A case of late-onset dependence on cocaine and crack (2007)

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Addiction 2007 Apr;102(4):666-7

Kouimtsidis C, Padhi A

AIMS: To raise awareness among the professional clinical and research community of the risk of cocaine misuse among elderly patients. METHODS: Case report of a male patient, aged 72 years, who presented to a community substance misuse service with cocaine use disorder (hydrochloride and base form). RESULTS: The development of the disorder was marked by high levels of cocaine (and later crack cocaine use), repeated periods of abstinence followed by relapse in the past 4 years, with severe consequences to the patient and his family. Treatment involved a close collaboration between several specialist addictions and old-age psychiatry teams in National Health Service. IMPLICATIONS: Although dependence on cocaine among the elderly is considered very rare, clinical management can be challenging and is likely to require the involvement of several specialist and general health services

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