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Detox Guide

Stimulant Withdrawal: Cocaine and Methamphetamine Detox in NJ

Cocaine and methamphetamine withdrawal is primarily psychological — profound fatigue, depression, and cravings dominate the picture. Medical monitoring focuses on mood and suicide risk.

Updated February 2026 · Reviewed by Dr. Julianne Rivers, MD (Addiction Medicine)

The stimulant crash

Within hours of the last use, energy collapses. Sleep is heavy and unrefreshing for several days. Depression can be severe and, in some cases, suicidal ideation emerges. This is the window that most benefits from a supervised environment.

Timeline

  • Days 1–3: crash phase — sleep, hunger, low mood.
  • Days 4–10: intense cravings return, mood remains fragile.
  • Weeks 2–10: gradual normalization; anhedonia may linger.

Evidence-based treatments

There is no FDA-approved medication for stimulant use disorder. Contingency management — a behavioral protocol using tangible rewards for negative drug screens — has the strongest evidence base and is offered at a growing number of NJ programs.

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