Safety

The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.

Allergies

Avoid in people with a known allergy or sensitivity to coca (Erythroxylum coca), its constituents (including cocaine), or other members of its plant family.

Side Effects and Warnings

Note: Avoid use of coca leaf tea and illicit cocaine-containing products; although it is used in specific pharmaceutical preparations, cocaine produced outside of the pharmaceutical industry is illegal in most countries including the United States.

Coca (including cocaine) may raise blood sugar levels. Caution is advised in people with diabetes or hyperglycemia, and in those taking drugs, herbs, or supplements that affect blood sugar. Blood glucose levels may need to be monitored by a qualified healthcare professional, including a pharmacist, and medication adjustments may be necessary.

Coca (including cocaine) may cause high blood pressure. Caution is advised in people taking agents that affect blood pressure.

Avoid in people using agents that affect the central nervous system.

Avoid in people with a known allergy or sensitivity to coca (Erythroxylum coca), its constituents (including cocaine), or other members of its plant family.

Avoid cocaine or coca leaf products in pregnant women and children, due to a lack of available safety evidence.

Reports suggest that using alcohol, tobacco, and cocaine together increased the risk of liver problems, heart problems, and death.

Cocaine use during pregnancy has increased the risk of birth defects, separation of the placenta from the uterus, premature labor, and death of the fetus. Avoid cocaine in lactating women, as cocaine has been found in breast milk.

Coca (including cocaine) may cause abnormal heart rhythms, abnormal pH levels following low blood oxygen levels, anxiety, artery tearing, changes in brain function, changes in breathing rates, changes to the nervous system, cold symptoms, convulsions, cycloplegia (eye paralysis), damage to the nose, death, delirium, delusions, dental problems, diarrhea, dizziness, dysphoria (state of feeling unwell), electrolyte imbalance, emaciation (extreme weight loss), euphoria, fatigue, formation of blood clots inside blood vessels, hallucinations, headache, heart attack, heart complications, heart failure, hematuria (blood in the urine), hookworm disease, hyperreflexia (overactive reflexes), hyperthermia (increased body temperature), impaired work performance, increased heart rate, increased illness, intestinal problems, irritability, kidney problems, lesions inside the mouth, leukocytosis (increased white blood cell count), leukoedema (swelling inside the mouth), liver inflammation, loss of fluids, lower levels of albumin in blood, lower levels of cholesterol, lower hematocrit (proportion of red blood cells), lung damage, malnutrition, memory loss, migraines, mood swings, narrowing of the blood vessels, nausea, numbness, psychosis (mental disorder), pupil dilation, restlessness, rhabdomyolysis (muscle breakdown), seizures, sexual dysfunction, skin problems, sleeplessness, sneezing, smaller body weight-to-height ratio, smaller skinfold thickness, stomach cramps, stroke, tachypnea (rapid breathing), transmission of disease (via dirty needles), tremor, ulcers, or vomiting.

Pregnancy and Breastfeeding

Avoid cocaine or coca plant products in pregnant women. Cocaine use during pregnancy has increased the risk of birth defects, separation of the placenta from the uterus, premature labor, and death of the fetus. Avoid cocaine in lactating women because cocaine has been found in breast milk.

In newborns exposed to cocaine, hearing problems and impaired responses to surroundings were observed.

This evidence-based monograph was prepared by The Natural Standard Research Collaboration

www.naturalstandard.com