Cocaine Overview & Usage

Generic Name: cocaine hydrochloride topical solution
Brand Name: Cocaine

side effects drug center cocaine (cocaine hydrochloride topical solution) drug - consumer uses and warnings

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Cocaine Overview & Usage

Important: This is a summary and does not contain all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. It is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

Cocaine Hydrochloride - Topical

(koe-KANE HYE-droe-KLOR-ide)

Uses: Cocaine Hydrochloride is used by health care professionals to temporarily numb the lining of the mouth, nose, and throat (mucous membranes) before certain medical procedures (e.g., biopsy, stitches, wound cleaning). It is an anesthetic that works quickly to numb the area approximately 1–2 minutes after application. Cocaine also causes blood vessels to narrow, which can reduce bleeding and swelling during the procedure.

How to Use: This medication is applied directly to the inside of the mouth, nose, or throat by a health care professional, usually immediately before a procedure. It may be poured, sprayed, or applied with a cotton swab directly to the area. When used in the nose, the health care professional may soak absorbent material with the solution and insert it into the nose. The dosage and application method depend on your condition and response to the drug. Do not administer this medication by injection or use it in the eye.

This medication numbs the mouth, nose, and throat, which may make swallowing difficult and increase the risk of choking or swallowing incorrectly. Do not eat or chew gum for at least 1 hour after this product is used or until your mouth or throat is no longer numb. It is especially important to ensure children do not eat or chew gum for at least 1 hour after their procedure. Be careful not to accidentally bite your tongue or mouth.

Rarely, abnormal drug-seeking behavior (addiction) is possible with this medication. Use this medication exactly as prescribed. Do not use more of this medication, use it more frequently, or use it for a longer period than prescribed.

Cocaine Side Effects & Precautions

Side Effects: Dizziness, nausea, nervousness, unusual feelings of well-being, or restlessness may occur. If these effects persist or worsen, contact your doctor or pharmacist promptly.

Your doctor has prescribed this medication because the benefit outweighs the risk of side effects. Many people using this medication do not experience serious side effects.

Contact your doctor immediately if any of these unlikely but serious side effects occur: fever, mental or mood changes (e.g., drowsiness, confusion, hallucinations, mood swings), prolonged numbness in the application area several hours after the procedure, loss of smell or taste, or vision problems (e.g., blurred vision, sensitivity to light).

Contact your doctor immediately if any of these rare but very serious side effects occur: slow, shallow, or rapid breathing, fainting, fast, slow, irregular, or pounding heartbeat, severe headache, or shaking (tremors).

Seek immediate medical attention if any of these rare but very serious side effects occur: chest pain or seizures.

A serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice symptoms of a serious allergic reaction, including rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US: Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

In Canada: Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Read the Cocaine (Cocaine Hydrochloride Topical Solution) Side Effects Center for a complete guide to possible side effects.

Precautions: Before your procedure, inform your doctor or pharmacist if you are allergic to cocaine, other ester-type anesthetics (e.g., benzocaine), or if you have any other allergies. This product may contain inactive ingredients that can cause allergic reactions or other problems. Consult your pharmacist for details.

Before using this medication, inform your doctor or pharmacist of your medical history, especially of: high blood pressure, heart disease (e.g., chest pain, heart attack, irregular heartbeat), overactive thyroid (hyperthyroidism), seizures, or infection, sores, or injury in the application site (e.g., mouth, nose, throat).

This drug may cause dizziness. Do not drive, use machinery, or perform any activity requiring alertness until you are sure you can do so safely. Avoid alcoholic beverages.

Use caution when administering this drug to children, as they may be more sensitive to its effects, especially restlessness or excitement.

Use caution when administering this drug to older adults, as they may be more sensitive to its effects, especially irregular heartbeat and chest pain.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

This drug may pass into breast milk and could have undesirable effects on a nursing infant. Breastfeeding is not recommended while using this drug. Consult your doctor before breastfeeding.

Cocaine Drug Interactions, Overdose, Notes, Missed Dose, & Storage

Drug Interactions: Your doctor or pharmacist may already be aware of possible drugInteractions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine without consulting your doctor or pharmacist.

Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (e.g., isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should not be taken for two weeks before treatment with this medication. Consult your doctor about when to start or stop taking this medication.

Before using this medication, inform your doctor or pharmacist of all prescription and nonprescription/herbal products you use, especially stimulant-type drugs (e.g., catecholamines such as norepinephrine or epinephrine, ephedrine, pseudoephedrine, amphetamines).

Also report the use of drugs that may increase seizure risk when combined with cocaine, such as isoniazid (INH), phenothiazines (e.g., thioridazine), theophylline, or tricyclic antidepressants (e.g., amitriptyline). Consult your doctor or pharmacist for details.

This medication may interfere with certain medical or laboratory tests (e.g., brain scan for Parkinson’s disease), potentially causing false results. Ensure laboratory personnel and all your doctors know you use this drug.

This document does not contain all possible drug interactions. Keep a list of all products you use and share it with your doctor and pharmacist to reduce the risk of serious medication problems.

Overdose: If an overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include vomiting, stomach or abdominal pain, severe headache, irregular breathing, seizures, or fainting.

Notes: Do not share this medication with others. It is against the law.

Missed Dose: Not applicable.

Storage: Store at room temperature between 68–77°F (20–25°C) away from light and moisture. Do not freeze. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for details on safe disposal.