Having a line from time to time is not a big deal and many gay men in our city use coke. Some people use coke regularly, which can lead to a psychological addiction. Some guys find they make unhealthy choices about condom use and sexual risk taking when high on coke. Coke acts as an anaesthetic and some gay men put it up their ass, which makes them able to get fucked for longer or get fisted. If you are not using condoms and enough lube, this can increase the chance of picking up or passing on HIV and Hep C.
Regular cocaine use can also lead to anxiety, paranoia, depression and insomnia, especially in the “comedown” period a day or two after using it. Snorting cocaine too frequently can also damage your nasal cavity.