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Why Cocaine Is So Hard to Quit Cocaine addiction can be difficult because: Cravings can be intense Binges can escalate quickly The crash may include depression, fatigue, and irritability Cocaine is often linked with alcohol use People may associate it with confidence, sex, work, or social settings Crack cocaine can produce a rapid and powerful reinforcement cycle Unlike opioid or alcohol use disorder, there is no FDA-approved medication specifically for cocaine addiction

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