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Most people snort cocaine — they crush it into a fine powder, divide it into lines and snort it through the nose. This is the most common way to take cocaine. Some people find that switching between nostrils helps, and some people rinse out their nostrils with water Ladies seeking sex Crescent Mills California saline solution after taking it.


A year-old man with a history of cocaine abuse ingested a large quantity of street cocaine in an apparent suicide attempt.

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Shortly thereafter, he developed tonic-clonic seizures and became cyanotic. An arterial blood gas sample, collected in the emergency department, appeared chocolate-brown and showed pO2 mmHg, pCO2 53 mmHg, and pH 7. Further testing revealed the presence of benzocaine, a compound known to produce methemoglobinemia.

Bishopscourt northern ireland powder submitted as the "cutting" substance was shown to be benzocaine. When confronted with a possible cocaine overdose particularly by ingestionthe physician should consider the possible clinical effects of adulterants, especially local anesthetics such as benzocaine. Please enable it to take advantage of the complete set of features!

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Cocaine identification by look and smell

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Benzocaine-adultered street cocaine in association with methemoglobinemia

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Dangers of cocaine cutting agents

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RSS Link Copy. Cite Display options Display options. Abstract A year-old man with a history of cocaine abuse ingested a large quantity of street cocaine in an apparent suicide attempt. Similar articles Potential diversion of local anesthetics from dental offices for use as cocaine adulterants. Saraghi M, Hersh EV. Saraghi M, Body rub long island al. J Am Dent Assoc.

PMID: White powder, blue patient: methaemoglobinaemia associated with benzocaine-adulterated cocaine. Chakladar A, et al.

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Epub Nov PMID: No abstract available. Methemoglobinemia induced by local anesthetics. Olson ML, et al.

Cocaine abuse, addiction & recovery

Am J Hosp Pharm. Benzocaine-induced methemoglobinemia: report of a severe reaction and review of the literature.

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Rodriguez LF, et al. Ann Pharmacother. PMID: Review. Severe methemoglobinemia complicating topical benzocaine use during endoscopy in a toddler: Fat granny stories case report and review of the literature. Dahshan A, Donovan GK. Dahshan A, et al. See all similar articles.

Cited by 6 articles A young lady presenting to the emergency department with blue lips: A case study with review of literature. Chowdhury D. World J Emerg Med. No abstract available. Correlation between cocaine prices and purity with trends in emergency department visits in a major metropolitan area. Zhu H, et al. Housewives want sex Mendeltna Urban Health. A chemical analysis examining the pharmacology of novel psychoactive substances freely available over the internet and their impact on public ill health.

Legal highs or illegal highs? Ayres TC, et al. BMJ Open.

Print Pharmacotherapeutics directed at deficiencies associated with cocaine dependence: focus on dopamine, norepinephrine and glutamate. Haile CN, et al. Pharmacol Ther. Epub Jan Acute management of cocaine-associated methaemoglobinaemia. Weichert I. Case Rep Med. Epub Dec See all "Cited by" articles. Publication types Case Reports Actions.

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Benzocaine is a local anesthetic numbing medication.


Cocaine is a strong neuro-stimulant drug that usually comes in the form of a white powder.


In fact, the list of movies that include or directly potray cocaine use is quite long.


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