Cocaine toxicity

Advise patients that there is no safe cocaine dosage, and discuss the dangers of cocaine use. Clinicians should recommend that patients stop using cocaine completely and offer available support for the patient to do so. A brief intervention using motivational interviewing is recommended to encourage the patient to engage in treatment of their cocaine dependence.[57]World Health Organization. Mental Health Gap Action Programme (mhGAP) guideline for mental, neurological and substance use disorders. Nov 2023 [internet publication]. https://www.who.int/publications/i/item/9789240084278 [58]National Institute for Health and Care Excellence. Drug misuse in over 16s: psychosocial interventions. 25 July 2007 [internet publication]. https://www.nice.org.uk/guidance/cg51 Clinicians should refer patients to a detoxification or mental health programme to support ongoing abstinence. Psychosocial treatment (e.g., cognitive therapy or a 12-step programme) may reduce the withdrawal rate and increase the longest period of abstinence.[59]Minozzi S, Saulle R, Amato L, et al. Psychosocial interventions for stimulant use disorder. Cochrane Database Syst Rev. 2024 Feb 15;2(2):CD011866. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011866.pub2/full http://www.ncbi.nlm.nih.gov/pubmed/38357958?tool=bestpractice.com Patients should be advised to seek support groups such as  Narcotics Anonymous Opens in new window or  Cocaine Anonymous Opens in new window.