The Comedown, Crash, or Rebound Effect of Drugs

Drug Side-Effects: The Comedown, Crash, and Rebound

The Comedown, Crash, or Rebound Effect of Drugs

Regardless of gender, age, or demographic, the use and abuse of drugs has become a universal problem.

While many people start taking illicit drugs for recreational purposes, what they fail to realize is that this casual form of use can often be a stepping-stone toward addiction. Substance use and abuse can trigger many negative effects that prove to be detrimental for an individual’s health: both physical and mental.

When an individual takes a drug, their body reacts and produces side-effects never experienced before that are characterized by odd, noticeable symptoms. Typically, the human body goes through a rebound effect, a crash, and a comedown after drug use. It is imperative that we understand each of these side-effects and realize how large of a role they play in drug addiction.

Let’s dive into the details of each of these side-effects and explore the different sets of symptoms they are ly to trigger.

When an individual takes an illicit drug, their body experiences a disruption and immediately tries to bring itself back to an ideal state of balance also known as homeostasis. This is called the rebound effect.

After the drug enters an individual’s system, their body begins producing physical symptoms that are a stark contrast to those caused by the drug. This is the phase that leads to the addiction.

This occurrence makes it painfully clear why the addiction is easier to fall into than not: individuals seek to use the drug again to relive the desired effects they experienced after taking the drug. When the drug “wears off” the good feeling is abruptly overtaken by its exact opposite. This is how the rebound effect plays a role in worsening the risk of developing a drug addiction.

Let us make it simpler to understand with an example.

A sedative drug that is meant to make you feel calm and relaxed and induce drowsiness will trigger a rebound effect of agitation as soon as the pleasant effects wears off. This would simply make you want to take more of that drug to calm yourself down. Subsequently, you would follow your desire and the cycle will continue, making you addicted to the drug in the process.

Similarly, upon taking a stimulating drug cocaine, you will experience a rebound effect of tiredness and fatigue. Thus, to stay alert and maintain your energy levels, you would end up taking more of the stimulating drug.

This explains why powerful drugs that are capable of producing strong, quick effects on the nervous system are so addictive.

The association that people generally have in their minds regarding their desired physical or mental state and the drug that can help them experience such effects is one of the reasons they find themselves craving these illicit drugs.

Moreover, the fact that the wearing off of the drug pushes you even further away from the state you want to be in makes taking more of the drug seem the only good idea.

Even if you take a painkiller, one of the side-effects is a rebound effect that makes your pain intensify. While the pain experienced may be either physical or emotional, at times, it is a deadly combination of both. This is why many people end up developing a painkiller addiction.

The Comedown

When an individual takes a drug, they experience an intoxication period where everything seems to fall into place and they find themselves in the desired physical or mental state. However, after some time, the pleasant effects of the drug start wearing off and users start ‘coming down’ from the ‘high’. This is known as the ‘comedown’ effect.

The symptoms produced by the comedown of a drug tend to vary the kind of drug that was taken, the dosage, individual sensitivities to the drug, and the user’s history of drug use.

In general, if the intoxication phase was powerful and the user felt uncomfortable, anxious, or delusional after taking the drug, its comedown is ly to be relatively pleasant. On the other hand, some users may find the comedown to be rather disappointing, experiencing a return to reality – which often encourages further drug use.

Some people may even feel sick during a comedown, which may indicate possible medical complications in reaction to the drug use.

The discomforting symptoms usually include a racing pulse, feeling too hot, severe anxiety, extreme anger, paranoia, depression, thoughts of suicide or self harm, or hearing voices.

Experiencing any of these are an immediate reason to go to a doctor – but unfortunately an addict, or someone who is a drug user, does not recognize the vital importance of quick treatment by professionals. Instead, they ignore the pain or sickness and in turn lean back in to the drug.

The Crash

The crash is an after-effect of drug use characterized by intense exhaustion. This particularly happens if an individual takes a stimulating drug, such as meth, or cocaine. What actually happens is that after the intoxication period, the body attempts to balance out the over-stimulation of the nervous system.

You may consider this effect as a more pronounced type of rebound, as it not only helps the body recover from the toxicity and effects of the drug but also treats injuries, infections, a lack of sleep, over-exertion, or any other harm experienced during intoxication.

The higher the drug dosage taken, the more the underlying fatigue is experienced. It also brings along a change of mood from elation and euphoria to depression and negative moods.

It is important to note here that a crash may last longer than the intoxication period because the body tends to require more time recovering from the effects of the drug.

These are the prominent side-effects of taking a drug, which, due to their unpleasant symptoms, may reinforce the users to take more of the drug to maintain the desired state.

Understanding these conditions makes it easier to see why most people get addicted to illicit drugs after they use it for the first time for the sake of fun or self-medication.

It is important for drug addicts to seek help and proper treatment to get rid of this poisonous habit. The Scottsdale Recovery Center aims to help addicts take on the road to a sober life for good.

Talk to Someone Who’s Been There. Talk to Someone Who Can Help. Scottsdale Recovery Center holds the highest accreditation (Joint Commission) and is Arizona’s premier rehab facility since 2007. Call 602-346-9142.


ADHD medication rebound: What you need to know

The Comedown, Crash, or Rebound Effect of Drugs

Your family has just sat down to dinner. nowhere, your child with ADHD (also known as ADD) becomes very grumpy and edgy, complaining about the food and other things. Your child can’t sit still at the table and soon is walking around.

This isn’t the first time your child has behaved this way, however. In fact, it happens almost every day at about the same time. What’s going on?

If your child’s stimulant medication for ADHD is wearing off, that could be the cause. When ADHD symptoms flare up at the time you’d expect the medication to be wearing off, you may be seeing a “medication rebound.”

Here’s what you need to know about ADHD medication rebound, and how you can stop it.

Rebound is the brain’s reaction when a stimulant medication is wearing off. When the medication leaves the system too quickly, it causes ADHD symptoms to return, sometimes with a vengeance.

The good news is that for some kids, this intense reaction usually lasts for only about an hour or so. Sometimes an adjustment in medication can help reduce rebound.

Rebound is directly linked to metabolism and how fast your child’s body processes a stimulant medicine. The rate at which the medication wears off isn’t the same for all kids.

For some, a long-acting (“all day”) stimulant medicine may work for 10 hours. For others, that same medication may last only for six.

Stimulant medication is fast acting. It enters the bloodstream and starts working within 30 to 90 minutes, depending on the medication. As the medicine is released, it enters the bloodstream. Then, it’s filtered through the kidneys or liver and gradually eliminated from the body. Usually most of it’s cleared out by later in the same day.

These medications are designed to wear off evenly. But in some kids, the medication moves through the filtering process very quickly. And that causes a steep drop-off in medicine level as it wears off.

That’s when a rebound typically happens. Instead of your child’s ADHD symptoms just reappearing when the medicine is all gone, they’ll flare up suddenly as the medication is wearing off. And for a brief time, they’ll be more intense than they usually are when your child isn’t on the medication.

During a rebound your child might be a bit more impulsive, hyperactive, or emotional than usual. Or maybe unusually serious, sad, or withdrawn.

This rebound reaction typically lasts about an hour or so until the medicine has completely worn off. Then you’re ly to see a return of your child’s usual symptoms.

How to tell if it’s rebound

Many kids experience some side effects when they first start taking stimulant medication. They may have stomach pain or headaches, or they may have a decrease in appetite. Those side effects usually clear up within a few weeks as the body adjusts to the medicine.

Sometimes a child will show a different set of symptoms, however. They may become:

  • Extremely wired
  • Very irritable
  • Tired, sad, and subdued

The reason for those symptoms depends on when they start and end.

In some cases the symptoms appear during the time the medication is supposed to be active. They begin soon after a child takes a dose and last for a few hours. And they subside only as the medication wears off.

In other cases, the exaggerated symptoms appear when the medicine is wearing off. Until then, the child is fine and the medicine is working well. But when symptoms appear toward the end in rebound, it’s often because the level of medication is dropping off too fast. This causes a rebound effect and means an adjustment in medication is needed.

It’s not always easy to identify rebound in your child. Your child, however, may be able to alert you to it. For many kids, life is much more manageable with ADHD medication in their system. So when it leaves their system, it’s very noticeable.

Imagine being able to read a page once and understand it. Then you suddenly have to read a page over and over again because your brain can’t focus. It’s incredibly frustrating.

Other reasons for rebound

In some cases, kids’ ADHD symptoms flare up when they get home from school. This could be because kids feel they can be themselves at home. They know they’ll have the support of a loved one, regardless of their behavior. But if they act out at school, they’ll get in trouble or risk harming social relationships.

Your child may also just be worn out. The ADHD brain gets tired during the day from having to monitor itself. Stimulant medication greatly reduces symptoms, but it never fully makes them go away.

How to stop and prevent medication rebound

When you see rebound symptoms repeatedly over a number of days, it’s a good idea to speak with your child’s doctor. The doctor may prescribe a “booster” to eliminate them.

A “booster” is usually a small dose of an immediate-release version of the same stimulant medicine your child takes. Kids take it shortly before their regular medication is set to wear off (which is right before the rebound typically hits.)

The addition of a small amount of medication usually makes the drop-off more gradual. And that keeps the rebound reaction from happening. Watch as an expert explains how to figure out the timing of ADHD stimulant medication:

To help your doctor understand the problem, it’s important to observe patterns in your child’s behavior. Take notes on the symptoms, when they appear, and when they end. Bring these with you when you speak to the doctor. Your notes will help the doctor come up with the best solution for adjusting the medication to prevent continuing medication rebound.

Understood is not affiliated with any pharmaceutical company.


Why Does Cocaine Cause Sleepiness — Signs of Cocaine Use

The Comedown, Crash, or Rebound Effect of Drugs

Wondering whether cocaine can make you sleepy and tired—even though it’s a stimulant?

You’re used to cocaine causing effects such as boundless energy, agitation, and a need to keep going. Sleeping is the opposite of what you expect to do after using cocaine.

But it is possible to feel tired after using cocaine instead.

Reasons to crash after using cocaine include:

  • Physical exhaustion
  • Rebounding
  • Mixing drugs
  • Withdrawal

Here’s what you should know about all of the above:

Does Cocaine Make You Tired?

Cocaine could make you tired because you’re experiencing:

  • The crash: When you use cocaine, it’s common to feel a need to overdo everything and keep going beyond your body’s ability. That kind of physical work leads to exhaustion once you’re not under the influence anymore.
  • Cocaine withdrawal: In many cases, withdrawing from drugs can cause fatigue and brain fog. This can make you feel tired, especially if you’re withdrawing from a drug that normally causes agitation.

You can fix a crash by taking care of your body. Get enough sleep, drink enough water, and eat enough nutritious food. Don’t use cocaine or other drugs while you’re recovering.

Withdrawal is more complicated. Stimulant withdrawal can take days or weeks, so you should consider getting treatment.

Does Cocaine Make You Sleepy?

There are two reasons cocaine makes you sleepy:

  • The rebound effect: After you use cocaine, you can experience the rebound effect. When the stimulant leaves your body, sometimes you’re left feeling more tired than before. This is normal and it’s not the same as withdrawal because it happens whether you’re dependent on cocaine or not.
  • Mixing substances: Taking multiple drugs at the same time makes their effects unpredictable. For instance, taking benzos, opioids, or alcohol with cocaine can make you sleepy. Avoid mixing cocaine with other substances—it can be life-threatening.

There’s not much you can do to avoid the rebound effect. It happens because cocaine affects levels of neurotransmitters—chemicals in your brain that help your body function.

When levels of neurotransmitters change, it can cause changes in cognition, including sleepiness.

If you’re sleepy because you’re mixing substances, get medical help. Mixing drugs is dangerous and can even lead to death.

Does Crack Make You Tired?

Crack is still cocaine; it’s just been mixed with other substances and cooked so that it’s no longer pure. Crack cocaine works faster and leaves your system faster, but can it make you tired?

The answer is, crack can make you tired. The mechanisms that cause you to get tired while using cocaine work the same way with crack.

If you spend an entire night dancing while under the influence of crack, you’ll have a crash once it wears off. And if you go into withdrawal, you can feel intense fatigue.

Does Crack Make You Sleepy?

Just powdered cocaine, crack can make you sleepy by causing a rebound effect. Sometimes your nervous system gets confused when drugs leave your body and they compensate by causing the opposite effect that the drug causes.

Crack makes you agitated and energetic, so the rebound effect for crack looks sleepiness in some cases.

Mixing drugs is another way that crack can make you sleepy, especially if you mix it with depressants. Some examples include alcohol, opioids, and benzodiazepines. Never mix crack or cocaine with other drugs—it can be dangerous to your health.

Get Treatment for Cocaine Abuse

If you’re worried about the effects of cocaine, it’s probably time to get help. There’s no shame in needing help for cocaine addiction.

In fact, over 102,000 people entered treatment for cocaine abuse in 2017 alone. That’s 5.1% of all treatment admissions in America!

You’re more ly to have a good recovery outcome if you get treatment from a drug rehab center. Cocaine withdrawal is hard on your own and you’re more ly to relapse.

Treatment for cocaine abuse includes:

  • Behavioral therapy: Forms of therapy used to treat cocaine abuse include contingency management (CM) therapy and cognitive-behavioral therapy (CBT).
  • Residential living: Living in a therapeutic community puts you around other people who are recovering from the same disorder. This helps you in areas such as social functioning and accountability.
  • Recovery groups: Social support is a big part of recovering from cocaine abuse. It can include the 12 Step program, Cocaine Anonymous, or an informal support group.



Cocaine Sleepiness: Sleeping After Cocaine Comedown and Withdrawal

The Comedown, Crash, or Rebound Effect of Drugs

Cocaine is the most well-known party drug. It is formally classified as a stimulant, meaning it increases your energy and alertness. So how is it possible that coke could make you tired and sleepy?

The fact is, cocaine (and crack) can make you tired. In this article, we will dig into the specific ways that this can happen, including:

  • Draining your body and brain.
  • Withdrawal.
  • Crashing.
  • Long-term sleep deprivation.

The Effects of Cocaine on Sleep

Cocaine can make you tired, but that doesn’t mean that its direct effects include sleepiness. other stimulants, coke actually makes you feel alert and awake. This, as well as the euphoric ‘rush’ that many users feel, is why people take the drug at parties and clubs.

But all this energy does not come without a cost: Cocaine abuse can cause sleep effects including insomnia and restlessness.

One study that investigated how cocaine affects the sleep cycles of rats showed that while sleep was decreased in the initial hours after taking the drug, it increased just a few hours later. In other words, cocaine makes you alert and awake at first, but that period is followed by a crash shortly afterward.

Why Does Cocaine Cause Tiredness?

So, what is going on here? Why does cocaine make rats (and people) more tired after the initial period of energy? The truth is, people can feel tired after cocaine use for many different reasons. Usually, it is a combination of multiple factors.

Cocaine can make you tired for the following reasons:


Crashing is a common occurrence after using drugs, especially ones that are stimulating. Cocaine, meth, and even caffeine can result in a crash! That intense feeling of lethargy and yawning that you feel around 2 p.m., just as your morning coffee starts to wear off, is the result of a caffeine crash.

Cocaine use can have a similar, but even more intense effect. The crash after cocaine can last much longer than the high itself.

Body Recovery

Drug use takes a toll on your body. Cocaine’s effects include increased heart rate, restlessness, increased blood pressure, and hyperactivity. While you’re high, it is unly that you will notice the effect this is having on your body.

Once you crash from cocaine, you begin to feel how exhausted your body is from the drug’s effects. This is another way that coke can make you tired and sleepy.

Why Does Crack Cocaine Cause Sleepiness?

Crack cocaine is made by mixing ammonia or baking soda with cocaine. This results in small white ‘rocks’ which are smoked by users. Crack is a particularly addictive form of cocaine. It can also make users more sleepy. In fact, part of the reason that crack is so addictive is because of how sleepy it makes you:

The ‘Crack Crash’

Crack cocaine gives users a very intense, short high. Addicts will often use the drug for several days straight. Crack cocaine can result in one of the most intense crash periods of any drug.

Because users feel so tired and depleted after the initial high of smoking crack wears off, they usually want to smoke more. This pattern makes drugs crack cocaine extremely addictive. Instead of falling asleep, many users choose to use more of the drug and stay awake for long periods of time.

Why Does Crack Cocaine Cause Tiredness?

There are also ways that long-term crack cocaine abuse can cause intense chronic tiredness. The two main long-term effects of crack cocaine that can make you tired are withdrawal and sleep deprivation.


Withdrawal from crack cocaine happens when a regular user stops taking the drug. One of the symptoms of withdrawal from the crack is fatigue. The tiredness you feel during cocaine or crack withdrawal is your body’s way of trying to return to a state of balance after spending so much time in a stimulated state.

Sleep Deprivation

Because it is a stimulant, crack cocaine makes you feel very alert and awake. People who abuse this drug sometimes take it almost constantly, only stopping when they run out or need to sleep for a few hours. Over the course of weeks or months, this can cause a huge lack of sleep.

For this reason, any time a long-term crack cocaine user is not high, they usually feel very tired. Unfortunately, this fatigue often makes crack addicts seek out more of the drug.

Can Cocaine Comedown Make You Tired And Sleepy? — Bedrock

The Comedown, Crash, or Rebound Effect of Drugs

Cocaine is an illegal drug that affects your body and mind in many ways and often leads to long-term health problems. It is considered a stimulant. Physically, it can work with your central nervous system to produce more energy than you’re used to exerting.

Mentally, it can make you feel bright, sharp, and happy. But people are drawn to cocaine without realizing how addicting it is. The longer a person abuses cocaine, the more at risk he or she is for developing severe health problems.

People most commonly abuse cocaine by snorting the powder version. It can also be smoked in the form of crack cocaine, which looks small, white rocks. Street names for the drug include snort, blow, powder and coke.



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