Crack cocaine is the
freebase form of
cocaine that can be smoked. It may also be termed
rock,
hard,
iron,
cavvy,
base, or just
crack. with a slightly higher density than candle wax. Purer forms of crack resemble a hard brittle plastic, in crystalline form (snaps when broken). A crack rock acts as a
local anesthetic (see:
Cocaine), numbing the tongue or mouth only where directly placed. When smoked, crack can leave the tongue numb where the smoke enters the mouth. Purer forms of crack will sink in water or melt at the edges when near a flame (crack vaporizes at 90 °C, 194 °F).
Crack cocaine as sold on the streets may be adulterated or "buffed" to increase bulk. According to Cpl. Kent Dahl, with Red Deer RCMP Federal Drugs, Canada, white substances mimicking the appearance of cocaine are added to increase bulk. Use of toxic adulterants such as levamisole although it is not uncommon for some users to "wash up" or "cook" the cocaine into crack themselves. This process is done with baking soda (sodium bicarbonate), water, and a spoon. Once mixed and heated, the bicarbonate breaks down into carbon dioxide and sodium carbonate, which then reacts with the hydrochloride of the cocaine molecule, leaving cocaine as an oily free base. Once separated from the hydrochloride, the cocaine alkaloid floats to the top of the now leftover liquid. It is at this point that the oil is picked up rapidly, usually with a pin or long thin object. This pulls the oil up and spins it, allowing air to set and dry the oil, and allows the user and/or maker to roll the oil into the rock-like shape.
Crack vaporizes near temperature 90 °C (194 °F), much lower than the cocaine hydrochloride melting point of 190 °C (374 °F). Whereas cocaine hydrochloride cannot be smoked (burns with no effect), crack cocaine when smoked allows for quick absorption into the blood stream, and reaches the brain in 8 seconds.
Coupled with the fact that crack is considered more potent than cocaine hydrochloride, users obtain an intense high much more quickly than with the normal method of insufflating ("sniffing" or "snorting") the powdered cocaine.
Psychological effects
Crack cocaine is a substance that affects the brain chemistry of the user: causing
euphoria, supreme confidence, loss of appetite, insomnia, alertness, increased energy, a craving for more cocaine, a brain chemical inducing feelings of
euphoria. The high usually lasts from 5–10 minutes, after which time dopamine levels in the brain plummet, leaving the user feeling
depressed and low. When cocaine is dissolved and injected, the absorption into the bloodstream is at least as rapid as the absorption of the drug which occurs when crack cocaine is smoked, and similar
euphoria may be experienced.
A typical response among users is to have another hit of the drug; however, the levels of dopamine in the brain take a long time to replenish themselves, and each hit taken in rapid succession leads to increasingly less intense highs. However, a person might binge for 3 or more days without sleep, while partying with hits from the pipe.
Use of cocaine in a binge, during which the drug is taken repeatedly and at increasingly high doses, leads to a state of increasing irritability, restlessness, and paranoia. This may result in a full-blown paranoid psychosis, in which the individual loses touch with reality and experiences auditory hallucinations.
Stimulant drug abuse (particularly amphetamine and cocaine) can lead to delusional parasitosis (aka Ekbom's Syndrome: a mistaken belief they are infested with parasites). For example, excessive cocaine use can lead to formication, nicknamed "cocaine bugs" or "coke bugs," where the affected people believe they have, or feel, parasites crawling under their skin. These delusions are also associated with high fevers or extreme alcohol withdrawal, often together with visual hallucinations about insects.
Physiological effects
The short-term physiological effects of cocaine include constricted blood vessels, dilated pupils, and increased temperature, heart rate, and blood pressure. Large amounts (several hundred milligrams or more) intensify the user's high, but may also lead to bizarre, erratic, and violent behavior. Large amounts can induce tremors,
vertigo, muscle twitches,
paranoia, or, with repeated doses, a toxic reaction closely resembling
amphetamine poisoning. Some users of cocaine report feelings of restlessness, irritability, and anxiety. In rare instances, sudden death can occur on the first use of cocaine or unexpectedly thereafter. Cocaine-related deaths are often a result of
cardiac arrest or seizures followed by respiratory arrest.
An appreciable tolerance to cocaine’s high may develop, with many addicts reporting that they seek but fail to achieve as much pleasure as they did from their first experience. Some users will frequently increase their doses to intensify and prolong the euphoric effects. While tolerance to the high can occur, users might also become more sensitive (sensitization) to cocaine's anesthetic and convulsant effects, without increasing the dose taken: this increased sensitivity may explain some deaths occurring after apparently low doses of cocaine.
Addiction
Crack cocaine is popularly thought to be the most addictive form of cocaine, and one of the most addictive forms of any drug. However, this claim has been contested: Morgan and Zimmer wrote that available data indicated that "...smoking cocaine by itself does not increase markedly the likelihood of dependence.... The claim that cocaine is much more addictive when smoked must be reexamined." On the other hand, Reinarman et al. wrote that the nature of crack addiction depends on the social context in which it is used and the psychological characteristics of users, pointing out that many heavy crack users go for days or weeks without using the drugs. the health issues also include risks beyond smoking cocaine. However, crack usage is less dangerous than
speedballing or "snowballing" (mixing cocaine with
heroin), which can lead to more fatalities than either drug used on its own.
When large amounts of dopamine are released by crack consumption, it becomes easier for the brain to generate motivation for other activities. The activity also releases a large amount of adrenaline into the body, which tends to increase heart rate and blood pressure, leading to long-term cardiovascular problems. It is suggested by research that smoking crack or freebase cocaine has additional health issues beyond other methods of taking cocaine. Many of these issues relate specifically to the release of methylecgonidine, and the specific effect of methylecgonidine on the heart, and the smoke does not remain potent for long. Therefore, crack pipes are generally very short, to minimise the time between evaporating and losing strength. This often causes cracked and blistered lips, colloquially "crack lip", from having a very hot pipe pressed against the lips. The use of "convenience store crack pipes" - glass tubes which originally contained small artificial roses - may also create this condition. These 4-inch (10-cm) pipes
Addiction is widely considered a health issue. Many governments have made access to clean equipment and education regarding safer practices difficult, as the use of cocaine is illegal.
Effects in pregnancy and nursing
"Crack baby" is a term for a child born to a mother who used crack cocaine during her pregnancy. The notion that cocaine use during
pregnancy poses a threat to the
fetus is now widely discredited. Studies show that prenatal cocaine exposure (independent of other effects such as, for example, alcohol, tobacco, or physical environment) has no appreciable effect on childhood growth and development.
However, the official opinion of the
National Institute on Drug Abuse of the United States warns about health risks while cautioning against stereotyping:
Many recall that "crack babies," or babies born to mothers who used crack cocaine while pregnant, were at one time written off by many as a lost generation. They were predicted to suffer from severe, irreversible damage, including reduced intelligence and social skills. It was later found that this was a gross exaggeration. However, the fact that most of these children appear normal should not be overinterpreted as indicating that there is no cause for concern. Using sophisticated technologies, scientists are now finding that exposure to cocaine during fetal development may lead to subtle, yet significant, later deficits in some children, including deficits in some aspects of cognitive performance, information-processing, and attention to tasks—abilities that are important for success in school.
Some people previously believed that crack cocaine caused infant death as SIDS, but when investigators began looking at the incidence of SIDS in the children of women who used crack cocaine, they found it to be no higher than in children of women who smoked cigarettes.
There are also warnings about the threat of breastfeeding: "It is likely that cocaine will reach the baby through breast milk."
The March of Dimes advises the following regarding cocaine use during pregnancy:
Cocaine use during pregnancy can affect a pregnant woman and her unborn baby in many ways. During the early months of pregnancy, it may increase the risk of miscarriage. Later in pregnancy, it can trigger preterm labor (labor that occurs before 37 weeks of pregnancy) or cause the baby to grow poorly. As a result, cocaine-exposed babies are more likely than unexposed babies to be born with low birthweight (less than ). Low-birthweight babies are 20 times more likely to die in their first month of life than normal-weight babies, and face an increased risk of lifelong disabilities such as mental retardation and cerebral palsy. Cocaine-exposed babies also tend to have smaller heads, which generally reflect smaller brains. Some studies suggest that cocaine-exposed babies are at increased risk of birth defects, including urinary-tract defects and, possibly, heart defects. Cocaine also may cause an unborn baby to have a stroke, irreversible brain damage, or a heart attack.
Legal status
Canada
As a
Schedule I substance, crack is not differentiated from cocaine and other
coca products in the
Criminal Code of Canada. However, the court may weigh the socio-economic factors of crack usage in sentencing. As a guideline, Schedule I drugs carry a maximum 7 year prison sentence for possession for an
indictable offense, up to life imprisonment for trafficking and production. A
summary conviction on possession carries a $1000–$2000 fine and/or 6 months to a year imprisonment.
United States
Cocaine is listed as a
Schedule I drug in the United Nations 1961
Single Convention on Narcotic Drugs, making it illegal for non-state-sanctioned production, manufacture, export, import, distribution, trade, use and possession.
In the United States cocaine is a Schedule II drug under the Controlled Substances Act since it has high abuse potential but also carries a medicinal purpose. Under the DEA listing of schedule I substances, crack is not considered separate from cocaine since they are essentially the same drug compound in different forms.
There has been some controversy over the disproportionate sentences mandated by the Federal Sentencing Guidelines for crack cocaine (versus powder cocaine) since 1986. Whereas there was a 5-year minimum sentence for trafficking 500g of powdered cocaine, the same sentence could be imposed for mere possession of 5 grams of crack cocaine, a 100:1 ratio. There is no mandatory minimum sentence for mere possession of powder cocaine. The United States Sentencing Commission long recommended that this disparity be rectified and existing sentences reduced. Some claim that this disparity amounts to institutional racism, as crack cocaine is more common in inner-city black communities, and powder cocaine in white suburban communities.
The Supreme Court ruled in Kimbrough v. United States (2007) that the Guidelines for cocaine are advisory only, and that a judge may consider the disparity between the Guidelines' treatment of crack and powder cocaine offenses when sentencing a defendant. The Fair Sentencing Act reduced the disparity between United States federal criminal penalties for crack cocaine and powder cocaine offenses from a 100:1 ratio to an 18:1 ratio (based on the number of grams of cocaine in possession) and eliminated the five-year mandatory minimum sentence for simple possession of crack cocaine, among other provisions.
Europe
In the United Kingdom crack is a Class A drug. In the
Netherlands it is a List 1 drug of the
Opium Law.
See also
Cocaine paste ("paco")
Crack epidemic
CIA and Contras cocaine trafficking in the US
Related numbing (analgesic) medicines: proparacaine, tetracaine, lidocaine, procaine, hexylcaine, bupivacaine, benoxinate, mepivacaine, prilocaine, etidocaine, benzocaine, chloroprocaine, propoxycaine, dyclonine, dibucaine, and pramoxine.
Disparity between United States federal criminal penalties for crack cocaine and powder cocaine offenses
Substance abuse
War on Drugs
References
External links
Frank Parlato's interview with two 19-year old crack dealers
(US)Why is crack cocaine so hard to stop using?
Crackpot Ideas - July/August 1995 issue of Mother Jones.
US:The Myth of the 'Crack Baby'
The rising peril of crack cocaine (UK)
Top Medical Doctors and Scientists Urge Major Media Outlets to Stop Perpetuating "Crack Baby" Myth - a petition.
Category:Benzoates
Category:Carboxylate esters
Category:Class A drugs
Category:Cocaine
Category:Cocaine sentencing
Category:Drug control history
Category:Dopamine reuptake inhibitors
Category:Local anesthetics
Category:Stimulants
Category:Sympathomimetic amines