But caffeine is just a mild example of a stimulant. Many other stimulant drugs are much stronger -- and some are illegal and very dangerous. Others require a doctor's prescription.
Examples of stronger stimulants include:
- Cocaine: Made from the leaf of the coca plant, this drug often comes in the form of a white powder that some people inhale through their nose.
- Crack: A form of cocaine that can be smoked.
- Amphetamines: Often called "speed," these pills are sometimes prescribed by doctors for medical problems.
- Methamphetamine: A powerful form of amphetamine that comes in clear crystals (called "ice") or powder (called "crank") that is smoked or injected.
When the heart works harder, it beats faster. It may work so hard that it temporarily loses its natural rhythm. This is called fibrillation, and it can be very dangerous because it stops the flow of blood through the body.
Cocaine Can Damage the Way the Brain Works
Although cocaine may make someone feel pleasure for a while, later it can damage the ability to feel pleasure. Research suggests that long-term cocaine use may reduce the amount of dopamine or the number of dopamine receptors in the brain.
When this happens, nerve cells must have cocaine to communicate properly. Without the drug, the brain can't send enough dopamine into the receptors to create a feeling of pleasure.
If a long-term user of cocaine or crack stops taking the drug, the person feels an extremely strong craving for it, because without it he or she can't feel nearly as much pleasure.

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