A preliminary study on cocaine use in Malaysia.

Cocaine seizures in Malaysia suggest that it is being used as a transit point to ship the drug to other destinations. Traces of cocaine found in a wastewater study are the only indirect evidence of its use within the country. This study is the first to present a comprehensive and detailed evidence of cocaine use in Malaysia, albeit based on a small sample of users. The context and motives for use, and the sources of supply are discussed. Sixteen respondents who self-reported using cocaine were recruited through key informants and interviewed via a virtual platform after informed consent was elicited. Cocaine (a.k.a. Coke) is used occasionally as a stimulant "party drug" by professionals, primarily to remain alert and focused while socializing, and to enable greater tolerance of alcohol and to experience higher euphoria. Although sold at exorbitant prices, it can be easily obtained through trusted close contacts. To avoid detection, cocaine is used privately at home-based parties and selected pubs with a small group of friends. Cocaine in the form of a white powder is usually snorted irregularly at intervals of thirty minutes to an hour. The consumption of cocaine was not associated with dependence, withdrawal, or adverse health effects in the sample. Further studies are needed to understand the context of cocaine use, its trafficking route, and associated health issues to enable constructive intervention.