My greatest concern in this case that the addicts did not ask this question, you did. Only the person who wants to be helped can be helped. Therefore I suggest to ask this person if he or she wants to be helped. Also, may I suggest to read "Cocaine and Family" article on my site. If you want to find local treatment center in US, follow this link.

I can help you to find treatment centers, I can tell you what cocaine or crack is doing to your mind and your body, I can answer your questions, but I can not help you more, than you can help yourself. The choice is yours, and I'll be glad to help you make the right one. This site is giving helping hand, but it is not a panacea.

Many of the following warning signs may accompany cocaine use. If you, a friend, or loved one exhibits one or more of the following patterns, professional help is strongly recommended.

*Sudden, inexplicable mood swings ranging from euphoria to depression.
*Erratic performance at work or at school.
*Frequent absenteeism from work or school (usually after payday or before or after the weekend).
*Continuous money problems.
*Disappearance of valuable goods from the home.
*Brief, frequent trips to a bathroom or private room to cover up usage.
*Opposite behavior (i.e. a reserved person who becomes overly gregarious and talkative, etc.)
ATTENTION: This is only signs to look for; many different conditions also possess this signs. Only drug screen test will give you the most precise result.

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There is a big difference between cocaine and adrenaline. Adrenaline is a natural mediator-hormone of Central Nervous System (CNS). After "adrenaline attack" the rest of the hormone will be utilized and CNS will return to homeostatic status. Cocaine blocks reuptake of dopamine, which produce "adrenaline attack" similar effects, but also it produce euphoria. Therefore, people are not addicted to adrenaline, except those, who are fanatics of rolocoaster ride *smile*.

The rest is from NIDA News Letter...

There are enormous medical complications associated with cocaine use. Some of the most frequent complications are cardiovascular effects, including disturbances in heart rhythm and heart attacks; such respiratory effects as chest pain and respiratory failure; neurological effects, including strokes, seizure, and headaches; and gastrointestinal complications, including abdominal pain and nausea.

Cocaine use has been linked to many types of heart disease. Cocaine has been found to trigger chaotic heart rhythms, called ventricular fibrillation; accelerate heartbeat and breathing; and increase blood pressure and body temperature. Physical symptoms may include chest pain, nausea, blurred vision, fever, muscle spasms, convulsions and coma.

Different routes of cocaine administration can produce different adverse effects. Regularly snorting cocaine, for example, can lead to loss of sense of smell, nosebleeds, problems with swallowing, hoarseness, and an overall irritation of the nasal septum, which can lead to a chronically inflamed, runny nose. Ingested cocaine can cause severe bowel gangrene, due to reduced blood flow. And, persons who inject cocaine have puncture marks and "tracks," most commonly in their forearms. Intravenous cocaine users may also experience an allergic reaction, either to the drug, or to some additive in street cocaine, which can result, in severe cases, in death. Because cocaine has a tendency to decrease food intake, many chronic cocaine users lose their appetites and can experience significant weight loss and malnourishment. Research has revealed a potentially dangerous interaction between cocaine and alcohol. Taken in combination, the two drugs are converted by the body to cocaethylene. Cocaethylene has a longer duration of action in the brain and is more toxic than either drug alone. While more research needs to be done, it is noteworthy that the mixture of cocaine and alcohol is the most common two-drug combination that results in drug-related death.

Cocaine is indirect agonist of dopamine, which blocks the reuptake process. The etiology of Parkinson Disease is include the deficit of dopamine. But this deficit is due to the low amount of dopamine produced cells; therefore, only direct agonist of dopamine will work in this situation.

Cocaine is a potent central nervous system stimulant. Its effects last 20 minutes to several hours, depending on drug content and purity. The initial signs of stimulation are increased motor activity, restlessness, tachycardia, increased blood pressure, and euphoria. The euphoria is quickly followed by feelings of discomfort and depression and a craving to re-experience the drug. With excessive dosage the drug can produce hallucinations, paranoid delusions, itching, and cocaine "bugs" (sensation of insects crawling on or under the skin). Overdoses cause tachyarrhythmias and a marked elevation of blood pressure. These can be life threatening, especially if the user has underlying cardiac disease. Toxicity results in seizures, followed by respiratory and circulatory depression of medullar origin. Cocaine is also highly pyrogenic because the stimulation and increased muscular activity causes greater heat production. Heat loss is inhibited by the intense vasoconstriction. Cocaine induced hypothermia may cause muscle cell destruction and myoglobinuria resulting in renal failure.
Fatality
Excessive cocaine use increases the risk of toxic overdose. The LD50 (fatal to 50% of users) is believed to be about 500 mg. Most death have been found to be due to cardiovascular or respiratory collapse immediately following intravenous injection. Some studies have shown that ingestion or inhalation may result in a symptom free period as long as an hour which is then followed by a generalized seizure and death. In many deaths attributed to cocaine overdose, two or more drugs are often found, including alcohol, barbiturates, amphetamines, heroin, and methadone.
Cardiopulmonary Concerns
Loss of protective airway reflexes The ability to protect the airway correlates with the level of consciousness. An unconscious individual may hyperventilate because of loss of upper airway muscle tone. This allows the tongue to fall back and obstruct the airway.
Aspiration pneumonitis Loss of motor tone and flaccidly of the upper airway allow gastric secretions to enter the airway. The low pH of gastric secretions results in a serious pneumonitis.
Disturbance of central respiratory drive Possible head injury and cerebral edema secondary to anoxic insult can increase intracranial pressure. This can, in turn, affect the respiratory centers in the brain stem. Patients may hyperventilate or hyperventilate, depending on the severity of the insult. Adequate alveolar ventilation must be assured by the imposition of a mechanical ventilator.
Hypoxemiarelated intracranial pressure increase Hyperemia secondary to anoxic insult causes dilation of the cerebral blood vessels resulting in edema and increased intracranial pressure.
Hypercarbiarelated intracranial pressure increase. Hyperventilation from airway obstruction or central dysfunction results in hypercarbia. The increased pace causes dilation of the cerebral vessels and increased increased intracranial pressure.
Hypervolemia Hypervolemia will result in pulmonary edema.ung compliance is reduced with pulmonary edema and results in higher ventilating pressures which may have detrimental effects on the lungs. Hypovolemia increases the susceptibility of a patient to cardiovascular complications of positive pressure ventilation such as decreased blood pressure and cardiac output.
Immobilization Immobility results from the loss of consciousness. Secretions tend to pool in the dependent areas of the lungs. This promotes the development of atelectasis and pneumonia.
Myocardial infarction The vasoconstriction associated with cocaine use may result in coronary artery spasm, myocardial schema, and arrhythmia's.
Neurologic complications
Manifestations of cocaine toxicity include tremors, muscle twitching, seizures, stroke, and cerebral hemorrhage. Neuralgic dysfunction's affect the ability to synchronize the patient/ventilator interface, and to deliver adequate ventilation with frequent activation's of the pressure limiting mechanisms of the ventilator.
Hyperthermia The increased body temperature associated with the intense muscle contractions that occur with cocaine overdose, increases oxygen consumption and carbon dioxide production. This must be taken into account when determining the set minute volume for mechanical ventilation. Appropriate adjustments in FOIL and ventilation can be made by monitoring serial arterial blood gases.

I am afraid; you can not get him committed. But, let me ask you: Why should you leave him? Let him take this decision and leave. And if he will, there is no love anyway.

I believe this question has been answered Here

Well it should be "Ultima Ratio Regnum" - "The Last Reason of the King". If theres no other way to get him into the treatment, I would consider this choice.

As of today, no medications have been approved by FDA for treating Cocaine, Crack Cocaine addiction. Therefore, it is limit available treatment options. However, choosing the right provider is critical. You may consider several options:
1. Does the program accept your insurance? If not, will they work with you on a payment plan or find other means of support for you?

2. Is the program run by state-accredited, licensed and/or trained professionals?

3. Is the facility clean, organized and well-run?

4. Does the program encompass the full range of needs of the individual (medical: including infectious diseases; psychological: including co-occurring mental illness; social; vocational; legal; etc.)?

5. Does the treatment program also address sexual orientation and physical disabilities as well as provide age, gender and culturally appropriate treatment services?

6. Is long-term aftercare support and/or guidance encouraged, provided and maintained?

7. Is there ongoing assessment of an individual's treatment plan to ensure it meets changing needs?

8. Does the program employ strategies to engage and keep individuals in longer-term treatment, increasing the likelihood of success?

9. Does the program offer counseling (individual or group) and other behavioral therapies to enhance the individual's ability to function in the family/community?

10. Does the program offer medication as part of the treatment regimen, if appropriate?

11. Is there ongoing monitoring of possible relapse to help guide patients back to abstinence?

12. Are services or referrals offered to family members to ensure they understand addiction and the recovery process to help them support the recovering individual?
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Ref: "A Quick Guide to Finding Effective Alcohol and Drug Addiction Treatment" (CSAT/SAMHSA, NCADI Publication No. PHD877)

Common complications associated with cocaine use include nasal septal perforation, saddle-nose deformity, palatal perforation, ulcerous. The street form of cocaine is both vasoconstricting and locally irritating to the thin respiratory epithelium of the nasal airway. Repeated snorting sets up a cascade of ischemia, inflammation, micronecrosis, infection, and then macronecrosis leading to perforation.
The time frame is greatly depends on dosage, frequency and purity of cocaine.

I am not aware of any studies, that had been done on the effect of passive crack cocaine inhalation in adults; however, there is some information on the effect of "second hand" crack smoking in infants, even reported some lethalities. I would be definitely health concerned.
Moreover, I would be even more concerned about your willingness to share family life with an active crack smoker.

Taking cocaine is out of the question in any case. Cardiovascular complication of cocaine use is the most known lethal factors. You will be more vulnerable, because of your heart condition.

Powdered form of cocaine is cocaine hydrochloride. "Crack" is the cocaine hydrochloride converted to freebase by using strong base(ammonia or baking soda). It is so named because it emits cracking sounds when smoked.

At this point of your relationship, I would expect his action on getting help. It isn't your fight, you shouldn't be involved.

This condition may be caused by different factors not necessary associated with cocaine use. You have to contact ENT Doctor (Otolaryngologist).

No, your recovery is not over, it is just started. Analyze your mistakes, gain new knowledge, change your tactics and with a new tools start a new recovery.

A. The most important aspects of recovery from cocaine/ crack cocaine addiction are copying with urges and development a new healthy life style.
Cocaine withdrawal is generally mild, treatment of withdrawal symptoms is generally not required. Studies of cocaine users during withdrawal show gradual diminution of these symptoms over one to three weeks. Residual depression may be seen after cocaine withdrawal and if it persists, antidepressant medication is indicated.

A. Diabetes mellitus is a result of malfunction of insulin produce glands located in the pancreas. Street forms of cocaine can include toxins that will affect pancreas and can be result of the toxic pancreatitis, which can lead to the functional diabetes.
Hypoglycemia can be a result of poor diet and unhealthy life style associated with cocaine abuse.