How do people seriously manage to maintain longterm cocaine habits?

[F.U.B.A.R.]

They probably live in the UK where they can pay lots of money to not actually consume any cocaine...

 

[The Shadow Self]

Cocaine and Cardiotoxicity: A Literature Review

Long-term cocaine use, as well as acute cocaine use, is associated with adverse cardiovascular consequences, including arrhythmias, angina, myocardial infarction, heart failure, and other conditions. Over the long term, cocaine can result in structural changes to the heart such as increased...

www.cureus.com

Aside from the madness you can put yourself through psychologically, cocaine is cardiotoxic and some people find that out the hard way if they happen to be predisposed to cardiovascular disease. And not for nothing, but I wouldn't even bother buying blow at this stage of the game with all the adulterants added, and all that can go wrong with that facet alone.

There was a time, long ago, that much purer cocaine was available (the 80s) in America. Well, those days are long gone and for me personally, I wouldn't trust anyone selling it at this point, but that's just me. There are just too many things people will do for drugs and money to trust white powder in a bag at this stage of the game. I have no interest in it anyway, but knowing what I know, and if I was I would not trust many sources of said cocaine. It has passed through too many hands by the time you got what you got. But as always, people will do what people do...