A person may become totally exhausted ("all washed out") after prolonged use of cocaine. This is a diagnosis of exclusion and watchful waiting.
Clinical features:
(1) markedly decreased activity, ranging from extreme lethargy to stupor
(2) history of recent and continuous heavy cocaine use
(3) recovery without intervention after 12-24 hours rest
Negative findings:
(1) The neurological exam is normal other than for exhaustion.
(2) A drug screen for benzodiazepines or other sedatives is negative.
(3) No evidence of head injury or recent seizure activity.
(4) Normal chemical profiles.
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Specialty: Toxicology, Emergency Medicine, Critical Care
ICD-10: ,
