Cocaine is a stimulant, which means it revs up the central nervous system, increasing heart rate, breathing, and blood pressure while also increasing energy and wakefulness. The effects are felt nearly immediately and may last for 15 to 60 minutes depending on route of administration. People who use cocaine often binge several doses in a row to keep the effect going. Almost immediately after taking in cocaine, it starts to break down into metabolites that can then be cleared from the body through urine.