Why Is Cocaine Dangerous in Philadelphia Right Now?
The fentanyl contamination of Philadelphia's cocaine supply has made cocaine use dramatically more dangerous than in previous years. Many overdose deaths in the cocaine-involved category occurred in people who had no opioid tolerance — they were not aware their cocaine contained fentanyl. This cross-contamination is the result of fentanyl's ubiquitous presence in the drug supply. People who believe they are only using cocaine are at serious overdose risk. Carrying naloxone is essential for anyone using stimulants in Philadelphia.
What Does Cocaine Rehab Look Like?
Unlike opioid treatment, there is no FDA-approved medication for cocaine use disorder — treatment is primarily behavioral. Inpatient cocaine rehab involves individual therapy (typically cognitive behavioral therapy), group sessions, motivational enhancement, relapse prevention, and dual diagnosis treatment where co-occurring conditions like depression or ADHD are present (both are common in stimulant use disorder). For patients using cocaine and fentanyl simultaneously, treatment addresses both substance use patterns.
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