Cocaine topical solution or spray
What is cocaine topical solution or spray?
COCAINE is a local anesthetic that causes loss of feeling when applied as a solution or spray to areas inside the mouth or nose. Cocaine also constricts blood vessels, which reduces swelling and bleeding in the area. The effects of cocaine begin within 1 minute and last for about 30 minutes. Cocaine has a high abuse potential and is classified as a schedule II controlled substance. Federal law prohibits the transfer of this medication to any person other than the patient for whom it was prescribed It is banned and tested for in athletes by the International Olympic Committee. Generic cocaine topical solution is available.
What should my health care professional know before I use cocaine?
They need to know if you have any of the following conditions:
- blood vessel disease
- heart disease or irregular heart beat
- infection
- liver disease
- seizures (convulsions)
- thyroid problems
- Tourette’s syndrome
- an unusual or allergic reaction to cocaine, other medicines, foods, dyes, or preservatives
- pregnant or trying to get pregnant
- breast-feeding.
How should I use this medicine?
Cocaine solution or spray is only for application in the mouth or nasal cavity. It is applied by a trained health-care professional before surgery or diagnostic procedures. It is only for use in a hospital or clinic setting.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
This does not apply.
What drug(s) may interact with cocaine?
- bromocriptine
- cyclophosphamide
- disulfiram
- dobutamine
- dopamine
- ephedra, ma huang (found in herbal or dietary supplements)
- ephedrine
- epinephrine
- furazolidone
- levodopa
- linezolid
- medicines for chest pain
- medicines for colds and breathing difficulties
- medicines for depression, especially drugs known as MAOIs (examples: isocarboxazid, phenelzine, tranylcypromine)
- medicines for heart disease or high blood pressure
- medicines that improve muscle strength or tone, for conditions like myasthenia gravis
- methyldopa
- pimozide
- procarbazine
- selegiline
- sulfa drugs (examples: sulfamethoxazole, sulfadiazine, sulfasalazine)
- thyroid hormones, such as levothyroxine
- tramadol
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from using cocaine?
Side effects that you should report to your prescriber or health care professional as soon as possible:
- agitation, excitability, irritability, nervousness, or restlessness
- confusion or hallucinations (seeing and hearing things that are not really there)
- difficulty passing urine or urinary incontinence
- dilated (enlarged) pupils
- dizziness, lightheadedness, or fainting spells
- fast or irregular heartbeat
- headache
- increased sweating
- mood swings or other mental changes
- nasal pain (when used in the nose)
- nausea, vomiting
- nervous tics or rapid speech
- numbness or tingling in the hands, feet, or arms
- seizures (convulsions)
- stomach pain
- tremor
- troubled breathing (hyperventilation)
- unusual muscle weakness
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
- loss of taste or sense of smell
- sneezing, sniffling, or stuffy nose (when used in the nose)
What do I need to watch for after I use cocaine?
Let your prescriber or health care professional know if the feeling of numbness that cocaine causes does not wear off within a few hours, or if you find it hard to open your mouth.
After application of cocaine the area will be numb for some time and you will not be aware of pain. Try to avoid injury to the area. If cocaine was applied in your mouth, do not chew gum or food until the numbness wears off. You could bite your tongue or the inside of your cheeks.
Cocaine can affect the safety of many anesthesia medications and increases the risk of dangerous increases in body temperature during or after surgery. Tell your prescriber or health care professional if you have recently used cocaine before having surgery.
Do not get this cocaine solution in the eye.
NOTE: If you are scheduled for routine blood or urine testing for possible drug abuse, cocaine will be present in the blood and urine for several days after use.
Repeated use of cocaine in the nose can cause tissue damage and, ultimately, perforation of the nasal septum (eating away of the tissue that separates the nostrils).
Where can I keep my medicine?
This medication will only be given in a hospital or clinic. You will not keep this medicine at home.
[ Last Revised: 9/19/2002 4:48:00 PM ]
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