Although cocaine may make someone feel pleasure for a while, later it can damage the ability to feel pleasure. Research suggests that long-term cocaine use may reduce the amount of dopamine or the number of dopamine receptors in the brain.
When this happens, nerve cells must have cocaine to communicate properly. Without the drug, the brain can't send enough dopamine into the receptors to create a feeling of pleasure.
If a long-term user of cocaine or crack stops taking the drug, the person feels an extremely strong craving for it, because without it he or she can't feel nearly as much pleasure.
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