Yes! Long-term cocaine use can lead to severe health consequences, with specific risks depending on the method of use. Smoking cocaine over time can result in chronic respiratory issues, lung damage, and increased risk of infections like pneumonia. Snorting cocaine can cause permanent damage to the nasal passages, including chronic nosebleeds, loss of smell, and a collapsed nasal septum. Intravenous use carries risks of vein damage and a high chance of contracting blood-borne infections, such as HIV and hepatitis, from needle sharing. Regardless of the method, prolonged cocaine use can lead to serious cardiovascular issues, including heart disease, high blood pressure, and an increased risk of heart attacks or strokes. Mentally, long-term cocaine use often results in severe anxiety, paranoia, and mood disorders, as well as cognitive impairments that affect memory and decision-making. These long-term effects highlight the serious risks of cocaine use and the importance of seeking support for recovery.