Coming down off a high from drug use is usually not a comfortable thing; however, some crashes are more uncomfortable than others. This can be based on a number of factors, including how long the person has been using the substance, what the drug does in the body, how fast-acting the drug is, and whether or not the person is able to taper away from the drug.
The experience of coming down off a drug happens because the drug is leaving the body. This not only results in the effect of the high stopping, but often causes a reaction based on withdrawal – the body’s response to no longer having the drug available for the chemical pathways it has stimulated. This usually results in crash or withdrawal symptoms that are the opposite of the feelings the drug enhances.
Cocaine (including crack) and ecstasy (also known as MDMA, E, or X) are two types of drugs with uncomfortable crash symptoms. However, it can be difficult to determine which comedown is harder to handle, because the drugs have different actions in the body, and therefore result in somewhat different comedown symptoms and responses. The following paragraphs represent a comparison of what the crash is like for cocaine and ecstasy.