Music City Detox

How Long Does Cocaine Stay in Your System?

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How long does cocaine stay in your system, and what happens after your body has metabolized and eliminated this dangerous drug?

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How Long Does Cocaine Stay in Your System?

This is a deceptively simple question with an unfortunately complicated answer. 

First, the deceptively simple part: “How long does cocaine stay in your system?” is actually multiple questions disguised as one: 

  • This question could be asking how long it takes your body to metabolize and eliminate cocaine. 
  • Or it could be asking how long it takes until the amount of cocaine in your system falls below what experts consider to be a “clinically insignificant amount.”
  • It could also be asking how long you will test positive on a drug screen after using cocaine.

Now, for the unfortunately complicated part: Every one of those questions can have multiple correct answers.

Confused? Frustrated? Don’t worry, all will be explained soon.

Cocaine in the Body

Let’s start by addressing metabolism and elimination.

Cocaine has a plasma half-life of about 60 minutes. This means that within about an hour after a person ingests cocaine, their body will have broken down about half of the dose. After another hour, half of the remaining amount will have been broken down. This process will continue until the drug has been fully eliminated.

Most experts estimate that it takes about five half-lives before a drug falls below a clinically significant level. This means that if a person uses cocaine once, and then stops, it could take about five hours before the drug is virtually undetectable.

However, this time frame can be influenced by several factors, such as:

  • The person’s age, weight, and metabolism
  • The amount of cocaine they used
  • How long they have been using cocaine

Also, you may have noticed that we used the term “virtually undetectable” when discussing cocaine’s half-life, not “completely undetectable.” That’s because, even after your body has eliminated all the cocaine that you ingested, you can still test positive on a drug screen.

Testing for Cocaine

Now let’s look at the question, how long does cocaine stay in your system, from a drug screening perspective.

Drug screens don’t only look for the actual presence of a certain drug in your body. They also look for metabolites, which are substances that are created when your body breaks down and eliminates a drug. 

It can help to think of metabolites as fingerprints. In criminal cases, fingerprints can prove that a person was in a certain location, even if they weren’t observed there. Similarly, the presence of cocaine metabolites can prove that a person used cocaine, even though their body has completely eliminated the drug.

The length of time cocaine metabolites can be detected can vary depending on which type of drug screen is used:

  • Drug screens that analyze your saliva or blood may detect cocaine metabolites for about 48 hours (two days) after your most recent dose.
  • A urine test may detect cocaine metabolites for up to four days after your last dose.
  • Hair follicle tests have the longest window by far. Hair follicles can retain evidence of cocaine use for up to 90 days (three months) after the last time you used the drug.

What Happens During Cocaine Withdrawal?

When a person uses cocaine, they will typically experience a boost in energy, mood, and confidence. 

The duration of these effects can depend on how much they took and how they took it, such as by inhaling, swallowing, smoking, or injecting the drug. In most cases, a cocaine high lasts for about 20 minutes, though some people may feel the effects for an hour or longer.

As these effects wear off, the person may experience a physical and psychological crash. Common symptoms include irritability, exhaustion, and insomnia, which can last for a day or two.

However, if a person has become addicted to cocaine, abruptly ending their use of the drug can trigger the onset of more severe and longer-lasting symptoms. This is known as withdrawal.

Compulsive cocaine use can disrupt the body’s ability to maintain appropriate levels of a neurotransmitter called dopamine. This chemical messenger is associated with functions such as pleasure, reward, learning, and motivation.

What Are Cocaine Withdrawal Symptoms?

When a person tries to stop using cocaine after abusing it for an extended period, their body will struggle to adapt to the sudden absence of the drug. As their system works to reestablish healthy dopamine levels, the individual may experience cocaine withdrawal symptoms such as:

  • Powerful cravings for cocaine
  • Exhaustion
  • Slowed reaction time
  • Insomnia or hypersomnia
  • Intense, vivid nightmares
  • Inability to focus or concentrate
  • Memory problems
  • Anxiety
  • Depression
  • Thoughts of suicide

The most severe withdrawal symptoms will typically subside within a week or two. However, some symptoms – such as cravings, mood swings, and abnormal sleep patterns – can persist for several weeks or even months.

The intensity of these symptoms, combined with the knowledge that they can be alleviated by using cocaine again, can quickly overwhelm a person’s desire to stop using the drug.

If the distress of withdrawal has been preventing you from ending your cocaine use, detoxification may be the best option for you. In a detox program, you can receive medical and therapeutic support to manage your symptoms. 

After helping you get through cocaine withdrawal, your treatment team can then connect you with appropriate follow-on care. During the post-detox phases of your treatment, you can develop the skills you need to protect your recovery and live a healthier, drug-free life.

[Recommended: “How Long Does It Take to Detox from Cocaine?“]

Find Cocaine Detox in Nashville

Music City Detox is a trusted source of life-affirming care for adults who have become dependent on cocaine and other addictive substances.

When you choose our cocaine detox program in Nashville, Tennessee, you can expect to receive personalized services and comprehensive support from a team of skilled professionals. We understand how challenging withdrawal can be, and we are prepared to help you complete this vital step safely and with minimal discomfort.

To learn more or to schedule a free assessment, please visit our Admissions page or call us today.