Free professional micro-course
Cocaine and Crack Cocaine for frontline practice
Drug and alcohol practitioners, health and mental-health staff, housing, homelessness, social care, probation, criminal justice, safeguarding and peer workers.
No registration. Progress and quiz scores stay on this device where browser storage is available.

Learning outcomes
By the end, you should be able to:
- 1Distinguish powder cocaine and crack cocaine without assuming one pattern of use or risk.
- 2Explain stimulant arousal, dopamine/noradrenaline signalling and why repeated dosing increases physiological load.
- 3Recognise cardiovascular, neurological and mental-health red flags requiring urgent action.
- 4Describe binge/crash patterns, sleep and nutritional strain, and suicide risk during severe low mood.
- 5Use harm reduction, trauma-informed de-escalation and treatment-engagement principles in context.
What this course covers
Six short learning stages
- 01Powder cocaine, crack cocaine and routes
Powder cocaine and crack cocaine contain the same active drug in different chemical forms. Route changes speed of onset, duration, pattern and associated harms.
- 02Stimulant arousal and cumulative load
Cocaine increases monoamine signalling, particularly dopamine and noradrenaline. Subjectively this can feel like energy and confidence; physiologically it can mean substantial cardiovascular and neurological strain.
- 03Binge, crash, sleep and dependence
Cocaine problems often present as cycles rather than steady intoxication: repeated use, prolonged wakefulness and reduced eating may be followed by exhaustion, low mood and powerful craving.
- 04Physical and mental-health red flags
Stimulant toxicity can present through the heart, circulation, nervous system, temperature regulation and mental state. Frontline workers should recognise patterns that are not safe to ‘watch and wait’.
- 05Harm reduction, context and treatment engagement
The most useful intervention may be a safer next decision, a rapid health response or a credible route into treatment — not a lecture about motivation.
- 06Apply it to practice
Prioritise acute health, then address the binge/crash cycle and the social conditions that can keep it going.