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Signs and Symptoms: Cocaine

Q: How can I tell if someone has been using cocaine?

A: There are some signs you might be able to see. If someone is high on cocaine, he or she might be:

  • Jumpy, nervous behavior
  • Restlessness
  • Excessively talkative, rapid speech
  • Pupils dilated (enlarged) in well-lit room
  • Runny nose or bloody nose (no cold or other illness associated)
  • Periods of high energy followed by long sleep or exhaustion

    • If you notice unexplained changes in physical appearance or behavior, it may be a sign of substance use – or it could be a sign of another problem. You will not know definitively until a professional does a screening.

    There are a number of signs related to particular substances. These can vary in intensity, depending on level of intoxication.

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