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3) Physical dependence is real possibility <br />4) Severe depression, known as a "crash" results when use is stopped, which makes <br />discontinuing cocaine difficult <br />5) Special dangers <br />a) Acute cocaine poisoning, abdominal pain, nausea, vomiting, rapid heart beat, <br />irregular breathing, convulsions, coma, and death <br />b) Harm from impure cocaine <br />c) Death from combining with other drugs, e.g., cocaine and heroin (speedball) <br />7.1.5 Work and family related problems <br />A) Great financial expense; advance draws on paycheck <br />B) Agitation and fatigue <br />Q Isolation <br />D) Absences due to illness /unexplained absences <br />E) Legal difficulties <br />F) Manic- depressive symptoms <br />City of Eugene Page 7 -2 DOT/FMCSA Drug & Alcohol Policy <br />September 2010 Information Packet <br />