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Coca leaves have been used by Andean civilizations since ancient times. In ancient Wari culture, Incan culture, through successor cultures in modern indigenous cultures of the Andes mountains, coca leaves are chewed, taken orally in the form of a tea, or alternatively, prepared in a sachet wrapped around alkaline burnt ashes, and held in the mouth against the inner cheek;
it has traditionally been used to combat the effects of cold, hunger, and altitude sickness. Cocaine was first isolated from the leaves in 1860.
Globally, in 2019, cocaine was used by an estimated 20 million people (0.4% of adults aged 15 to 64 years). The highest prevalence of cocaine use was in Australia and New Zealand (2.1%), followed by North America (2.1%),
Western and Central Europe (1.4%), and South and Central America (1.0%).Since 1961, the international Single Convention on Narcotic Drugs has required countries to make recreational use of cocaine a crime.
In the United States, cocaine is regulated as a Schedule II drug under the Controlled Substances Act, meaning that it has a high potential for abuse and has an accepted medical use for treatment.
While rarely used medically today, its accepted uses are as a topical local anesthetic for the upper respiratory tract as well as to reduce bleeding in the mouth, throat and nasal cavities.
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