affects the body in a variety of ways. It constricts blood vessels, dilates pupils, and increases body temperature, heart rate, and blood pressure. It can also cause headaches and gastrointestinal complications such as abdominal pain and nausea. Because cocaine tends to decrease appetite, chronic users can become malnourished. Serious health concerns are:
But, soon after, practitioners began reporting side effects. Cocaine doses were administered at such high concentrations that there were 200 cases of intoxication and 13 deaths (in around seven years) as a result.
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The campaign is aimed at raising awareness of the risks and harms of cocaine use among 15- to 18-year-olds.
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The ads show a dog, named Pablo, on a quest to find out the truth about the drug by questioning the key players from the world of coke including the dealer, the user, a bag of cocaine, a heart, a nostril and a bank note.
The investigators declared they "did not develop latent fingerprints and insufficient DNA was present for investigative comparisons." They concluded, "the Secret Service is not able to compare evidence against the known pool of individuals."
Mace told members of the press, "I would like answers cause it just seems like any time we have any questions about any unsavory activity around the Bidens, no one can provide an answer conclusively or not, someone always ends up lying."
During an earlier conversation on the topic, Behar and Navarro debated White House press secretary Karine Jean-Pierre berating a reporter that it was "incredibly irresponsible" to ask if the cocaine belonged to the Biden family earlier this month.
Cocaine is a stimulant drug that is frequently abused. Cocaine makes users feel euphoric, energetic, and mentally alert. Highly addictive, it can cause severe mental and physical problems. Cocaine abuse in the United States peaked in the 1970s and 1980s, but remains a significant problem today. The stimulant directly affects brain function, and long-term addiction leads to extensive physiological and psychological problems.
Pure cocaine was first extracted from the leaf of the Erythroxylum coca bush in the mid-19th century. In the early 1900s, people were lacing tonics and elixirs with the stimulant in hopes of treating a wide range of illnesses. Cocaine quickly became popular as an ingredient in patented medicines (such as throat lozenges and tonics) and other products (such as Coca-Cola, from which it was later removed).
Concern soon mounted due to increased instances of addiction, erratic behavior, convulsion, and death. The Pure Food and Drug Act, passed in 1906, required that dangerous ingredients such as cocaine be listed on product labels. The Harrison Act of 1914 outlawed the use of cocaine altogether in over-the-counter products and made it available only by prescription. Cocaine use dropped dramatically and remained at minimal levels for nearly half a century.
In the 1960s, illicit cocaine use rebounded, and by the late 1970s, the drug had become popular among middle- and upper-middle-class Americans. By the mid-1980s, researchers found widespread evidence of physiological and psychological problems among cocaine users, with increased emergency-room episodes and admissions for treatment.
There are two basic forms of cocaine: powdered and freebase. The powdered form is a hydrochloride salt that dissolves in water; freebase is a compound that has not been neutralized by an acid to make hydrochloride salt. The freebase form of cocaine can be smoked, as in "crack" cocaine, processed from cocaine hydrochloride to a freebase for smoking.
The major routes of administration of cocaine are inhaling (or snorting), injecting, and smoking. There is great risk regardless of the method of use, and it is possible to overdose fatally. Compulsive cocaine use may develop even more rapidly if the substance is smoked rather than snorted. Smoking allows extremely high doses of cocaine to reach the brain very quickly and brings an intense and immediate high. The injecting drug user is at risk for acquiring or transmitting HIV/AIDS as well as hepatitis C if needles or other injection equipment are shared.
Cocaine is a strong central nervous system stimulant that interferes with the reabsorption of dopamine, a chemical messenger associated with pleasure and movement. This resulting buildup of dopamine contributes to the high that characterizes cocaine use.
Cocaine's immediate euphoric effects include a state of hyperstimulation, reduced fatigue, and mental clarity. The duration of the effects depends on the route of administration. The faster the cocaine is absorbed, the more intense the high. However, the faster the absorption, the shorter the duration of action. The high from snorting cocaine may last 15 to 30 minutes, while that from smoking may last 5 to 10 minutes. Increased use can reduce the period of stimulation.
Cocaine's effects appear almost immediately after a single dose and disappear within a few minutes or hours. Taken in small amounts (up to 100 milligrams), cocaine usually makes the user feel euphoric, energetic, talkative, and mentally alert, especially to the sensations of sight, sound, and touch. It can also temporarily decrease the need for food and sleep. Some users find that the drug helps them to perform simple physical and intellectual tasks more quickly, while others experience the opposite effect.
The short-term physiological effects of cocaine include constricted blood vessels, dilated pupils, and increased temperature, heart rate, and blood pressure. Large amounts of the stimulant (several hundred milligrams or more) intensify the user's high, but may also lead to bizarre, erratic, or violent behavior. Those using cocaine in such amounts may experience tremors, vertigo, muscle twitches, paranoia, or, with repeated doses, a toxic reaction closely resembling amphetamine poisoning. 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 sometime thereafter. Cocaine-related deaths are often a result of cardiac arrest or seizures followed by respiratory arrest.
Binge cocaine use, in which the drug is taken repeatedly and at increasingly higher doses, leads to a state of increasing irritability, restlessness, and paranoia. It may result in a full-blown paranoid psychosis in which the individual loses touch with reality and experiences auditory hallucinations.
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