Cocaine is a powerful stimulant of relatively short duration, low margin of safety and a local anesthetic of high efficiency and toxicity. Its legitimate medical use has narrowed over the years, but as an illicit substance cocaine has gained considerable popularity. Cocaine is referred to as the "champagne of drugs." According to epidemiological data, 28.7% of the "young adults" (18-25 years old) have tried cocaine. This article traces the historical evolution of coca and cocaine use. It also reviews contemporary clinical aspects of recreational cocaine use.
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