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US cocaine addiction: Set to rival fentanyl?

Cocaine is the second most popular illegal recreational drug in the United States behind cannabis – and its use is growing.

Colombia cultivated a record 230,000 hectares of coca leaf in 2022, and produced 1,738 tonnes of cocaine, according to the United Nations
Colombia cultivated a record 230,000 hectares of coca leaf in 2022, and produced 1,738 tonnes of cocaine, according to the United Nations - Copyright AFP/File Schneyder Mendoza
Colombia cultivated a record 230,000 hectares of coca leaf in 2022, and produced 1,738 tonnes of cocaine, according to the United Nations - Copyright AFP/File Schneyder Mendoza

The U.S. has, for many years, been grappling with a fentanyl crisis. Fentanyl is commonly used to treat chronic cancer pain or in anaesthesia. It is related to other opioids like morphine and oxycodone. Fentanyl is a DEA Schedule II controlled substance.

According to the U.S. National Institutes of Health: “Fentanyl and other illegally produced synthetic opioids have played a major role in the overdose crisis in the United States since 2013. Since about 2017, overdose deaths often involve use of multiple drugs. In many cases, fentanyl is one of these drugs.”

Cocaine

A Tampa Bay area rehab facility is drawing attention to another problem: a surging cocaine use and its associated deadly risks. Experts from the facility warn that the dangers have been somewhat overshadowed by the focus on opioids.

“While opioid addiction treatment demand remains high, the cocaine problem has grown substantially and is often overlooked,” said John Templeton, founder of Footprints Beachside Recovery Center in Treasure Island tells Digital Journal in a statement. “Despite record-high drug interdictions, we’re seeing increased trafficking, availability and a spike in cocaine-related deaths.”

According to the U.S. Coast Guard, since January 20, 2025, more than 242,000 pounds of cocaine have been seized. That is more than double the amount interdicted over the same period in 2024. The Drug Enforcement Administration’s 2025 National Drug Threat Assessment also reports that U.S. law enforcement seized more cocaine, with approximately 63 metric tons of cocaine seized in 2024, an 18 percent increase from 53 metric tons in 2023.

“The numbers are staggering, and the danger is even worse, especially with the increase in fentanyl-laced cocaine,” adds Templeton. “Cocaine is already extremely dangerous and can cause a myriad of health complications, including heart attack, but when laced with fentanyl, even one dose can be fatal.”

According to the U.S. Centers for Disease Control and Prevention (CDC), from 2019 to 2023, cocaine-involved deaths nearly doubled, by rising 85 percent. According to the DEA, 1-in-4 cocaine samples analyzed in 2024 contained fentanyl or fentanyl-related compounds, highlighting the dangerous trend of intentional adulteration that amplifies overdose risks.

While the focus on fentanyl has led to interventions reducing overall overdose deaths, cocaine’s resurgence in trafficking and its frequent mixture with opioids like fentanyl means the threat is far from diminished and may be underemphasized in public health discussions.

Cocaine is a powerful stimulant and can cause severe cardiovascular effects, including tachycardia, hypertension, and acute myocardial infarction (heart attack), even in young, otherwise healthy individuals, according to medical experts at Footprints Beachside Recovery Center. Chronic use also increases the likelihood of heart failure, arrhythmias, and sudden cardiac death.

For those struggling with cocaine addiction, experts at Footprints Beachside Recovery Center typically recommend a 90-day treatment program, given its strong psychological hold and the need for comprehensive therapy to address mental dependencies and rebuild healthy habits.

Templeton makes a plea to anyone facing addiction to seek help immediately:  “Recovery is possible, and it’s about taking that first step. Don’t let cocaine’s dangers catch you off guard—reach out today”.

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Written By

Dr. Tim Sandle is Digital Journal's Editor-at-Large for science news. Tim specializes in science, technology, environmental, business, and health journalism. He is additionally a practising microbiologist; and an author. He is also interested in history, politics and current affairs.

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