Regularly smoking crack can cause breathing problems and pains in the chest. Taking cocaine when pregnant can damage your baby, cause miscarriage, premature labour and low birth weight. Heavy users can lose this cartilage and end up with one large nostril and a misshapen nose. Over time, snorting cocaine damages the cartilage in your nose that separates your nostrils. The risk of overdose increases if you mix cocaine with other drugs or alcohol. Cocaine is risky for anyone with high blood pressure or a heart condition, but even healthy young people can have a fit, heart attack or stroke after using the drug.