Why did my friend fall sick after cocaine abuse?

Q. My friend abused cocaine and became sick. What to do now?

Answered by
Dr. Sadaf Mustafa
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 30, 2016 and last reviewed on: Jun 30, 2023

Hi doctor,

My friend abused weed, alcohol and cocaine in a span of 20 days. Last two days he had cocaine twice, even though that was the first time and did not sleep. Then, he travelled and became sick with 40°C, cough, swollen tonsils and right knee numbness. His blood test result showed hemoglobin at 13.4 g/dL and WBC 11300 cells per microliter with leukocyte 16 %. This happened before a month and he is still coughing. He just had medicine to reduce body temperature. Please help.



Welcome to icliniq.com. I am very much concerned about acquiring diseases that could be transmitted through contaminated needles namely HIV, hepatitis B and C. He may be exposed to EBV infection (Epstein-Barr virus) or just acute tonsillitis due to strep throat or other viral infection (Influenza). Remember, if he has not done his drugs then he may be undergoing acute withdrawal. I would highly suggest that you take him to a doctor and get a HIV RNA by PCR (not the antibody testing), monospot test, throat swab and culture, and hepatitis C RNA by PCR. I suggest tablet Ibuprofen or Diclofenac sodium every 8 hours for fever. Consult his specialist doctor, discuss with him or her and take the medicine with consent. If he is unable to eat or drink, jittery, confused, having a high heart rate and low blood pressure then he should be seen in the emergency room.

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