How to Take Care of Your Nose After Snorting Cocaine

Health Line

2 days ago

There are several ways to care for your nose after snorting cocaine. A common option is to apply petroleum jelly to the edge of your nostril to relieve and protect your skin and nasal cavity.
Looking for ways to soothe an irritated nose after snorting cocaine? You probably already have one solution in your medicine cabinet: Vaseline, also known as petroleum jelly.
Petroleum jelly can help protect skin and lock in moisture. It's also free from added ingredients that can cause irritation. When using it on your nose, you want to be sure you apply it correctly.
Here's a look at how to apply petroleum jelly to your nose, other techniques you can try for relief, and why cocaine irritates your nose in the first place.
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If you're concerned about your drug use, there's help available. You can bring it up with a healthcare professional if you feel comfortable. Or reach out to one of the following free and confidential resources:
SAMHSA's National Helpline at 800-662-HELP (4357) or online treatment locator
SAFE Project
Shatterproof
Apply petroleum jelly
Try putting a small amount of petroleum jelly on your finger and apply a thin layer around the edge of your nostril. You can also apply a small amount just inside your nose, but avoid going any deeper.
When inhaled, petroleum jelly may lead to something called lipid pneumonia. It's not clear how common this is, but applying it only to the edge of your nose should avoid this risk.
A note on timing, though: You'll want to avoid applying petroleum jelly right before snorting anything. The powder will get stuck and become unusable.
Other things to try
In addition to applying petroleum jelly to the edge of your nostril, there are a few other things you can do to soothe your nose and prevent irritation.
Use a saline rinse
When you snort cocaine, it sits on the lining of your nasal cavity for several minutes, so doing a simple rinse can go a long way.
You can pick up saline nasal rinses at any drug or grocery store. They're usually called saline nasal rinse, saline nasal mist, saline nasal spray, or saline nasal irrigation.
Avoid sprays that have other ingredients besides saline (like Afrin or Nasacort).
After snorting, use a few pumps of the saline rinse to wash the lingering cocaine off your nasal mucosa.
Keep a tissue handy to pat the skin around your nose dry — wet skin is more likely to get irritated. Follow up with some petroleum jelly for added protection.
Alternate nostrils
If you're able, alternate your nostrils each time you snort. This gives each side as much time as possible to heal and rest.
Cocaine causes abrasion as it's pulled through the lining of your nose, and, if you're using something with rough edges to snort, it can also cause abrasion (more on this in a moment).
Give your nostrils as much down time as you can.
Don't share snorting tools
An infection that settles into a wound or area of irritated nasal cavity can take some time to heal, resulting in ongoing discomfort and pain in your nose.
To avoid infection, practice basic hygiene. Wash your hands with soap and warm water before handling drugs.
Most importantly, use clean, unshared snorting tools. Certain bacteria, including Methicillin-resistant Staphylococcus aureus (MRSA), love to live in the nose and can be easily spread by sharing tools.
It's also possible for bloodborne viruses, like hepatitis C, hepatitis B, and HIV, to pass from person to person if a tool is contaminated with blood and another person has an open wound or area of irritation in their nose.
Why does cocaine irritate your nose, anyway?
If you're looking for ways to take care of your nose, it's helpful to understand why cocaine causes irritation.
The lining inside the nose is thin and delicate
What lines the inside of your nose isn't the same tough, dry skin that covers the rest of your body.
Your nose isn't filled with skin, but rather with nasal mucosa, which is a different kind of tissue. The part closest to your nostrils is the thickest, but as you move back toward your throat, it gets thinner and more delicate.
This is why some people experience nosebleeds after snorting drugs.
Cocaine is often acidic
There's a difference between the chemical properties of a drug made in a sterile lab and those of a sample of a drug purchased from a drug seller.
While reference materials typically list cocaine as having a fairly neutral pH, samples taken from drug sellers often test as acidic. This is probably due to how the cocaine was made and potential contaminants that were mixed in during the process.
Acids irritate you nasal mucous, and disrupt its ability to keep foreign particles from entering your body
Snorting can rough up the inside of the nose
Snorting can be done in a few different ways, but it often involves inserting something into the nostril, like a dollar bill or a cut piece of drinking straw.
Also, the act of sucking the powder into your nose means pulling small crystals across your nasal mucosa. This alone can be irritating to the delicate lining of the nose all by itself, since the edges of those crystals are rough.
Cocaine slows down blood flow
Cocaine is a vasoconstrictor, meaning it makes blood vessels tighten and narrow. Tighter blood vessels mean less blood flow. Imagine a garden hose suddenly gets a lot narrower. The water would have a harder time coming out.
Why does this matter? Well, your body's tissues need plenty of blood flow to heal. Blood brings oxygen to feed cells and the building blocks to repair wounds. When you snort cocaine, you reduce the amount of blood flow to your nasal lining.
If the lining then gets damaged or irritated, the reduced blood flow makes the healing process lengthier and a little more difficult.
You don't always know what you're snorting
You've probably heard about the opioid overdose epidemic. The main contributor is unpredictable contamination of the drug supply with substances people aren't aware of, including fentanyl, a powerful opioid, and etizolam, a benzodiazepine that slows breathing and causes sedation.
This issue with contamination applies to cocaine, too. This is important for two reasons: It exposes people to a greater risk of overdose, and it means there could be substances in the cocaine that make it extra irritating to your nose.
Safety tips
Speaking of contamination, there are things you can do to protect yourself and others from experiencing an overdose or drug poisoning. Again, this can happen even if you aren't using opioids.
Fentanyl and etizolam, along with other contaminants, are increasingly showing up in cocaine.
Here are some simple, but high-impact, steps to take to be prepared for a drug overdose or poisoning:
Carry naloxone. Have naloxone on hand, and make sure that everyone you use drugs with knows how and when to use it, and where it's kept. Think of it like a fire extinguisher: If people don't know where it is and how to use it, it won't be of much use during a fire.
Test it. Drug testing in the United States isn't very accessible for legal and policy reasons, but if you can access mass spectrometry or infrared spectrometry testing in your area, this is the best option. If not, see if you can get testing strips for fentanyl or benzodiazepines near you. You can also get reagent test kits from sites like DanceSafe. These take some time to learn and use, but they offer a lot of information.
Have a buddy. Don't use drugs alone. Have a friend or loved one with you. If an in-person option isn't possible, try a virtual one, like FaceTime or Zoom. And, if that's not possible, try the free Never Use Alone hotline at 800-484-3731. They only need your physical location in case they need to send emergency medical services, but, otherwise, it's completely anonymous and confidential.
Know the signs
Signs that someone might be experiencing an overdose include:
slow or ragged breathing
a loud, rattling snoring sound when breathing
constricted pupils
pale or clammy skin that's cool to the touch (People with dark skin may look washed-out or ashen rather than pale.)
blue or gray fingertips
nausea, vomiting, or both
dozing off, even as you try to keep them awake
Call 911 or your local emergency number right away if you think someone's experiencing an overdose.
Worried about legal consequences? This guide can help.