The prevalence of crack cocaine injection (CCI) is unknown however, some local studies have assessed it and observed variable frequencies. United Nations Office on Drugs and Crime (UNODC). In 2013, the United Nations Office on Drugs and Crime estimated the number of injecting drug users (IDU) worldwide at 14 million. A multidisciplinary team managed his case. He fulfills DSM-5 diagnosis criteria for severe dependence on both opioids and cocaine. As his tolerance escalated, he began injecting cocaine with morphine, also known as “speedball.” Since he started methadone replacement therapy and discontinued morphine use, he reported a substantial increase in cocaine injection, as well as crack injection, the latter motivated by lower prices and wider availability. His addiction history started with use of opioids in early adolescence. A 26-year-old American man was referred to our service for methadone replacement therapy and treatment of crack/cocaine addiction.
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