Many people who recognize that they have an addiction will simply try to withdraw. This is rarely successful on your own, especially in the case of stimulant drugs like cocaine, which cause a natural crash after use. Most cocaine addicts will go into withdrawal within 24 hours of their final dose, which will escalate over 3-6 days and then plateau, before fading out after about two weeks.
Here, users experience symptoms including strong cravings, disorientation, depression, anxiety, and panic attacks. This often includes general malaise, irritability, mood swings, and paranoia. Addicts experience a phenomenon known as emotional blunting, where they are unable to feel emotions for some time after using. This ties into reduced levels of dopamine and serotonin in the brain, which typically produces less serotonin on its own to account for decreased reuptake.
Cocaine detox is relatively mild compared to some other drugs, with few real risks. However, medical monitoring to prevent respiratory and cardio problems, as well as therapy to manage panic and paranoia, are recommended.