Substance guides

How to quit cocaine: Strategies and treatment options

Published December 11, 2024 · 7 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

Cocaine addiction does not produce dangerous physical withdrawal, but the psychological grip is intense. Treatment is behavioral since no FDA-approved medication exists.

The crash

Stopping cocaine produces 1-3 days of exhaustion, depression, and increased appetite. Rest through it. This passes.

Treatment that works

Contingency management (strongest evidence). CBT for trigger management and cognitive restructuring. Motivational interviewing for ambivalence. Outpatient treatment is usually sufficient.

Practical strategies

Remove all cocaine and paraphernalia. Cut contact with using friends and dealers. Delete dealer phone numbers. Avoid bars and parties in early recovery. Change routines associated with use. Exercise (directly supports dopamine recovery).

If cocaine is combined with alcohol

Address both simultaneously. The cocaethylene produced when combining them dramatically increases cardiac risk.

Authoritative sources

This article references guidelines from: NIDA · SAMHSA · CDC

Frequently asked questions

How do I stop using cocaine?

Remove access, cut contact with using connections, enter behavioral treatment (CM and CBT), and build new routines.

Is there medication for cocaine addiction?

No FDA-approved medication exists. Behavioral treatments, particularly contingency management, are the primary effective approach.

How long does it take to quit cocaine?

Physical crash resolves in 1-3 days. Psychological cravings may persist for months. Behavioral treatment typically runs 12-16 weeks.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.