Cocaine: Difference between revisions

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*[[Cocaine Intoxication]]
''This page is for the drug cocaine; for clinical effects see [[cocaine toxicity]]''
*[[Cocaine Chest Pain]]
==Administration==
*[[Cocaine Withdrawal]]
*Type: Local anesthetic
*[[Levamisole toxicity]]
*Dosage Forms: 4% solution; 10% solution
*Routes of Administration: Topical
*Common Trade Names: Cocaine
 
==Adult Dosing==
*1-3 mg/kg, max dose of 200 mg
**Some literature suggests maximum dose of 100 mg
**Ideally use lowest effective dose
 
==Pediatric Dosing==
*1 mg/kg
**No clear safe dose established
 
==Special Populations==
*[[Drug pregnancy categories|Pregnancy Rating]]: Category C
*Lactation risk: Infant risk has been demonstrated
===Renal Dosing===
*Adult: N/A
*Pediatric: N/A
===Hepatic Dosing===
*Adult: N/A
*Pediatric: N/A
 
==Contraindications==
*Allergy to class/drug
 
==Adverse Reactions==
*[[Cocaine-associated chest pain]]
*Sympathomimetic qualities
**Tachycardia
**Fever
**Agitation
**Diaphoresis
 
==Pharmacology==
*Half-life: 50 to 75 minutes (5.5 hours benzoylecgonine metabolite)
*Metabolism: Plasma cholinesterase; liver
*Excretion: Renal
 
==Mechanism of Action==
*Blocks reuptake of serotonin, dopamine and norepinephrine
*Anesthetic effects achieved through sodium channel blockade
 
==Comments==
 


==See Also==
==See Also==
*[[Sympathomimetic Toxicity]]
*[[Cocaine toxicity]]
 
==References==
Micromedex
<references/>


[[Category:Tox]]
[[Category:Pharmacology]]
[[Category:Drugs]]

Latest revision as of 14:35, 16 March 2018

This page is for the drug cocaine; for clinical effects see cocaine toxicity

Administration

  • Type: Local anesthetic
  • Dosage Forms: 4% solution; 10% solution
  • Routes of Administration: Topical
  • Common Trade Names: Cocaine

Adult Dosing

  • 1-3 mg/kg, max dose of 200 mg
    • Some literature suggests maximum dose of 100 mg
    • Ideally use lowest effective dose

Pediatric Dosing

  • 1 mg/kg
    • No clear safe dose established

Special Populations

Renal Dosing

  • Adult: N/A
  • Pediatric: N/A

Hepatic Dosing

  • Adult: N/A
  • Pediatric: N/A

Contraindications

  • Allergy to class/drug

Adverse Reactions

Pharmacology

  • Half-life: 50 to 75 minutes (5.5 hours benzoylecgonine metabolite)
  • Metabolism: Plasma cholinesterase; liver
  • Excretion: Renal

Mechanism of Action

  • Blocks reuptake of serotonin, dopamine and norepinephrine
  • Anesthetic effects achieved through sodium channel blockade

Comments

See Also

References

Micromedex