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Short-term symptoms, signs, and effects of cocaine abuse include: Dilated pupils Bloodshot or watery eyes Rapid breathing Constant runny nose or sniffling Nosebleeds Frequent sore throats Increased heart rate Increased blood pressure Bizarre, sometimes violent behavior Restlessness Irritability Anxiety Panic Paranoia Tremors Muscle twitches A person might also exhibit unusual enthusiasm followed by depressed moods and lethargy, disinhibition that leads them to partake in dangerous activities, muscle tics or lack of coordination, and changes in concentration and focus