Come down

Come down refers to the phase following the euphoria and peak effects of psychoactive drugs, particularly stimulants such as amphetamines, MDMA (ecstasy), and cocaine, as well as other substances like alcohol and hallucinogens. This phase is characterized by a gradual decrease in the pleasurable effects of the drug, often leading to negative emotional and physical symptoms such as fatigue, depression, irritability, and anxiety. The intensity and duration of the come down can vary significantly depending on the substance used, the amount consumed, the duration of use, and individual factors such as the user's health and metabolism.

Symptoms

The symptoms of a come down can vary widely but commonly include:

• Fatigue
• Depression
• Anxiety
• Irritability
• Insomnia
• Physical discomfort
• Cravings for more of the drug

Management

Managing the symptoms of a come down typically involves supportive care and self-care measures. These can include:

• Hydration
• Rest
• Nutritious food
• Avoiding further drug use
• Social support

In some cases, particularly where symptoms are severe or the individual has underlying health issues, medical intervention may be necessary.

Prevention

Prevention of severe come down symptoms can involve:

• Moderation in drug use
• Avoiding drugs known to cause severe come downs
• Ensuring a safe environment when using substances
• Educating oneself and others about the effects and risks of drug use

See also

• Drug withdrawal
• Hangover
• Substance abuse
• Harm reduction