Coming down off a high from drug use is usually not a comfortable thing; however, some crashes are more unpleasant than others. This can be based on a number of factors, including how long the person has been using the substance, the dose of the substance, the drug’s mechanism of action, how fast-acting the drug is, and whether or not the person is able to taper off of the drug or not.
The experience of coming down off a drug happens because the drug is being eliminated from the body. This not only results in the high wearing off, but often causes a reaction based on acute withdrawal – the body’s response to no longer having the drug in the system. This usually results in a crash or intense withdrawal symptoms that are often the opposite of the feelings the drug induces.
Cocaine (including crack) and ecstasy (also known as MDMA, E, or X) are two types of drugs with distressing crash symptoms. However, it can be difficult to determine which comedown is harder to handle, because the drugs produce different effects, and therefore result in somewhat different comedown symptoms. The following paragraphs represent a comparison of what the crash is like for cocaine and ecstasy.