TY - JOUR PY - 2007// TI - Cocaine JO - Medicine (Abingdon) A1 - Vale, Allister SP - 607 EP - 607 VL - 35 IS - 11 N2 - Cocaine is a psychomotor stimulant that inhibits re-uptake of monoamines into presynaptic terminals, thereby prolonging and augmenting their effects. Cocaine is also a powerful local anaesthetic and vasoconstrictor. In addition to euphoria, ventricular arrhythmias, acute myocardial infarction, stroke, acute dissection of the aorta, renal and intestinal infarction occur. Chronic intranasal use may cause perforation of the nasal septum and cerebrospinal rhinorrhoea as a result of thinning of the cribriform plate.

LA - SN - 1357-3039 UR - http://dx.doi.org/10.1016/j.mpmed.2007.08.010 ID - ref1 ER -