l effects include feelings of euphoria, illusions of increased physical and mental powers, illusions of increased sensory awareness, a decrease in the sense of hunger, a decrease in the sense of pain, and a decrease in the perceived need for sleep (Gold, Galanter, and Stimmel, 1987, p. 54). Heavy use of cocaine may magnify the effects enumerated, and may also induce irrational behavior and confusion in the user (Kozel and Adams, 1985, p. 66). Paranoia is not an uncommon effect among heavy users of cocaine, and psychosis may be induced by such use in individuals already susceptible to mental instability (Flynn, 1991, p. 77). Heavy cocaine use may also induce feelings of restlessness, irritability, and anxiety, and may cause the user to experience hallucinations (Washton and Gold, 1987, p. 102).
Cocaine is a toxic substance. Thus, death by cocaine overdose is possible, though relatively rare (Shaffer and Jones, 1989, p. 121).
According to health care and public health professionals working in the Central Area, cocaine in all forms
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