Medical Q&As

Cocaine psychosis - prognosis?

I recently suffered a psychotic episode because of taking some drugs including cocaine and now I am on anti psychotic drugs. I am just wondering how important is to take them and whether this condition could return if I don't take them. I first thought that I had HIV as I used to sweat a lot and had frequent fevers because of the drugs. Then I went paranoid thinking I had other diseases and then suffered the psychotic episode. I wonder what you recommend me to do?

Cocaine is derived from the leaves of the South American coca plant. It is a potent drug that stimulates the central nervous system giving the user a temporary feeling of euphoria and energy. The most common way to use cocaine is to inhale it, which is referred to as snorting. It can also be dissolved and injected. Cocaine in any form can be highly addictive and can quickly escalate to the point where a person\'s life is ruled by the desire to use the drug. It can cause seizures, strokes and heart attacks even in young people with healthy hearts. It also takes a significant psychological toll on users. You refer in your question to cocaine psychosis. Psychosis is defined as a severe mental disorder characterized by derangement of personality and loss of contact with reality resulting in a deterioration of normal social functioning. In the case of cocaine psychosis the sufferer’s behaviour pattern can become extremely erratic and violent. Marked paranoia can also be a feature of the condition. I cannot give a prognosis based on the information you have given but the broad parameters that influence the ultimate outcome are; your previous mental health history, the amount of cocaine consumed, the duration of your cocaine habit and whether or not you were abusing any other psychoactive chemicals and your history of alcohol consumption.