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Coca leaves have been used in rituals to ease hunger and relieve the effects of living at high altitudes in the Andes and Amazon plains for at least 5,000 years. Brewed as a tea, the leaves are a milder stimulant than java. A small portion of the crop can be legally exported for medicinal and other uses.

The eastern slopes of the Andes in Peru and Bolivia, where hundreds of steep terraces climb up mountainsides to 2,000 meters, remain the main areas of coca cultivation. But much of the upper Amazon is also dotted with plantations; some are deliberately spread over lowlands, others are hidden in the forests. To cultivate the coca plant, which grows like a shrub or tree, one can use cuttings or well-developed seeds. Between six and 18 months after planting, the elliptical leaves can be selected. The plants can continue to produce for up to 30 decades.

Estimates of coca production

Yields vary considerably depending on the variety grown, the soil, the climate and the level of investment in the farm. The Medellin region of Colombia can have six crops per year, although the average is three or four. Even with minimal inputs and care, one acre of mature coca plants produces a lot of coca leaves in 12 months. It takes 300 pounds of coca leaves to produce 1 pound of cocaine.

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In this case, dissolved cocaine in the form of a cotton ball is immersed in the nostril for 10 to 15 minutes immediately before the procedure to numb the area to be cauterized and constrict the vessels. Even with this type of application, some of the cocaine used can be absorbed through the oral or nasal mucosa and have systemic effects. An alternative method for ENT surgery is a mixture of epinephrine and sodium bicarbonate called Moffett's solution.

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