Nasal problems after high dosage cocaine

A while ago I insufflated about 500 mg cocaine in the coarse of an evening, it was the first time I used coke. So nearing the end of the evening I had an constant runny nose which was pretty annoying. I cleaned my nose with saline, but nevertheless by the time I went to bed my nose was totally clogged up.

The next morning when I blew my nose, all of the mucus was red coloured. For about a week afterwards there I had blood in my mucus, it became less and less till finally no blood at all after a week and the mucus was colourless again.

Clearly this is a sign that my nose didn’t like what I put up there, but I’m not sure how harmfull it is. Is such a reaction ‘normal’ for coke use? Could another coke experiment be conducted without a risk on permanent damage, or is coke a nono for my nose?

Originally posted in SR 2.0 15/10/2013. Reviewed 20/2/22

Intranasal damage is a common problem with drugs used by this route of administration.

Dosage, frequency and technique of use are important factors that influence the frequency, severity and likelihood of problems.

Cocaine itself (and associated impurities) can irritate nasal tissues and cause them to bleed. Cocaine has a vasoconstrictor effect (reduces blood flow to the area).In your case the problem seems to have solved itself spontaneously. But an acute sinusitis (nasal congestion, pressure pain in the face, headache, green and smelly mucus) is a possible complication that should be treated with antibiotics.

Half a gram seems like a fairly high dose for an inexperienced person. If that amount of any substance is administered intranasally over a short period of time, it is easy for problems to occur.

Some tips for intranasal administration are:

  • It is advisable to pulverize the substance to a very fine powder before snorting it.
  • Do not always use the same nostril for snorting, but alternate between the two.
  • The sniffing straw should not be pointed at the nasal septum, but at the nasal turbinates (lateral), where vascularization is greater and absorption is better.
  • It is recommended to clean the nostrils well a few hours after the last dose of cocaine. Physiological saline (or slightly salty clean water) can be used. Saline irrigation can be used for several days (best with a syringe).

If you experiment with cocaine again I suggest you follow these tips. Also decrease the total dose.