Sublingual cocaine: novel recurrence
of an ancient practice

Clapp L, Martin B, Beresford TP.
Department of Veterans Affairs Medical Center,
Denver, CO, USA.
Clin Neuropharmacol. 2004 Mar-Apr;27(2):93-4.


Present knowledge suggests that cocaine is almost always used by snorting, injecting, or smoking. During a recent treatment study, we encountered 2 cases who reported active cocaine use by the sublingual route exclusively. We describe here 1) the method of sublingual use, 2) its attraction for cocaine dependent individuals, especially those who wish to conceal use, and 3) concerns regarding the medical consequences of sublingual cocaine use. Sublingual cocaine use may cause unique medical symptoms and may easily evade detection by medical personnel.

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