Cocaine and alcohol often arrive together. A person may call asking for “cocaine detox” when the immediate medical problem is that they have also been drinking heavily and cannot stop alcohol without withdrawal.
Edited, reviewed and approved by Dr. Jonathan Reitman
Detox Concierge can treat cocaine withdrawal when it is part of an accepted alcohol-withdrawal case at home. We do not offer cocaine-only stimulant detox. The medication, continuous onsite nursing and Dr. Jonathan Reitman’s direction are organized around the full situation: alcohol withdrawal is medicated, while the cocaine crash and related symptoms are monitored and supported during the same period of care.
The distinction matters, but it should not stop you from calling. Tell the care team about both substances, when each was last used and what is happening now. A family member may make the first call when the patient cannot explain everything alone.
Call or text our care team at (310) 484-4803. Calls are answered 24 hours a day, and the care team can explain the service, cost and next step.
Medicated alcohol detox manages the body’s response when a person who is dependent on alcohol stops drinking. Dr. Reitman prescribes medication for that alcohol-withdrawal plan, and the onsite nurse administers and accounts for each dose.
Cocaine withdrawal is different. Stopping cocaine may be followed by exhaustion, sleep changes, increased appetite, anxiety, irritability, depressed mood, loss of pleasure and strong cravings. 1 These symptoms matter, but Detox Concierge does not present them as a separate cocaine-only medication protocol.
When alcohol dependence and cocaine use are part of the same case, the care team does not ignore the cocaine. Dr. Reitman considers the pattern and last use during the medical consultation. The nurse observes mood, sleep, agitation, cravings, vital signs and the patient’s overall condition while carrying out the alcohol-withdrawal plan.
The honest description is simple: we medicate alcohol withdrawal and treat the cocaine crash through individualized physician direction and continuous nursing within the same accepted case.
An “upper” and alcohol do not balance the body. Using cocaine and alcohol during the same period can increase risk rather than make either substance safer. When both are present, the body can form cocaethylene, an active substance that lasts longer than cocaine alone. A recent systematic review found that cocaine-and-alcohol co-use carries greater cardiovascular mortality than cocaine use alone. 2
This is why the medical history must include both substances. Tell the care team:
The care team is not asking for a confession. Dr. Reitman and the nurse need an accurate picture so they do not mistake intoxication, a cocaine crash, alcohol withdrawal or another medical problem for one another. ASAM’s alcohol-withdrawal guideline specifically directs clinicians to assess co-occurring substance use rather than assume every symptom comes from alcohol alone. 3
Our private, in home detox from cocaine will provide for all of your needs, from the start of treatment, and continuing to help you all the way through the detox – Detox Concierge is here to help.
We also include a discharge plan to ensure success moving forward in your new life of sobriety.
The nurse administers the prescribed alcohol-withdrawal medication rather than leaving controlled substances with the patient. The nurse also helps prevent further drinking and watches the patient’s response through the cocaine crash, including changes in sleep, appetite, mood, anxiety, agitation and cravings.
All attention remains on the patient. If the person is weak, unsteady or ashamed of needing help, the nurse assists without judgment—including walking, bathroom needs and personal care when necessary.
“Alana was kind, communicative, and efficient — getting me the help I needed with clarity and urgency during a deeply vulnerable time.”
During combined cocaine-and-alcohol use, one substance can keep the other cycle going. Drinking may lead back to cocaine. Cocaine may be followed by more drinking. The first goal is to interrupt the immediate cycle while managing alcohol withdrawal and keeping the patient continuously observed.
Sleep, appetite, mood and clearer thinking may begin to improve during the onsite period, but cocaine cravings or low mood can continue after alcohol detox ends. Detox Concierge does not promise that five days of care cures cocaine dependence, prevents relapse or replaces longer-term treatment.
The patient is not required to enter rehab, attend AA or accept a predetermined recovery program. As the agreed service ends, the nurse reviews instructions and talks with the patient about what may help next. At the patient’s request, the care team may provide practical guidance, referrals or introductions. The final decision belongs to the patient.
Most alcohol-detox programs are planned for five days, although Dr. Reitman may recommend longer care. The duration is based on alcohol withdrawal and the complete clinical picture—not a claim that every cocaine-related symptom ends on the fifth day.
“Reaching out for help was incredibly hard after past traumatic experiences. Detox Concierge, however, did more than help me heal—they restored my dignity.”
Call 911 for chest pain, severe trouble breathing, a seizure, collapse or fainting, severe confusion, uncontrolled agitation, a person who cannot be awakened, or another immediate medical danger. Do not drive an unstable or severely intoxicated person to meet a nurse.
Cocaine withdrawal can involve severe depression and suicidal thinking. 4 If the person may harm themselves or someone else, call 911. For a mental-health or substance-use crisis that is not an immediate physical emergency, call or text 988 for the Suicide & Crisis Lifeline. 5
If none of those emergencies is occurring, call Detox Concierge before the person tries to wait out the cocaine crash or alcohol withdrawal alone. The patient does not need to be fully sober or already in severe withdrawal before the care team can listen and explain the next step.
Yes, when cocaine withdrawal is part of an accepted alcohol-withdrawal case. The medicated detox plan manages alcohol withdrawal while Dr. Reitman and the onsite nurse treat and observe the cocaine crash, recent intoxication and related symptoms. Detox Concierge does not offer cocaine-only stimulant detox.
No. Dr. Reitman and the nurse need to know what was used, when it was used, how it was taken and what symptoms followed. Honest disclosure is part of safe medical decision-making and does not require telling employers, neighbors or other people outside the care.
No medication can be promised to eliminate cocaine cravings or the crash. Dr. Reitman determines the prescriptions for the individual case. The core medicated service on this page is alcohol-withdrawal management.
Ordinarily, no. He conducts the scheduled consultation by phone, directs the care remotely and remains available on call to the onsite nurse.
Detox Concierge is private-pay and does not bill or accept insurance. The care team quotes one all-inclusive amount for the agreed standard service, including ordinary travel and the prescribed alcohol-withdrawal medication. Documentation may be provided for independent submission, but reimbursement is determined by the insurer. You can also read how at-home detox pricing works.
Yes. A family member or trusted person may ask about availability, cost and the process. The patient participates in the medical consultation and treatment decision.
Detox Concierge does not provide standalone stimulant detox. The care team can listen to the situation and explain that service boundary, but this page should not be read as an offer of cocaine-only treatment.
You do not need to decide the rest of your life before making the first call. Tell the care team what has been happening with alcohol and cocaine, what the person used most recently and whether the situation is getting worse.
Call or text (310) 484-4803 at any hour to ask how the service works, what it costs and how quickly care may be arranged.
1 National Institute on Drug Abuse: Cocaine Selective Severity Assessment. Supports the plain-language list of common early cocaine-abstinence symptoms, including depression, fatigue, loss of pleasure, anxiety, irritability, sleep disturbance, concentration problems, paranoia and suicidality. It does not establish Detox Concierge’s service protocol.
2 Peer-reviewed systematic review indexed by the National Library of Medicine: Cardiovascular Risks of Simultaneous Use of Alcohol and Cocaine—A Systematic Review. Supports the formation and longer activity of cocaethylene and the conclusion that cocaine-and-alcohol co-use carries additional cardiovascular mortality risk compared with cocaine alone. It does not predict the risk for an individual patient.
3 American Society of Addiction Medicine: The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management. Supports assessing co-occurring substance use and not attributing every sign or symptom automatically to alcohol withdrawal. It supports clinical judgment; it does not define Detox Concierge operations.
4 Substance Abuse and Mental Health Services Administration: Treatment for Stimulant Use Disorders, TIP 33. Supports the cocaine/stimulant crash, mood, fatigue, appetite, sleep, craving and suicide-risk discussion. It does not establish a medication protocol for this page.
5 Substance Abuse and Mental Health Services Administration: 988 Frequently Asked Questions. Supports use of 988 for mental-health, suicide and substance-use crisis support. Immediate physical danger remains a 911 situation.
