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Coca
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Coca
Erythroxylum novogranatense var. novogranatense leaves and berries
Source plant(s)
Part(s) of plantLeaves, fruits
Geographic originAndes[1]
Active ingredientsCocaine, benzoylecgonine, ecgonine, others
Legal status

Coca is any of the four cultivated plants in the family Erythroxylaceae, native to western South America. Coca is known worldwide for its psychoactive alkaloid, cocaine. Coca leaves contain cocaine which acts as a mild stimulant when chewed or consumed as tea, with slower absorption than purified cocaine and no evidence of addiction or withdrawal symptoms from natural use.

The coca plant is a shrub-like bush with curved branches, oval leaves featuring distinct curved lines, small yellowish-white flowers that develop into red berries. Genomic analysis reveals that coca, a culturally and economically important plant, was domesticated two or three separate times from the wild species Erythroxylum gracilipes by different South American groups during the Holocene.[2] Chewing coca in South America began at least 8,000 years ago, as evidenced by coca leaves and calcite found in house floors in Peru's Nanchoc Valley, suggesting early communal use alongside the rise of farming.[3] Coca use evolved from a sacred and elite ritual to widespread use under Inca rule. The Incas deeply integrated coca into their society for labor, religion, and trade, valuing it so highly that they colonized new lands to cultivate it. Despite later Spanish attempts to suppress its use, even they relied on it to sustain enslaved laborers. Coca leaves have been traditionally used across Andean cultures for medicinal, nutritional, religious, and social purposes—serving as a stimulant, remedy for ailments, spiritual tool, and source of sustenance—especially through chewing and tea.

Coca thrives in hot, humid environments, with harvesting occurring multiple times a year from plants grown in carefully tended plots. The plant is grown as a cash crop in the Argentine Northwest, Bolivia, Alto Rio Negro Territory in Brazil, Colombia, Venezuela, Ecuador, and Peru, even in areas where its cultivation is unlawful.[4][5] There are some reports that the plant is being cultivated in the south of Mexico, by using seeds imported from South America, as an alternative to smuggling its recreational product cocaine.[6] It also plays a fundamental role in many traditional Amazonian and Andean cultures as well as the Sierra Nevada de Santa Marta in northern Colombia.[5] Coca leaves are commercially and industrially used in teas, foods, cosmetics, and beverages, with growing political and market support in countries like Bolivia and Peru, despite restrictions in others like Colombia. The international prohibition of coca leaf, established by the 1961 United Nations Single Convention despite its traditional use in Andean cultures, has been widely contested—particularly by Bolivia and Peru—leading to ongoing efforts, including a 2025 WHO review, to reevaluate its legal status based on cultural and scientific grounds. Coca leaf is illegal or heavily restricted in most countries outside South America, treated similarly to cocaine, with limited exceptions for scientific or medical use and a few authorized imports, such as in the U.S. for Coca-Cola flavoring.

The cocaine alkaloid content of dry Erythroxylum coca var. coca leaves was measured ranging from 0.23% to 0.96%.[7] Coca-Cola used coca leaf extract in its products from 1885 until about 1903, when it began using decocainized leaf extract.[8][9][10] Extraction of cocaine from coca requires several solvents and a chemical process known as an acid–base extraction, which can fairly easily extract the alkaloids from the plant.

Description

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The coca plant resembles a blackthorn bush, and grows to a height of 2 to 3 m (7 to 10 ft). The branches are curved, and the leaves are thin, opaque, oval, and taper at the extremities. A marked characteristic of the leaf is an areolated portion bounded by two longitudinal curved lines, one line on each side of the midrib, and more conspicuous on the under face of the leaf.[11]

The flowers are small, and disposed in clusters on short stalks; the corolla is composed of five yellowish-white petals, the anthers are heart-shaped, and the pistil consists of three carpels united to form a three-chambered ovary. The flowers mature into red berries.[11]

The leaves are sometimes eaten by the larvae of the moth Eloria noyesi.

Species and evolution

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There are two species of coca crops, each with two varieties:

  • Erythroxylum coca
    • Erythroxylum coca var. coca (Bolivian or Huánuco coca) – well adapted to the eastern Andes of Peru and Bolivia, an area of humid, tropical, montane forest.
    • Erythroxylum coca var. ipadu (Amazonian coca) – cultivated in the lowland Amazon Basin in Peru and Colombia.
  • Erythroxylum novogranatense
    • Erythroxylum novogranatense var. novogranatense (Colombian coca) – a highland variety that is utilized in lowland areas. It is cultivated in drier regions found in Colombia. However, E. novogranatense is very adaptable to varying ecological conditions. The leaves have parallel lines on either side of the central vein. These plants are called "Hayo" or "Ayu" among certain groups in Venezuela and Colombia.
    • Erythroxylum novogranatense var. truxillense (Trujillo coca) – grown primarily in the Cajamarca and Amazonas states in Peru, including for the Empresa Nacional de la Coca S.A. and export by Coca-Cola for beverage flavoring.

All four of the cultivated cocas were domesticated from Erythroxylum gracilipes in pre-Columbian times,[2] with significant archaeological sites reaching from Colombia to northern Chile, including the Las Vegas Culture in Ecuador, the Huaca Prieta site in Peru, and the Nanchoc valley in Peru – where leaf fragments and slaked lime additives have been dated to over 8,000 years before present.[3]

An initial theory of the origin and evolution of the cocas by Plowman[12] and Bohm[13] suggested that Erythroxylum coca var. coca is ancestral, while Erythroxylum novogranatense var. truxillense is derived from it to be drought tolerant, and Erythroxylum novogranatense var. novogranatense was further derived from Erythroxylum novogranatense var. truxillense in a linear series. In addition, E. coca var. ipadu was separately derived from E. coca var. coca when plants were taken into the Amazon basin.

Genetic evidence (Johnson et al. in 2005,[14] Emche et al. in 2011,[15] and Islam 2011[16]) does not support this linear evolution. None of the four coca varieties are found in the wild, despite prior speculation by Plowman that wild populations of E. coca var. coca occur in the Huánuco and San Martín provinces of Peru. Recent phylogenetic evidence shows the closest wild relatives of the coca crops are Erythroxylum gracilipes and Erythroxylum cataractarum,[17] and dense sampling of these species along with the coca crops from throughout their geographic ranges supports independent origins of domestication of Erythroxylum novogranatense and Erythroxylum coca from ancestor Erythroxylum gracilipes.[2] It is possible that Amazonian coca was produced by yet a third independent domestication event from Erythroxylum gracilipes.[2]

Thus, different early-Holocene peoples in different areas of South America independently transformed Erythroxylum gracilipes plants into quotidian stimulant and medicinal crops now collectively called coca.[2]

Herbicide-resistant varieties

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Also known as supercoca or la millionaria, Boliviana negra is a relatively new form of coca that is resistant to a herbicide called glyphosate. Glyphosate is a key ingredient in the multibillion-dollar aerial coca eradication campaign undertaken by the government of Colombia with U.S. financial and military backing known as Plan Colombia.

The herbicide resistance of this strain has at least two possible explanations: that a "peer-to-peer" network of coca farmers used selective breeding to enhance this trait through tireless effort, or the plant was genetically modified in a laboratory. In 1996, a patented glyphosate-resistant soybean was marketed by Monsanto Company, suggesting that it would be possible to genetically modify coca in an analogous manner. Spraying Boliviana negra with glyphosate would serve to strengthen its growth by eliminating the non-resistant weeds surrounding it. Joshua Davis, in the Wired article cited below, found no evidence of CP4 EPSPS, a protein produced by the glyphosate-resistant soybean, suggesting Bolivana negra was either created in a lab by a different technique or bred in the field.[18][19]

Distribution and habitat

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Coca tree in Colombia

The seeds are sown from December to January in small plots (almacigas) sheltered from the sun, and the young plants when at 40 to 60 cm (16 to 24 in) in height are placed in final planting holes (aspi), or if the ground is level, in furrows (uachos) in carefully weeded soil. The plants thrive best in hot, damp and humid locations, such as the clearings of forests; but the leaves most preferred are obtained in drier areas, on the hillsides. The leaves are gathered from plants varying in age from one and a half to upwards of forty years, but only the new fresh growth is harvested. They are considered ready for plucking when they break on being bent. The first and most abundant harvest is in March after the rainy season, the second is at the end of June, and the third in October or November. The green leaves (matu) are spread in thin layers on coarse woollen cloths and dried in the sun; they are then packed in sacks, which must be kept dry in order to preserve the quality of the leaves.[20][11]

Regions

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According to a 2006 report by the United Nations Office on Drugs and Crime (UNODC), coca plants grow best in the humid, tropical climates and specific altitudes found in the Andean regions of South America, particularly in Bolivia, Colombia, and Peru, which together account for the vast majority of global coca cultivation—and produce 99% of all cocaine worldwide.[21]

As of 2023, coca cultivation has also rapidly expanded into northern Central America, in the highland areas of Honduras, Guatemala, and Belize.[22][23][24][25]

While regions like Taiwan and Java were prominent centers of coca leaf cultivation in Asia before World War II, their climates and soils remain highly suitable for large-scale coca production today.[26][27][28] This historical precedent suggests that, if demand or policy ever shifted, these areas could once again support thriving coca plantations. These examples highlight that, despite their current historical status, such regions retain the biophysical capacity for renewed coca production on a significant scale.

Africa

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Records indicate that coca has been grown in the African countries of Ghana, Ivory Coast, and West Cameroon.[29] But there is no evidence that coca became a significant or economically important crop in these countries.

Asia

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East Asia
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  • Taiwan (then known as Formosa) became the second-largest producer of coca leaves in Asia before World War II, surpassed only by Java, and played a crucial role in making Japan the world's leading exporter of cocaine.[27]
South Asia
[edit]
  • Coca has been grown in Sri Lanka (then known as Ceylon) (De Witt, 1967).
Southeast Asia
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  • Java (today part of Indonesia) became the world's leading exporter of coca leaf in the early 20th century, surpassing Peru by 1912 and maintaining this position until the late 1920s, except during World War I.[28] The success of coca cultivation in Java demonstrates that the island's climate and soils were highly suitable for the coca plant, as evidenced by the thriving plantations and high yields recorded during this period.

Latin America and the Caribbean

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South America
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Venezuela, once mainly a cocaine transit country, is now also producing cocaine, with coca cultivation and processing labs emerging in border and remote regions. While coca crops remain far smaller than in Colombia, their presence is growing, aided by Colombian armed groups and Venezuela's political and economic instability. The Maduro government is accused of tolerating and managing the drug trade to maintain power, while international oversight has diminished.[30]

Andes
[edit]

Coca is traditionally cultivated in the lower altitudes of the eastern slopes of the Andes (the Yungas), or the highlands depending on the species grown. Coca production begins in the valleys and upper jungle regions of the Andean region, where the countries of Colombia, Peru, and Bolivia[31][32] are host to more than 98 percent of the global land area planted with coca;[33] Coca production in Colombia takes place predominantly in the departments of Putumayo, Caquetá, Meta, Guaviare, Nariño, Antioquia, and Vichada.[34] Bolivia's regions of Apolo, La Paz and Chapare are known for coca cultivation.[21] Peru's primary coca growing and drug trafficking activities have been centered in the Upper Huallaga Valley since the 1980s.[35]

Central America
[edit]

In 2014, coca plantations were discovered in Mexico,[36][37] and in 2020 in Honduras,[38] which could have major implications for the illegal cultivation of the plant.

Since then coca production in Central America has surged dramatically. In 2022, authorities destroyed over 6.5 million coca plants in Honduras, 4 million in Guatemala, and more than half a million in southern Belize. By 2024, the number of coca plantations found and eradicated in Honduras had nearly doubled compared to the previous year, and a record number of processing labs were dismantled across the region. Unlike the Andes, where small farmers typically grow coca, cultivation in Central America is controlled by organized crime groups with backing from major foreign cartels.[23][39][25] A 2024 study found that coca cultivation suitability increased most in northern Central America, particularly in Honduras, Guatemala, and El Salvador (collectively known as the Northern Triangle of Central America), and Belize. The study also reported that 47% of northern Central America—limited to Honduras, Guatemala, and Belize—has biophysical characteristics highly suitable for coca growing, suggesting that environmental factors are unlikely to limit the crop's spread in those countries. The latitudinal and altitudinal gradients of these countries are especially analogous to the altitudinal diversity of Colombia's coca cultivation zones, though their soils tend to fall near the upper limit of what is considered suitable for coca in Colombia.[22]

Other regions

[edit]

Hawaii: In December 2017, Kauai police, working with several state and federal agencies, seized 15 mature coca plants—some up to six feet tall—and one pound of hashish during a two-day operation in Kalalau Valley, on Kauai in the state of Hawaii. The coca plants are notable because they are the source of cocaine's active ingredient. Kauai Police Chief Darryl Perry described the operation as a success in the ongoing fight against illegal drugs on the island.[40]

Pharmacological aspects

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Cocaine, the psychoactive constituent of coca

The pharmacologically active ingredient of coca is the cocaine alkaloid, which has a concentration of about 0.3 to 1.5%, averaging 0.8%,[41] in fresh leaves. Besides cocaine, the coca leaf contains a number of other alkaloids, including methylecgonine cinnamate, benzoylecgonine, truxilline, hydroxytropacocaine, tropacocaine, ecgonine, cuscohygrine, dihydrocuscohygrine, and hygrine.[42] When chewed, coca acts as a mild stimulant and suppresses hunger, thirst, pain, and fatigue.[43][44] Absorption of coca from the leaf is less rapid than nasal application of purified forms of the alkaloid (almost all of the coca alkaloid is absorbed within 20 minutes of nasal application,[45] while it takes 2–12 hours after ingestion of the raw leaf for alkaline concentrations to peak.[46]). When the raw leaf is consumed in tea, between 59 and 90% of the coca alkaloid is absorbed.[47]

Coca users ingest between 60 and 80 milligrams of cocaine each time they chew the leaves according to United Nations Office on Drugs and Crime (UNODC).[48] The coca leaf, when consumed in its natural form, does not induce a physiological or psychological dependence, nor does abstinence after long-term use produce symptoms typical to substance addiction.[49][50][51] Due to its alkaloid content and non-addictive properties, coca has been suggested as a method to help recovering cocaine addicts with tapering off the drug.[52][53]

History

[edit]
Coquero (Figure Chewing Coca), 850–1500 C.E. Brooklyn Museum
Workers in Java prepared coca leaves. This product was mainly traded in Amsterdam, and was further processed into cocaine (Dutch East Indies, before 1940).

Traces of coca leaves found in northern Peru dates the communal chewing of coca with slaked lime 8,000 years back.[3] Other evidence of coca traces have been found in mummies dating 3,000 years back in northern Chile.[54] Beginning with the Valdivian culture, c. 3000 BC, there is an unbroken record of coca leaf consumption by succeeding cultural groups on the coast of Ecuador until European arrival as shown in their ceramic sculpture and abundant caleros or lime pots. Lime containers found in the north coast of Peru date around 2000 BC as evidenced by the findings at Huaca Prieta and the Jetetepeque river valley. Extensive archaeological evidence for the chewing of coca leaves dates back at least to the 6th century AD Moche period, and the subsequent Inca period, based on mummies found with a supply of coca leaves, pottery depicting the characteristic cheek bulge of a coca chewer, spatulas for extracting alkali and figured bags for coca leaves and lime made from precious metals, and gold representations of coca in special gardens of the Inca in Cuzco.[55][56]

Coca chewing may originally have been limited to the eastern Andes before its introduction to the Inca. As the plant was viewed as having a divine origin, its cultivation became subject to a state monopoly and its use restricted to nobles and a few favored classes (court orators, couriers, favored public workers, and the army) by the rule of the Topa Inca (1471–1493). As the Incan empire declined, the leaf became more widely available. After some deliberation, Philip II of Spain issued a decree recognizing the drug as essential to the well-being of the Andean Indians but urging missionaries to end its religious use. The Spanish are believed to have effectively encouraged use of coca by an increasing majority of the population to increase their labor output and tolerance for starvation, but it is not clear that this was planned deliberately.[57]

Andean people first started chewing coca leaf (Ertyhroxylum) and its popularity has been spread throughout the Northern and Central Andes, making its way down to Southern Central America, including areas like Bolivia, Chile, and Argentina. The coca leaf itself includes the active cocaine alkaloid which may be released through chewing or consumed in a powder-like form. This powder is usually extracted and made from burnt plant ashes, limestone or granite, and seashells. Andean people living in Central America have used a method to withdraw the lime from the coca plant using containers with sticks and have been able to indicate whether the coca leaves were either chewed historically even though many coca leaves haven't been discovered by archaeologists. There have been numerous effects that have been noted from the coca leaf as they are milder and more concentrated compared to pure cocaine. When Andean people began to first use the coca leaf, they noticed that it could produce a "high" and can be very addictive compared to tobacco if consumed in large quantities. Many Andean and Inca civilizations used to chew the coca leaf instead of consuming it as it provided a better "high" experience. Because of its strong addiction and high, the Incas only allowed this substance within honorary celebrations and rituals. Workers dealing with rigorous tasks such as long-distance travels, and more were allowed to take the substance as it eased their hardships along the way. There is little history before Andean people and the Incas to indicate if coca was restricted before these times and what instances it was initially used in. Sometimes coca leaves from the plant were used as offerings in rituals. Due to the nature of politics and religion in the Inca Empire, wealthy inhabitants handed out coca leaves during ritual ceremonies.[58]

Coca was first introduced to Europe in the 16th century, but did not become popular until the mid-19th century, with the publication of an influential paper by Dr. Paolo Mantegazza praising its stimulating effects on cognition. This led to the invention of coca wine and the first production of pure cocaine. Coca wine (of which Vin Mariani was the best-known brand) and other coca-containing preparations were widely sold as patent medicines and tonics, with claims of a wide variety of health benefits. The original version of Coca-Cola was among these. These products became illegal in most countries outside of South America in the early 20th century, after the addictive nature of cocaine was widely recognized. In 1859, Albert Niemann of the University of Göttingen became the first person to isolate the chief alkaloid of coca, which he named "cocaine".[59]

In the early 20th century, the Dutch colony of Java became a leading exporter of coca leaf. By 1912 shipments to Amsterdam, where the leaves were processed into cocaine, reached 1000 tons, overtaking the Peruvian export market. Apart from the years of the First World War, Java remained a greater exporter of coca than Peru until the end of the 1920s.[28] Other colonial powers also tried to grow coca (including the British in India), but with the exception of the Japanese in Formosa, these were relatively unsuccessful.[28]

In recent times (2006), the governments of several South American countries, such as Peru, Bolivia and Venezuela, have defended and championed the traditional use of coca, as well as the modern uses of the leaf and its extracts in household products such as teas and toothpaste. The coca plant was also the inspiration for Bolivia's Coca Museum.

Coca use by the Incas

[edit]

Ethnohistorical sources

[edit]

While many historians are in agreement that coca was a contributing factor to the daily life of the Inca, there are many different theories as to how this civilization came to adopt it as one of its staple crops and as a valued commodity. The Incas were able to accomplish significant things while stimulated by the effects of coca. The Incas did not have a graphical written language, but used the quipu, a fiber recording device. Spanish documents make it clear that coca was one of the most important elements of Inca culture. Coca was used in Inca feasts and religious rituals, among many other things.[60] It was a driving factor in the labor efforts that Inca kings asked of their citizens, and also used to barter for other goods. Coca was vital to the Inca civilization and its culture. The Incas valued coca so much that they colonized tropical rain forests to the north and east of their capital in Cuzco so that they could increase and control their supply. The Incas colonized more humid regions because coca cannot grow above 2600 meters in elevation (coca is not frost-resistant).[61]

Coca use in labor and military service

[edit]

One of the most common uses of coca during the reign of the Inca was in the context of mit'a labor, a labor tax required of all able-bodied men in the Inca empire, and also in military service. Pedro Cieza de León wrote that the indigenous people of the Andes always seemed to have coca in their mouths. Mit'a laborers, soldiers, and others chewed coca to alleviate hunger and thirst while they were working and fighting. The results of this are evident in monumental construction and the successful expansion of the Inca empire through conquest. By chewing coca, laborers and soldiers were able to work harder and for longer periods. Some historians believe that coca and chicha (fermented corn beer) made it possible for the Incas to move large stones in order to create architectural masterpieces, especially ones of monolithic construction such as Sacsayhuamán.[61]

Coca use in religious rituals

[edit]

Due to the Spanish conquest of the Inca Empire, the Spaniards had direct access to the Inca. They had insight to their everyday lives, and it is through their lens that we learn about religion in the Inca Empire. While the indigenous author Pedro Cieza de León wrote about the effects coca had on the Inca, multiple Spanish men wrote about the importance of coca in their spirituality. For example Pedro Sarmiento de Gamboa, Father Bernabé Cobo, and Juan de Ulloa Mogollón noted how the Incas would leave coca leaves at important locations throughout the empire. They considered coca to be the highest form of plant offering that the Incas made.[61]

The Incas would put coca leaves in the mouths of mummies, which were a sacred part of Inca culture. Mummies of Inca emperors were regarded for their wisdom and often consulted for important matters long after the body had deteriorated. Not only did many Inca mummies have coca leaves in their mouths, but they also carried coca leaves in bags.[61] These are believed to be Inca sacrifices, and like the Aztecs, the Inca participated in sacrifices as well. It is clear that the Incas had a strong belief in the divinity of the coca leaf as there is now evidence that both the living and the dead were subjected to coca use. They even sent their sacrifices off to their death with a sacrificial bag of coca leaves. The coca leaf affected all stages of life for the Inca. Coca was also used in divination as ritual priests would burn a mixture of coca and llama fat and predict the future based on the appearance of the flame.[62]

Coca use after the Spanish invasion and colonization

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After the Spanish invasion and colonization of the Inca Empire, the use of coca was restricted and appropriated by the Spaniards. By many historical accounts, the Spaniards made haphazard attempts to eradicate the coca leaf from Inca life. Although the Spaniards reported state-controlled storage facilities that the Inca had built to distribute to its workers,[61] The Spanish allowed local communities to continue to use coca to endure the labor associated with working conditions.[60] After seeing the effects and powers of the coca plant, many Spaniards saw another opportunity and started growing and selling coca themselves.

Traditional uses

[edit]
Man holding coca leaf in Bolivia
Three coca leaves on one stem are lucky in Quechuan folklore

Medicine

[edit]

Traditional medical uses of coca are foremost as a stimulant to overcome fatigue, hunger, and thirst. It is considered particularly effective against altitude sickness.[63] It also is used as an anesthetic and analgesic to alleviate the pain of headache, rheumatism, wounds and sores, etc. Before stronger anaesthetics were available, it also was used for broken bones, childbirth, and during trepanning operations on the skull.[63] The high calcium content in coca explains why people used it for bone fractures.[63] Because coca constricts blood vessels, it also serves to oppose bleeding, and coca seeds were used for nosebleeds. Indigenous use of coca has also been reported as a treatment for malaria, ulcers, asthma, to improve digestion, to guard against bowel laxity, as an aphrodisiac, and credited with improving longevity. Modern studies have supported a number of these medical applications.[43][63]

Nutrition

[edit]

Raw coca leaves, chewed or consumed as tea or mate de coca, are rich in nutritional properties. Specifically, the coca plant contains essential minerals (calcium, potassium, phosphorus), vitamins (B1, B2, C, and E) and nutrients such as protein and fiber.[64][65]

Religion

[edit]

Coca has also been a vital part of the religious cosmology of the Andean peoples of Peru, Chile, Bolivia, Ecuador, Colombia and northwest Argentina from the pre-Inca period through to the present. Coca leaves play a crucial part in offerings to the apus (mountains), Inti (the sun), or Pachamama (the earth). Coca leaves are also often read in a form of divination analogous to reading tea leaves in other cultures. As one example of the many traditional beliefs about coca, it is believed by the miners of Cerro de Pasco to soften the veins of ore, if masticated (chewed) and thrown upon them[11] (see Cocamama in Inca mythology). In addition, coca use in shamanic rituals is well documented wherever local native populations have cultivated the plant. For example, the Tayronas of Colombia's Sierra Nevada de Santa Marta would chew the plant before engaging in extended meditation and prayer.[66]

Chewing

[edit]

In Bolivia bags of coca leaves are sold in local markets and by street vendors. The activity of chewing coca is called mambear, chacchar or acullicar, borrowed from Quechua, coquear (Northwest Argentina), or in Bolivia, picchar, derived from the Aymara language. The Spanish masticar is also frequently used, along with the slang term "bolear," derived from the word "bola" or ball of coca pouched in the cheek while chewing. Typical coca consumption varies between 20 and 60 grams per day,[67] and contemporary methods are believed to be unchanged from ancient times.[citation needed] Coca is kept in a woven pouch (chuspa or huallqui). A few leaves are chosen to form a quid (acullico) held between the mouth and gums. Doing so may cause a tingling and numbing sensation in the mouth, in similar fashion to the formerly ubiquitous dental anaesthetic novocaine (as both cocaine and novocaine belong to the amino ester class of local anesthetics).

Chewing coca leaves is most common in indigenous communities across the central Andean region,[66] particularly in places like the highlands of Argentina, Colombia, Bolivia, and Peru, where the cultivation and consumption of coca is a part of the national culture, similar to chicha. It also serves as a powerful symbol of indigenous cultural and religious identity, amongst a diversity of indigenous nations throughout South America.[66] Chewing plants for medicinal mostly stimulating effects has a long history throughout the world: khat in East Africa and the Arabian Peninsula, tobacco in North America, pituri in Australia, and areca nut in South/Southeast Asia and the Pacific Basin. Tobacco leaves were also traditionally chewed in the same way in North America (modern chewing tobacco is typically heavily processed). Khat chewing also has a history as a social custom dating back thousands of years analogous to the use of coca leaves.[68]

Llipta is used to improve extraction when chewing coca (Museo de la Coca, Cusco, Peru).

One option for chewing coca is with a tiny quantity of ilucta (a preparation of the ashes of the quinoa plant) added to the coca leaves; it softens their astringent flavor and activates the alkaloids.[citation needed] Other names for this basifying substance are llipta in Peru and the Spanish word lejía, bleach in English. The consumer carefully uses a wooden stick (formerly often a spatula of precious metal) to transfer an alkaline component into the quid without touching his flesh with the corrosive substance. The alkali component, usually kept in a gourd (ishcupuro or poporo), can be made by burning limestone to form unslaked quicklime, burning quinoa stalks, or the bark from certain trees, and may be called llipta, tocra or mambe depending on its composition.[55][56] Many of these materials are salty in flavor, but there are variations. The most common base[citation needed] in the La Paz area of Bolivia is a product known as lejía dulce (sweet lye), which is made from quinoa ashes mixed with aniseed and cane sugar, forming a soft black putty with a sweet and pleasing flavor. In some places, baking soda is used under the name bico.

In the Sierra Nevada de Santa Marta, on the Caribbean Coast of Colombia, coca is consumed[66] by the Kogi, Arhuaco, and Wiwa by using a special device called poporo.[66] The poporo is the mark of manhood; it is regarded by men as a good companion that means "food", "woman", "memory", and "meditation". When a boy is ready to be married, his mother initiates him in the use of the coca. This act of initiation is carefully supervised by the Mamo, a traditional priest-teacher-leader.[citation needed]

Fresh samples of the dried leaves, uncurled, are a deep green colour on the upper surface, and a grey-green on the lower surface, and have a strong tea-like aroma. When chewed, they produce a pleasurable numbness in the mouth, and have a pleasant, pungent taste. They are traditionally chewed with slaked lime or some other reagent such as bicarbonate of soda to increase the release of the active ingredients from the leaf. Older species have a camphoraceous smell and a brownish color, and lack the pungent taste.[11][69] See also Erythroxylum coca, and Erythroxylum novogranatense spp.

Ypadú is an unrefined, unconcentrated powder made from coca leaves and the ash of various other plants.

Tea

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A cup of mate de coca served in a coffee shop in Cuzco, Peru

Although coca leaf chewing is common only among the indigenous populations,[63] the consumption of coca tea (Mate de coca) is common among all sectors of society in the Andean countries, especially due to their high elevations from sea level,[63] and is widely held to be beneficial to health, mood, and energy.[63] Coca leaf is sold packaged into teabags in most grocery stores in the region, and establishments that cater to tourists generally feature coca tea. Coca tea is legal in Colombia, Peru, Bolivia, Argentina, and Ecuador.[70][71]

Commercial and industrial uses

[edit]
Store selling coca leaf in Peru

In the Andes, commercially manufactured coca teas, granola bars, cookies, hard candies, etc. are available in most stores and supermarkets, including upscale suburban supermarkets.[citation needed]

Coca is used industrially in the cosmetics and food industries. A decocainized extract of coca leaf is one of the flavoring ingredients in Coca-Cola. Before the criminalization of cocaine, however, the extract was not decocainized, and hence Coca-Cola's original formula did indeed include cocaine.[8][10][72]

Coca tea is produced industrially from coca leaves in South America by a number of companies, including Enaco S.A. (National Company of the Coca), a government enterprise in Peru.[73][74] Coca leaves are also found in a brand of herbal liqueur called "Agwa de Bolivia" (grown in Bolivia and de-cocainized in Amsterdam),[75] and a natural flavouring ingredient in Red Bull Cola, that was launched in March 2008.[76]

New markets

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Coca has figured more prominently in the politics of Bolivia and Peru in the early 21st century.[77] President Morales asserted that "la coca no es cocaína"—the coca leaf is not cocaine. During his speech to the General Assembly of the United Nations on September 19, 2006, he held a coca leaf in his hand to demonstrate its innocuity.[78]

Alan García, former president of Peru, has recommended its use in salads and other edible preparations. A Peruvian-based company has announced plans to market a modern version of Vin Mariani, which will be available in both natural and de-cocainized varieties.

In Venezuela, former president Hugo Chávez said in a speech in January 2008 that he chews coca every day, and that his "hook up" is Bolivian president Evo Morales. Chávez reportedly said "I chew coca every day in the morning... and look how I am" before showing his biceps to his audience, the Venezuelan National Assembly.[79]

On the other hand, the Colombian government has recently moved in the opposite direction. For years, Bogotá has allowed indigenous coca farmers to sell coca products, promoting the enterprise as one of the few successful commercial opportunities available to recognized tribes like the Nasa, who have grown it for years and regard it as sacred.[80] In December 2005, the Paeces – a Tierradentro (Cauca) indigenous community – started to produce a carbonated soft drink called "Coca Sek". The production method belongs to the resguardos of Calderas (Inzá) and takes about 150 kg (331 lb) of coca per 3,000 produced bottles. The drink was never sold widely in Colombia and efforts to do so ended in May 2007 when it was abruptly banned by the Colombian government.[citation needed]

Coca Colla is an energy drink which is produced in Bolivia with the use of coca extract as its base. It was launched on the Bolivian markets in La Paz, Santa Cruz, and Cochabamba in mid-April 2010.[81][82]

Literary references

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International prohibition of coca leaf

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Coca leaf is the raw material for the manufacture of the drug cocaine, a powerful stimulant and anaesthetic extracted chemically from large quantities of coca leaves. Today, since it has mostly been replaced as a medical anaesthetic by synthetic analogues such as procaine, cocaine is best known as an illegal recreational drug. The cultivation, sale, and possession of unprocessed coca leaf (but not of any processed form of cocaine) is generally legal in the countries – such as Bolivia, Peru, Chile, and Argentine Northwest – where traditional use is established, although cultivation is often restricted in an attempt to control the production of cocaine. In the case of Argentina, it is legal only in some northwest provinces where the practice is so common that the state has accepted it.

The prohibition of the use of the coca leaf except for medical or scientific purposes was established by the United Nations in the 1961 Single Convention on Narcotic Drugs. The coca leaf is listed on Schedule I of the 1961 Single Convention together with cocaine and heroin. The Convention determined that "The Parties shall so far as possible enforce the uprooting of all coca bushes which grow wild. They shall destroy the coca bushes if illegally cultivated" (Article 26), and that, "Coca leaf chewing must be abolished within twenty-five years from the coming into force of this Convention" (Article 49, 2.e).[85]

The historic rationale for international prohibition of coca leaf in the 1961 Single Convention comes from "The Commission of Enquiry on the Coca Leaf study" published in 1950. It was requested of the United Nations by the permanent representative of Peru, and was prepared by a commission that visited Bolivia and Peru briefly in 1949 to "investigate the effects of chewing the coca leaf and the possibilities of limiting its production and controlling its distribution." It concluded that the effects of chewing coca leaves were negative, even though chewing coca was defined as a habit, not an addiction.[86][87]

The report was sharply criticised for its arbitrariness, lack of precision, and racist connotations.[63] The team members' professional qualifications and parallel interests were also criticised, as were the methodology used and the incomplete selection and use of existing scientific literature on the coca leaf. Questions have been raised as to whether a similar study today would pass the scrutiny and critical review to which scientific studies are routinely subjected.[72]

Despite the legal restriction among countries party to the international treaty, coca chewing and drinking of coca tea is carried out daily by millions of people in the Andes as well as considered sacred within indigenous cultures. Coca consumers claim that most of the information provided about the traditional use of the coca leaf and its modern adaptations is erroneous.[63] This has made it impossible to shed light on the plant's positive aspects and its potential benefits for the physical, mental, and social health of the people who consume and cultivate it.[63][72]

In an attempt to obtain international acceptance for the legal recognition of traditional use of coca in their respective countries, Peru and Bolivia successfully led an amendment, paragraph 2 of Article 14 into the 1988 United Nations Convention Against Illicit Traffic in Narcotic Drugs and Psychotropic Substances, stipulating that measures to eradicate illicit cultivation and to eliminate illicit demand "should take due account of traditional licit use, where there is historic evidence of such use."[88] Bolivia also made a formal reservation to the 1988 Convention, which required countries to adopt measures to establish the use, consumption, possession, purchase or cultivation of the coca leaf for personal consumption as a criminal offence. Bolivia stated that "the coca leaf is not, in and of itself, a narcotic drug or psychotropic substance" and stressed that its "legal system recognizes the ancestral nature of the licit use of the coca leaf, which, for much of Bolivia's population, dates back over centuries."[89][90]

However, the International Narcotics Control Board (INCB) – the independent and quasi-judicial control organ for the implementation of the United Nations drug conventions – denied the validity of article 14 in the 1988 Convention over the requirements of the 1961 Convention, or any reservation made by parties, since it does not "absolve a party of its rights and obligations under the other international drug control treaties."[91]

The INCB stated in its 1994 Annual Report that "mate de coca, which is considered harmless and legal in several countries in South America, is an illegal activity under the provisions of both the 1961 Convention and the 1988 Convention, though that was not the intention of the plenipotentiary conferences that adopted those conventions."[92] It implicitly also dismissed the original report of the Commission of Enquiry on the Coca Leaf by recognizing that "there is a need to undertake a scientific review to assess the coca-chewing habit and the drinking of coca tea."[93]

Nevertheless, the INCB on other occasions did not show signs of an increased sensitivity towards the Bolivian claim on the rights of their indigenous population, and the general public, to consume the coca leaf in a traditional manner by chewing the leaf, and drinking coca tea, as "not in line with the provisions of the 1961 Convention."[94][95] The Board considered Bolivia, Peru and a few other countries that allow such practises to be in breach with their treaty obligations, and insisted that "each party to the Convention should establish as a criminal offence, when committed intentionally, the possession and purchase of coca leaf for personal consumption."[96]

In reaction to the 2007 Annual Report of the INCB, the Bolivian government announced that it would formally issue a request to the United Nations to unschedule the coca leaf of List 1 of the 1961 UN Single Convention.[97] Bolivia led a diplomatic effort to do so beginning in March 2009, but eighteen countries out of a total of 184, those 18 being, listed chronologically: the United States, Sweden, United Kingdom, Latvia, Japan, Canada, France, Germany, Bulgaria, Slovakia, Denmark, Estonia, Italy, Mexico, Russian Federation, Malaysia, Singapore, and Ukraine, objected to the change before the January 2011 deadline. A single objection would have been sufficient to block the modification. The legally unnecessary step of supporting the change was taken formally by Spain, Ecuador, Venezuela, and Costa Rica.[98] In June 2011, Bolivia moved to denounce the 1961 Convention over the prohibition of the coca leaf.[99]

At Bolivia's initiative, organized by Colombia and Bolivia with the support of Canada, Czechia, Malta, Mexico, Switzerland and OHCHR, the World Health Organization (WHO), is conducting a 'critical review' of the coca leaf. In 2025, based on its findings, the WHO may recommend changes in coca's classification under the UN drug control treaties.[100][101]

Since the 1980s, the countries in which coca is grown have come under political and economic pressure from the United States to restrict the cultivation of the crop in order to reduce the supply of cocaine on the international market.[63]

Article 26 of the Single Convention on Narcotic Drugs requires nations that allow the cultivation of coca to designate an agency to regulate said cultivation and take physical possession of the crops as soon as possible after harvest, and to destroy all coca which grows wild or is illegally cultivated. The effort to enforce these provisions, referred to as coca eradication, has involved many strategies, ranging from aerial spraying of herbicides on coca crops to assistance and incentives to encourage farmers to grow alternative crops.[102]

This effort has been politically controversial,[103] with proponents claiming[citation needed] that the production of cocaine is several times the amount needed to satisfy legal demand and inferring that the vast majority of the coca crop is destined for the illegal market. As per the proclaimed view, this not only contributes to the major social problem of drug abuse but also financially supports insurgent groups that collaborate with drug traffickers in some cocaine-producing territories. Critics of the effort claim[63] that it creates hardship primarily for the coca growers, many of whom are poor and have no viable alternative way to make a living, causes environmental problems, that it is not effective in reducing the supply of cocaine, in part because cultivation can move to other areas, and that any social harm created by drug abuse is only made worse by the War on Drugs.[63] The environmental problems include "ecocide", where vast tracts of land and forest are sprayed with glyphosate or Roundup, with the intention of eradicating the coca plant.[63] However, the incidental environmental damage is severe, because many plant species are wiped out in the process.[63]

Coca has been reintroduced to the United States as a flavoring agent in the herbal liqueur Agwa de Bolivia.[104]

Boliviana negra, a genetically engineered type of coca, resists glyphosate herbicides and increases yields.

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The primary organization authorized to purchase coca leaves is ENACO S.A., headquartered in Peru.[105] Outside of South America, most countries' laws make no distinction between the coca leaf and any other substance containing cocaine, so the possession of coca leaf is prohibited. In South America coca leaf is illegal in both Paraguay and Brazil.

Netherlands

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In the Netherlands, coca leaf is legally in the same category as cocaine, as both are List I drugs of the Opium Law. The Opium Law specifically mentions the leaves of the plants of the genus Erythroxylon. However, the possession of living plants of the genus Erythroxylon is not actively prosecuted, even though they are legally forbidden.

United States

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Like cocaine, coca is controlled under the Controlled Substances Act (CSA) as a Schedule II drug meaning it is a restricted drug and is illegal to process without a prescription or a DEA registration.

In the United States, a Stepan Company plant in Maywood, New Jersey is a registered importer of coca leaf. The company manufactures pure cocaine for medical use and also produces a cocaine-free extract of the coca leaf, which is used as a flavoring ingredient in Coca-Cola. Other companies that have registrations with the DEA to import coca leaf according to 2011 Federal Register Notices for Importers,[106] include Johnson Matthey, Inc, Pharmaceutical Materials; Mallinckrodt Inc; Penick Corporation; and the Research Triangle Institute. Analysts have noted the substantial importation of coca leaf into the United States,[107] but the actual quantity is unknown because much of it is illegally imported, and there are many reports of coca leaves and coca teas being sold in the United States and being seized by the Drug Enforcement Administration throughout the States and Territories of the United States.

Canada

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Coca leaf is listed as a Schedule I drug (most dangerous) according to the Controlled Drugs and Substances Act of Canada (S.C. 1996, c. 19) alongside Opium (Heroin) and synthetic opioid analgesics. Specifically, it lists Coca (Erythroxylon), its preparations, derivatives, alkaloids, and salts, including:(1) Coca leaves (2) Cocaine and (3) Ecgonine. Possession of a Schedule I substance is illegal and trafficking can result in punishment of up to life imprisonment.[108]

Australia

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Coca leaf is considered a Schedule 9 prohibited substance in Australia under the Poisons Standard (October 2015).[109] A Schedule 9 substance is a substance which may be abused or misused, the manufacture, possession, sale or use of which should be prohibited by law except when required for medical or scientific research, or for analytical, teaching or training purposes with approval of Commonwealth and/or State or Territory Health Authorities.[109]

India

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Coca leaf is a controlled narcotic drug in India by the Narcotic Drugs and Psychotropic Substances Act, 1985 which is the principal legislation governing the subject. While its scientific and medical purposes are permissible in accordance with law, any other indulgence including cultivation, possession, sale, consumption, transportation, import, export, are prohibited.

See also

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References

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Revisions and contributorsEdit on WikipediaRead on Wikipedia
from Grokipedia
Coca encompasses cultivated varieties of the shrub and in the family , native to the Andean slopes of western including , , and . These plants produce elliptic leaves containing a mixture of alkaloids, with comprising 0.42% to 1.02% of dry weight on average. For over four millennia, indigenous Andean communities have masticated the leaves, often alkalized with lime, to suppress appetite, alleviate , and enhance physical endurance, deriving benefits from both the alkaloids and nutritive compounds like vitamins and minerals. The coca shrub thrives in subtropical valleys at elevations of 500 to 2,000 meters, featuring small white flowers and red berries, with leaves harvested multiple times annually after a two-year maturation period. Beyond traditional mastication and as , the leaves serve nutritional roles, providing calories, proteins, and essential micronutrients in regions with limited food access. The isolation of hydrochloride in 1860 by Albert Niemann enabled its initial pharmaceutical applications as a and , though subsequent recognition of dependency risks shifted perceptions toward . International treaties classify coca leaves as a narcotic precursor due to cocaine extraction potential, fueling eradication efforts that conflict with Andean cultural practices where leaf use evidences no progression to purified cocaine abuse, attributable to synergistic alkaloids mitigating addiction pathways. Cultivation persists legally in Bolivia and Peru for domestic consumption, underscoring tensions between empirical evidence of moderate leaf benefits—such as improved oxygenation and reduced fatigue in laborers—and global drug control paradigms prioritizing supply suppression over differentiated regulation.

Botanical Characteristics

Description and Morphology

Coca comprises shrubs of the Erythroxylum, primarily E. coca and E. novogranatense, reaching heights of 1 to 2.5 meters with erect, smooth, branched stems forming a bushy habit. The leaves are alternate and simple, thin, elliptic-oblong to narrowly obovate-elliptic in shape, measuring 2 to 7 cm long with a blunt apex and pointed base; they appear light green, oval to lance-shaped, typically 6 cm in length and 3 cm across. Flowers emerge in small clusters at leaf axils, featuring five white to yellowish-white petals and measuring a few millimeters across. The develops as an oval, glossy red , oblong and 7 to 10 mm long when ripe, enclosing thin pulp around a single .

Species and Varieties

The cultivated coca plants belong to two primary species within the genus Erythroxylum of the family Erythroxylaceae: Erythroxylum coca Lam. and Erythroxylum novogranatense (Morris) Neyra. These species encompass four main varieties domesticated through human selection over millennia, differing in morphology, alkaloid profiles, and adaptation to specific environments. Erythroxylum coca includes var. coca, commonly known as or , which features larger leaves and is primarily cultivated in the moist Andean highlands of and at elevations of 500 to 2,000 meters. This variety typically contains 0.23% to 0.96% by dry leaf weight. The second variety, E. coca var. ipadu Plowman, or Amazonian coca, is a smaller, shrubby form adapted to humid lowland forests below 500 meters, with reduced stature and higher tolerance to shade and flooding. Erythroxylum novogranatense comprises var. novogranatense, the Colombian coca, suited to drier inter-Andean valleys and capable of growth in semi-arid conditions with cocaine contents ranging from 0.5% to 1.0%. The var. truxillense (Rusby) Neyra, or Truxillo coca, originates from Peru's coastal valleys and exhibits enhanced drought resistance, often yielding leaves with elevated tropane alkaloid levels including up to 0.36% cocaine in some samples. These varieties reflect distinct evolutionary domestication events, with E. novogranatense showing genetic adaptations for arid habitats compared to the more mesic preferences of E. coca.
SpeciesVarietyCommon NamePrimary Habitat Characteristics
E. cocavar. cocaHuánuco/BolivianMoist Andean highlands, 500–2,000 m
E. cocavar. ipaduAmazonianHumid lowlands, shade-tolerant, flood-resistant
E. novogranatensevar. novogranatenseColombianDrier inter-Andean valleys, semi-arid adaptable
E. novogranatensevar. truxillenseTruxilloCoastal valleys, high

Habitat, Cultivation, and Distribution

Coca plants of the genus Erythroxylum, particularly E. coca and E. novogranatense, are native to the tropical regions of South America, thriving in montane forests along the eastern slopes of the Andes in Peru and Bolivia for E. coca var. coca, which prefers humid conditions at altitudes between 300 and 2000 meters. E. novogranatense varieties adapt to both moist and drier highland areas in Colombia, including the Cordilleras and Sierra Nevada de Santa Marta, often in lowland extensions. These shrubs grow best in well-drained, acidic soils with a pH range of 5.5 to 6.5, requiring sunny positions and tolerance for temperatures averaging 25°C with high humidity. Cultivation traditionally involves propagating Erythroxylum species via seeds or stem cuttings, with plants reaching harvestable maturity in 6 to 18 months and yielding leaves three to four times annually for up to 20 years under optimal conditions. In Andean , farmers plant in fertile, sloped terrains without extensive terracing in some regions like the of , relying on natural rainfall and manual harvesting by hand-picking mature leaves. The plants demand consistent moisture but resist waterlogging, with cultivation focused on maintaining bushy growth through periodic to maximize leaf production. Wild distribution centers on the from to and northern , with E. coca linked to Amazonian lowlands in some variants. Cultivated coca extends to , , and historically to , , and for leaf production, though primary commercial growing remains in , , and , where over 90% of global supply originates. Small-scale illicit fields have appeared outside traditional areas, such as in , but these represent minor deviations from the Andean core.

Chemical and Pharmacological Properties

Active Compounds and Composition

The leaves of Erythroxylum coca contain a complex mixture of chemical compounds, dominated by tropane alkaloids that constitute 0.7% to 1.5% of the dry weight. These alkaloids belong primarily to tropane, pyrrolidine, and pyridine classes, with over 18 distinct types identified across cultivated varieties. Cocaine, or benzoylmethylecgonine, is the principal alkaloid, comprising the majority of the total alkaloid content and varying from 0.1% to 0.9% in typical leaves. Concentrations differ by variety, with E. coca var. coca generally lower than E. novogranatense, though peasant preferences in Bolivia correlate more with regional factors than cocaine levels. Minor alkaloids include cis- and trans-cinnamoylcocaine, , methylecgonine, and , alongside at least 20 other identified compounds contributing to the pharmacological profile. Non-alkaloidal components encompass , essential oils, and , which may influence and traditional uses. Beyond psychoactive elements, the leaves provide substantial macronutrients and micronutrients: over 50% (mostly insoluble), 19.9% protein, 44.3% carbohydrates, and 3.3% fat per 100g dry weight. Mineral content includes calcium (997 mg/100g), , , and magnesium, while vitamins feature (10,000–14,000 IU), (0.73 mg), (0.88 mg), and niacin (8.37 mg). However, analyses indicate that customary consumption levels (e.g., 50–100g daily) yield nutritional contributions comparable to other leafy greens but limited by interference with absorption and potential toxicity.

Physiological Effects of Coca Leaf Consumption

Consumption of coca leaves, primarily through with an alkaline adjunct like lime or ash, elicits mild physiological effects attributable to the plant's alkaloids, chiefly at concentrations of 0.3% to 0.8% of dry leaf weight, alongside methyl ester and other minor compounds. This method enhances alkaloid extraction and buccal absorption, yielding gradual systemic delivery with first-pass limiting peak levels to far below those from purified , typically resulting in sustained rather than intense stimulation. Central nervous system effects include heightened alertness, diminished , and appetite suppression, enabling prolonged physical exertion in high-altitude environments where coca use is traditional. These outcomes stem from 's inhibition of monoamine , though modulated by the leaf's and matrix, which tempers and crash relative to isolated . Human studies confirm no significant mental or physical health detriment from habitual chewing, contrasting with 's addictive profile. Cardiovascular responses feature modest increases in and , more pronounced during submaximal exercise than at rest, where hormonal alterations are limited to reduced insulin concentrations. Metabolic benefits may include stabilization of blood glucose, supporting antidiabetic hypotheses, while modulation—evidenced by lower levels in chewers versus non-chewers under stress—suggests HPA axis dampening, particularly beneficial for shift workers. Local anesthetic action in the oral cavity provides numbing relief for dental or gastrointestinal discomfort. At high altitudes, coca alleviates hypoxia-related symptoms such as and polycythemia-induced , potentially via vasoconstrictive and erythropoietic influences, though empirical data remain correlative. is low, with animal models showing high LD50 values and human observations indicating no overdose risks from traditional doses; chronic effects like claims lack robust causation, often confounded by socioeconomic factors in user populations. Hepatoprotective and properties warrant further validation beyond preliminary findings.

Distinctions from Refined Cocaine and Associated Risks

Coca leaves contain approximately 0.5% to 1.0% alkaloids by dry weight, alongside other compounds such as , , and that contribute to their overall pharmacological profile. In traditional consumption methods like chewing (typically 20-50 grams of leaves daily), the absorbed is limited to 10-50 milligrams due to slow oral absorption through the buccal mucosa, resulting in peak plasma concentrations of 50-200 nanograms per milliliter—levels insufficient to produce or a rapid "rush." This contrasts sharply with refined hydrochloride, which is isolated to 90-100% purity and administered via routes like or injection, yielding plasma peaks 20-50 times higher and rapid onset within minutes, directly stimulating release in the brain's reward pathways at doses as low as 20-100 milligrams. The matrix of the coca leaf modulates effects through slower and potential entourage interactions from co-occurring alkaloids and nutrients, such as vitamins and minerals that mitigate . Physiological responses to leaf chewing include mild stimulation, appetite suppression, enhanced endurance, and alleviation of via improved oxygenation, without the cardiovascular spikes or seen in use. Refined , by contrast, induces intense , , , and , escalating to risks of , , and seizures even in first-time users at recreational doses. Addiction liability differs profoundly: traditional coca users in Andean populations exhibit no pharmacological dependence, withdrawal, or escalation patterns akin to , with habitual chewers maintaining steady, non-compulsive intake over lifetimes without tolerance buildup. Pure 's high-potency, rapid reinforcement fosters rapid tolerance, compulsive redosing, and severe withdrawal involving , , and craving, with animal models showing self-administration rates orders of magnitude higher than for leaf extracts. Associated risks for coca leaf include potential correlations with nutritional deficits in some observational studies of heavy chewers, possibly due to suppression rather than direct , though long-term from indigenous cohorts show no elevated rates of , gastrointestinal damage, or beyond socioeconomic factors. 's risks encompass overdose lethality ( from doses exceeding 1 gram), chronic neurodegeneration, psychiatric disorders like and hallucinations, and profound social harms including financial devastation and relational breakdown, with U.S. indicating over 24,000 overdose deaths in 2021 alone.

Historical Development

Origins and Pre-Columbian Uses

The coca plant, , is native to western , with wild progenitors distributed across the region from to . Genetic and archaeological evidence indicates multiple independent events, including one in northwestern giving rise to the Colombian (E. novogranatense) and Trujillo varieties, and a separate event for the variety (E. coca var. coca) in the eastern . The earliest direct evidence of coca use comes from the Nanchoc Valley in northern , where desiccated leaves were recovered from house floors dated to approximately 8,000 calibrated years (cal ), marking the onset of leaf chewing during the Early Holocene. Additional early archaeological traces include lime containers associated with coca processing from the Santa Elena Peninsula in southwestern , suggesting domestication by around 3,500 BC. Pre-Columbian indigenous populations in the and adjacent lowlands primarily consumed coca leaves through , often combined with alkaline substances such as pulverized shells or ash to facilitate the release of alkaloids like , which provided mild , reduced , and alleviated during labor-intensive activities. This practice is evidenced by dental wear patterns on skeletal remains, coca-stained artifacts, and paraphernalia like woven bags and mortars from sites in northern spanning over 3,000 years, up to around 500 AD. In the northern , ceramic depictions of chewers from the late (ca. 2100 BC) in illustrate its integration into daily and possibly ritual life, while residues in central Peruvian highland sites confirm widespread use by 1000 BC for medicinal purposes, including as a remedy for altitude-related ailments. Coastal Ecuadorian from ca. 3000 BC further points to early and consumption networks extending from Amazonian varieties (E. coca var. ipadu). These uses were pragmatic responses to environmental challenges, such as high-altitude hypoxia and nutritional scarcity, rather than purely recreational, as inferred from the consistent association of coca remains with work-related contexts in archaeological assemblages.

Role in Inca Society

Coca leaves occupied a pivotal role in Inca society, serving religious, economic, and physiological functions across the empire, which spanned from approximately 1438 to 1533 CE. Chronicler Garcilaso de la Vega, of mixed Spanish-Inca descent, noted that the Incas valued coca more highly than gold or silver, integrating it deeply into daily life, rituals, and state administration. The plant was cultivated under state control in warm Andean valleys unsuitable for other crops, with production monopolized to ensure distribution as tribute, rations, and exchange goods for staples like potatoes and quinoa. Archaeological evidence, including alkaloid residues in mummified remains and dental wear from chewing, confirms widespread habitual consumption among elites and laborers alike. In religious and divinatory practices, coca was deemed a divine gift, used in offerings to deities and for inducing during ceremonies. Priests and the Inca emperor exclusively chewed coca during rituals, while diviners burned leaves mixed with llama fat to interpret omens based on the smoke and flames. Hair analysis from sacrificial victims on mountain reveals chronic coca ingestion alongside other stimulants, underscoring its role in facilitating spiritual trances and endurance for high-altitude rituals. Spanish chronicler documented extensive coca plantations worked by thousands, highlighting its sacred status that prohibited commoners from growing it without permission. Economically, coca functioned as a non-monetary , alleviating and fatigue to boost labor productivity in the system, where workers received leaf rations to sustain long shifts in mines and fields at elevations exceeding 3,000 meters. Its properties, providing mild and suppression, enabled high-altitude adaptation, as evidenced by bioarchaeological studies at sites like Puruchuco showing increased chewing during the Late Horizon Inca period. This systemic integration supported imperial expansion, with the Incas colonizing coca-rich lowlands to secure supply, though post-conquest accounts from sources like Garcilaso may reflect idealized views influenced by indigenous oral traditions.

Colonial Era and Introduction to Europe

The Spanish conquest of the in 1532 initially prompted efforts to eradicate coca cultivation and use among indigenous populations, as colonizers and associated it with , , and resistance to Christian conversion. These attempts failed due to coca's entrenched role in Andean society and its practical value in sustaining forced labor under grueling conditions. By the mid-16th century, Spanish authorities shifted policy, recognizing coca's effects in suppressing hunger, thirst, and fatigue, which enabled indigenous workers to endure extended shifts in high-altitude mines. The discovery of vast silver deposits at in 1545 amplified this reliance, as the labor system—revived and expanded by Viceroy in 1572—required rations of coca leaves for thousands of conscripted miners to maintain productivity amid toxic environments and altitudes exceeding 4,000 meters. Coca production surged dramatically, increasing 40- to 50-fold post-conquest, transitioning from an elite Inca privilege to a mass-distributed taxed by the crown to fund colonial operations. Indigenous plantations expanded under Spanish oversight, with leaves transported from valleys to mining centers, solidifying coca's economic integration while ecclesiastical opposition, debated at councils like Lima's Third Provincial Council (1582–1583), gradually yielded to pragmatic allowances. Early European exposure stemmed from conquistadors' observations, with initial written accounts appearing in the works of explorers like (1505) and Gonzalo Fernández de (1535), followed by detailed descriptions from physician Nicolás Monardes in his 1565–1580 treatises on plants, which highlighted coca's invigorating properties based on Andean reports. Small shipments of dried leaves reached via Spanish trade routes in the late , though viability was limited by perishability during long voyages. Chemical analysis of 17th-century mummified remains from reveals coca metabolites like and hygrine, indicating that by the early 1600s, select Europeans—likely through informal Mediterranean networks—were chewing leaves for pain relief and stimulation, predating formalized 19th-century imports by centuries. These sporadic uses remained marginal until alkaloid isolation in 1859 spurred wider pharmacological interest.

Traditional and Cultural Applications

Methods of Consumption

The predominant traditional method of coca leaf consumption in Andean indigenous cultures is acullico, or , where users form a quid by placing 10-20 fresh or dried leaves in the mouth, typically alongside an alkaline activator such as llipta. Llipta, prepared from ashes of stalks or other plants mixed with lime or , is applied to the leaves to facilitate the release of alkaloids through salivation, with the quid positioned in the and replenished periodically over several hours. This practice, sustained daily by an estimated 4-8 million people in and as of the early , originates from pre-Columbian rituals and serves to mitigate high-altitude fatigue and hunger. A second common method involves preparing mate de coca, an herbal made by approximately 5-10 grams of dried coca leaves in 200-250 milliliters of hot water (around 80°C) for 5-10 minutes. This tea, consumed hot or cold, extracts water-soluble alkaloids and is widely available in markets and hotels across and , often flavored with or for palatability. Unlike chewing, infusion yields lower alkaloid concentrations per serving, typically 0.1-0.5 milligrams of cocaine equivalents, and is favored for its milder, more accessible administration. Less prevalent traditional methods include incorporating coca leaves into foodstuffs, such as grinding them into for or soups in Bolivian highland communities, though these retain minimal pharmacological potency due to processing. Topical applications, like poultices for wounds, fall outside oral consumption but underscore the plant's versatile utility in Andean . These methods collectively emphasize low-dose, sustained exposure to coca's natural alkaloids, distinct from concentrated extracts.

Medicinal and Nutritional Roles

In traditional Andean practices, coca leaves (Erythroxylum coca) are chewed with an alkaline additive such as llipta (lime paste) to mitigate altitude sickness, suppress hunger and thirst, and reduce fatigue during labor at high elevations above 3,000 meters. This method enhances the bioavailability of alkaloids, including cocaine at concentrations of 0.5-1% by dry weight, providing mild stimulation without the intense effects of refined cocaine. Indigenous healers employ coca infusions or poultices for gastrointestinal discomfort, toothaches, and rheumatism, attributing efficacy to its analgesic and anti-inflammatory properties observed empirically over millennia. Nutritionally, dried coca leaves offer 20.28 g , 44.3 g carbohydrates, 14.2 g , and trace vitamins including 3,509 μg beta-carotene ( precursor), 0.58-0.68 mg (B1), and 16.72 mg per 100 g. Chewing 50-100 g daily, common in Andean diets, supplies approximately 200-400 kcal, alongside calcium, iron, and , aiding nutritional status in calorie-scarce highland environments. However, alkaloids like limit safe intake, and studies indicate that recommended quantities do not yield substantial benefits relative to potential residues or dependency risks from chronic use. Scientific investigations corroborate some traditional claims, with coca extracts demonstrating efficacy against via effects and gastrointestinal ailments through mucosal protection in animal models. elevates blood glucose levels, potentially countering at altitude, as evidenced by field studies on Andean workers. Limited human trials suggest improved exercise tolerance and reduced perceived exertion, though rigorous randomized controlled studies remain scarce due to legal restrictions on coca outside and . Risks include mild cardiovascular strain from habitual use, but epidemiological data from long-term chewers show no elevated incidence of or severe pathology comparable to abuse, attributable to buffering compounds in the leaf matrix.

Social and Religious Contexts

In Andean indigenous societies, particularly among Quechua and Aymara peoples, coca leaf chewing serves as a central social ritual that fosters community bonds and reciprocity. During gatherings such as weddings, festivals, and daily interactions, individuals exchange small bundles of coca leaves (k'intu, typically three leaves symbolizing the trilogy of hanaqpacha, kaypacha, and ukhu pacha—the upper, present, and lower worlds), accompanied by verbal blessings like tinkay to invoke harmony and protection. This practice, rooted in pre-Columbian traditions, reinforces social etiquette and , with non-participation signaling exclusion from communal norms. Ethnographic studies document its role in alleviating social tensions, as the mild effect promotes endurance in labor-intensive settings like or , where groups share acullico (chewing sessions) to sustain collective efforts. Religiously, coca holds sacred status as a divine gift from deities such as (sun god) or (Earth Mother), integral to rituals across Andean cosmology. Offerings of coca leaves form the core of pago ceremonies to , where k'intu bundles are burned or buried alongside items like llama fat and shells to ensure fertility, safe travels, or bountiful harvests; these rites, performed by yatiris (shamans), date back to Inca times and persist in and as of 2025. In (coca qhaway), leaves are cast or interpreted by specialists to diagnose ailments, predict outcomes, or communicate with apus (mountain spirits), a practice viewed as accessing spiritual energies rather than , with historical roots in highland 's Quechua communities. Such uses underscore coca's non-narcotic cultural embedding, distinct from refined , as millions consume it daily without dependency issues reported in traditional contexts.

Modern Economic and Industrial Uses

Legal commercial products derived from coca leaves are primarily available in producing countries such as Peru and Bolivia, where cultivation is regulated for traditional and non-narcotic uses. These include fresh or dried leaves sold in wholesale markets like Villa Fátima in La Paz and Sacaba in Cochabamba, Bolivia, for chewing or infusion as mate de coca tea. Processed derivatives encompass coca flour for baking, cookies, candies, and liquor produced by entities such as Peru's National Enterprise of Coca (ENACO), which purchases leaves from registered growers. Mate de coca tea bags, typically containing 1 gram of leaves per bag or 3 to 5 leaves, are commercially produced and sold for medicinal purposes like alleviating altitude sickness. Internationally, restrictions limit trade, but decocainized coca leaf extract serves as a agent in beverages. The in holds the sole U.S. permit to import coca leaves, processing them to remove alkaloids, which are sold for pharmaceutical use, while the residue extract is supplied to . has incorporated this decocainized extract since approximately , following the cessation of inclusion in its formula. Some legal coca is also grown in and for export as decocainized to international manufacturers. Efforts to expand markets include Bolivia's push to deschedule the coca leaf under UN conventions, potentially enabling greater exports of teas, flours, and confections without narcotic stigma. However, importation of raw leaves or unprocessed products remains prohibited in countries like the for any purpose, including tea brewing.

Pharmaceutical and Agricultural Applications

Cocaine, the primary derived from coca leaves, is utilized in as a for procedures involving the mucous membranes of the eye, ear, , and , owing to its rapid and vasoconstrictive effects that reduce . In the United States, hydrochloride is available in solution form for these applications, classified as a Schedule II to allow limited therapeutic use while mitigating abuse risks. Its pharmacological profile as a sympathomimetic agent also contributes to these effects, though systemic use has been largely supplanted by safer alternatives due to risks of and cardiovascular complications. Coca leaf extracts and whole leaves have been investigated for potential therapeutic roles beyond isolated cocaine, including as stimulants for fatigue, treatments for gastrointestinal disorders, and remedies for and altitude-related stress. In traditional Andean practices, chewing or infusions provide mild and appetite suppression, attributed to alkaloids like and , but rigorous clinical evidence supporting broad efficacy is sparse, with most benefits anecdotal or preliminary. Pharmacological analyses indicate that whole-leaf preparations may offer and anti-inflammatory properties not replicated by purified , prompting calls for further research into decocainized extracts for applications. Agriculturally, coca is cultivated as a shrub in high-altitude Andean and , where government-regulated quotas permit legal production to meet traditional demand and pharmaceutical export needs, with reporting approximately 95,000 hectares under cultivation in 2022, though much exceeds licensed limits. The plant thrives in marginal soils with partial shade, ample humidity, and elevations of 500 to 2,000 meters, yielding multiple harvests annually and serving as a resilient in areas unsuitable for other staples. Legal exports supply processors like the in , which, under exclusive U.S. authorization, imports coca leaves—over 385,000 pounds in 2003 alone—to extract pharmaceutical-grade for medical suppliers such as while providing decocainized residue for non-narcotic uses. This process underscores coca's role in controlled agricultural supply chains for isolation, distinct from illicit production.

Emerging Markets and Innovations

In recent years, has pursued expanded commercialization of coca leaf derivatives, emphasizing non-narcotic applications to differentiate them from production. initiatives, as outlined in 2025 diplomatic efforts, seek to export products like , flour, and confections, potentially generating revenue for indigenous farmers while challenging the ' classification of the raw leaf as a . These markets remain constrained by international treaties, with Bolivia's 2013 temporary withdrawal from the 1961 —rejoined in 2017 with a chewing allowance for 22,000 hectares—highlighting ongoing tensions between traditional uses and global prohibitions. Peru's state-run Empresa Nacional de la Coca (ENACO) similarly promotes domestic and limited export sales of leaf-based goods, controlling over 90% of legal cultivation as of 2025. Product innovation has focused on value-added items leveraging the leaf's alkaloids for mild stimulation and nutrition, without chemical extraction of . In , distilleries like El Viejo Roble introduced coca-infused in 2024, using government-approved leaves to infuse with trace alkaloids for a low-alcohol beverage marketed for energy and , despite unclear international legality. has seen coca flour integrated into baked goods and dishes, promoted for nutritional benefits like vitamins and minerals, with urban commercialization expanding since the 2010s amid crop substitution programs. A 2025 World Health Organization critical review examined these derivatives, including "coca machucada" mixes, noting potential for regulated markets if descheduled, though evidence of health claims remains preliminary and tied to low yields (0.1-0.8% per leaf). Biotechnological research offers pathways for sustainable innovation, including genetic elucidation of biosynthesis in Erythroxylum coca published in 2022, which mapped 17 enzymes converting precursors like into , enabling potential editing for low-alkaloid variants suited to or pharma uses. A 2025 study on Colombian morphotypes (Palo and Caimo) quantified nutritional profiles—high in calcium, iron, and antioxidants—while assessing , supporting fortified product development without narcotic escalation. These advances contrast with illicit markets, where collapsing prices in (down 50% by 2023) underscore opportunities for legal alternatives, though scalability depends on shifts amid producer countries' reservations to UN frameworks.

Illicit Dimensions and Cocaine Production

Extraction Process from Leaf to Cocaine

The production of from coca leaves occurs through a multi-stage chemical in illicit operations, transforming the alkaloid-rich foliage of or E. novogranatense into cocaine hydrochloride. This process begins near cultivation sites to minimize leaf transport, typically yielding crude intermediates before final refinement in more secure labs. Approximately 300 to 500 kilograms of dried coca leaves are required to produce 1 kilogram of cocaine hydrochloride, reflecting the low content of 0.23% to 0.96% in the leaves. The initial stage extracts crude coca paste, a semi-refined product containing 40% to 70% freebase along with other alkaloids. Fresh or dried leaves are macerated by stomping or mechanical means in pits or barrels with a mixture of water, slaked lime (), and a such as , , or . This step solubilizes the alkaloids into the organic phase over several hours or days. is then added to convert the alkaloids to water-soluble sulfates, which are separated, neutralized with or lime, and filtered to yield the oily paste. Variations include acid extraction methods using dilute without solvents, though solvent-based techniques predominate due to efficiency. Subsequent purification converts coca paste to cocaine base. The paste is dissolved in acetone, , or , treated with to oxidize impurities like cinnamoylcocaine, and filtered. or is added to precipitate the freebase, which is extracted with solvents like or acetone and evaporated to a solid or semi-solid base containing 70% to 90% . This stage removes plant waxes and residual solvents, improving purity for the final step. The final conversion to cocaine hydrochloride involves dissolving the base in or acetone and introducing (often as gas bubbled through the solution) to form the water-soluble salt, which crystallizes upon cooling or evaporation. The crystals are washed, dried, and sometimes further purified by recrystallization. This white powder form, typically 80% to 95% pure before street dilution, is the standard for illicit distribution. The entire process uses hazardous chemicals, generating equivalent to 5 to 10 times the cocaine output by weight, contributing to environmental in production regions.

Contributions to Global Drug Trafficking

Coca bush () serves as the primary botanical source for alkaloids, which are extracted and refined into cocaine , the substance central to global illicit drug trafficking networks. Cultivation of coca leaves, predominantly in the Andean region, supplies the raw material for an estimated 2,757 metric tons of potential pure production worldwide in 2022, representing a 20% increase from the prior year and fueling a valued in tens of billions of dollars annually. By 2023, global illicit output had surged further to approximately 3,708 tons, more than quadruple the levels from a decade earlier, driven by expanded cultivation and improved processing yields. Colombia dominates coca production, accounting for over 60% of global supply with 253,000 hectares under cultivation in 2023, an area that yielded a potential 2,664 tons of —a 53% rise in output from 2022 despite aerial eradication efforts. contributed 95,000 hectares in 2022, primarily in the Valle de los Ríos Apurímac, Ene, and Mantaro (VRAEM) region, while added 31,000 hectares in 2023, with cultivation encroaching into protected Amazon areas despite legal allowances for traditional use up to 22,000 hectares. These Andean outputs are processed into base in rudimentary labs, then transported via overland routes through or maritime paths across the Atlantic to and , where demand sustains trafficking syndicates. Trafficking organizations, including Colombian cartels and Mexican groups, leverage coca-derived to generate revenues estimated at $100 billion globally per year, with primary flows intercepted in record seizures: over 1,400 tons in alone from 2019–2022 via container ships from South American ports. The trade's scale has shifted routes, with increasing volumes transiting as a midpoint to , exploiting weak governance, while U.S.-bound shipments often consolidate in after passing through Central American corridors handling thousands of metric tons annually. This supply chain, rooted in coca's content yielding 0.5–1% by dry leaf weight, perpetuates adaptive tactics like vessel concealment and precursor chemical diversions, undermining despite international cooperation.

Socioeconomic Impacts in Producer Regions

In the Andean producer countries of , , and , coca cultivation sustains rural economies in regions characterized by high , limited , and few viable alternative crops, generating farm-gate values that provide a critical buffer against subsistence-level incomes. In , where coca covers 253,000 hectares as of 2023, the crop supports smallholder farmers in remote areas, contributing an estimated 0.4% to national through peasant production and enabling household incomes that exceed those from legal alternatives like or bananas by factors of 2-3 times due to reliable demand and minimal post-harvest losses. Similarly, in , cultivation reached 31,000 hectares in 2023, with coca accounting for up to 12% of agricultural sector value and per capita farmer incomes around $900 annually, often the only option in Yungas and Chapare valleys where soil and favor the crop over staples. Peru's 95,000 hectares yield farm-gate revenues of several hundred million dollars yearly, bolstering 0.4% of GDP in highland communities where traditional leaf chewing and sustain cultural economies alongside illicit processing. Yet this economic dependence fosters vulnerabilities, as 73% of Colombian farmers process leaves into base or paste, tying livelihoods to volatile illicit markets controlled by groups present in 93% of cultivation municipalities, which extract rents through and spark territorial violence displacing thousands annually. In 's Catatumbo and Pacific regions, coca economies exceed legal activities by over 42% in some locales, but this fuels child labor—linked to production booms—and , with hotspots showing yields up to 10.8 metric tons per amid intensified conflict. Eradication programs, such as 's manual efforts removing 20,325 s in 2023 (down 70% from 2022), often fail to deliver sustainable alternatives, prompting farmers to replant intensively or diversify into other illicit goods, as evidenced by non-linear effects where moderate deprivation correlates most strongly with persistent cultivation. Substitution initiatives like , aiding over 80,000 families with $2.3 billion since 2017, reach only a fraction of producers and yield mixed results, with deconcentration zones showing lower yields (7.6 ) and marketing barriers post-eradication. In and , manual eradication reduced areas by 8% and 4% respectively in earlier assessments, but without infrastructure for alternatives like or —which succeeded in Peru's Bajo Huallaga, dropping coca from 129,000 to under 50,000 hectares by 2005—farmers revert to coca for its low input needs and quick returns. Overall, while coca alleviates acute for 68,600 Colombian households and equivalents elsewhere, its illicit ties amplify (driving broader environmental costs) and social fragmentation, underscoring eradication's limited efficacy absent comprehensive .

International Treaties and Prohibitions

The Single Convention on Narcotic Drugs, adopted on March 30, 1961, and entering into force on December 13, 1964, classifies the coca leaf in Schedule I as a substance with little to no accepted medical use and high abuse potential, subjecting it to the strictest controls. Article 26 obligates parties to prohibit cultivation of the coca bush (Erythroxylum coca and related species) except for medical and scientific purposes, with licensed production limited to amounts needed for those ends and excess plants to be destroyed. Article 49 specifically targets traditional practices, requiring states to abolish coca leaf chewing, the preparation of alkaloidal extracts for non-medical consumption, and similar uses within 25 years of the convention's coming into force for that state, though parties could enter reservations to permit continued chewing temporarily. The 1971 does not directly address coca leaf but complements the 1961 framework by controlling cocaine derivatives. The 1988 Convention against Illicit Traffic in Drugs and Psychotropic Substances strengthens by mandating criminal penalties for production, manufacture, extraction, and possession of coca leaf intended for illicit production, while affirming the 1961 controls on cultivation. These treaties collectively form the cornerstone of international coca regulation, ratified by over 180 states, aiming to limit supply to curb trafficking despite debates over the leaf's minimal content (typically 0.23–0.96% by dry weight) compared to processed . Challenges to these prohibitions emerged from Andean states emphasizing cultural uses. In 2011, Bolivia denounced the 1961 Convention effective June 30, 2012, citing incompatibility with constitutional protections for ancestral coca practices, but re-acceded on January 10, 2013, with a reservation allowing domestic chewing and tea consumption up to 2.3 million people daily, provided measures prevent diversion to illicit markets. The International Narcotics Control Board accepted the reservation in 2013 but urged Bolivia to monitor for abuse, reflecting tensions between treaty uniformity and national sovereignty. As of 2025, the World Health Organization's Expert Committee on Drug Dependence reviewed coca leaf scheduling following a 2023 request but recommended retention in Schedule I, citing insufficient evidence for rescheduling despite calls for reconsideration of traditional benefits.

Variations Across Countries

Policies on coca leaf cultivation, possession, and use vary significantly across countries, reflecting tensions between international prohibitions and regional cultural traditions. The 1961 schedules the coca leaf, restricting it to medical and scientific purposes while allowing limited industrial uses after alkaloid removal, though Andean nations have pursued exceptions for traditional practices like and tea preparation. In , the government authorizes coca cultivation in 22,000 hectares across designated zones as established by Law 906 in March 2017, expanding from a prior limit of 12,000 hectares to support licit markets for and infusions, which constitute the bulk of domestic demand estimated at 20,000-25,000 tons annually. withdrew from the Single Convention in 2012 and re-acceded in 2013 with a reservation explicitly permitting traditional coca , a practice rooted in indigenous customs and recognized as non-addictive by local health assessments. This framework includes union-led monitoring to curb excess production, though enforcement challenges persist amid pressures from illicit diversion. Peru employs a quota-based system under the National Coca Registry, permitting cultivation in traditional areas such as the Apurímac, , and La Convención valleys, with annual allocations historically around 35,000-40,000 hectares to meet legal demand for , , and limited exports like flavorings. Traditional consumption remains legal for adults, with up to 500 grams per person allowed for personal use, but sales and transport require permits to prevent diversion to processing, which dominates global output from 's estimated 50,000+ hectares of total cultivation as of recent UN assessments. Recent proposals in 2024 have debated broader to formalize markets and reduce influence, though implementation remains pending. In , legal coca production is negligible, confined to small-scale experimental plots for research, as national policy prioritizes forced eradication and crop substitution programs under the 2016 peace accords, targeting over 200,000 hectares of illicit cultivation linked to armed groups. Traditional use is minimal compared to Andean neighbors, with policies aligning closely to U.S.-backed prohibitions that classify coca leaves as precursors to . Most non-producer countries impose blanket bans on coca leaves. In the United States, the schedules coca leaves as a Schedule I substance equivalent to , prohibiting possession, cultivation, or import except for tightly controlled pharmaceutical extraction, with no allowances for traditional or cultural uses. European Union member states similarly restrict coca to Schedule I under the 1971 UN Convention framework, though minor exceptions exist for de-cocainized leaves in beverages like certain cola products, provided content is below 0.1%. These stringent approaches stem from concerns over extraction potential, despite evidence that traditional leaf consumption yields negligible absorption compared to purified forms.

Recent Policy Shifts and Reviews

In June 2023, Bolivia formally requested the World Health Organization (WHO) to conduct a critical review of the coca leaf's classification under the 1961 Single Convention on Narcotic Drugs, arguing that its placement in Schedule I—alongside substances like heroin—relies on outdated 1950s assessments rather than contemporary scientific evidence of low abuse potential and cultural significance. This initiated a multi-stage process involving expert consultations, with the WHO's Expert Committee on Drug Dependence scheduled to convene in October 2025 to evaluate potential descheduling or rescheduling, potentially allowing expanded traditional, medicinal, and industrial uses without the strictest controls. During the 2024 session of the Commission on Narcotic Drugs (CND), the review gained visibility through discussions on distinguishing coca leaf from , with support from indigenous representatives and some member states for recognizing its non-addictive properties when chewed traditionally, though opposition persisted from countries prioritizing anti-trafficking measures. A October 2025 publication in Science emphasized pharmacological differences—coca leaf containing minimal (0.1-0.9%) alongside alkaloids like with appetite-suppressant effects—urging policy alignment with evidence to mitigate harms from prohibition-driven displacement in Andean communities. Nationally, Peru's 2023-2024 efforts to its legal coca quota system faltered amid disputes between regulators and growers, resulting in persistent black-market diversions estimated at 20-30% of production, highlighting enforcement challenges without broader international descheduling. , producing over 80% of global legal coca, has expanded licensed cultivation to 22,000 hectares since 2020 under models, reducing illicit conversion rates to below 10% per government data, though critics question sustainability amid rising demand. These reviews underscore tensions between empirical data on coca's benign traditional use—supported by longitudinal studies showing no dependency in habitual chewers—and entrenched prohibitions linked to epidemics elsewhere.

Controversies and Empirical Debates

Health Claims: Benefits Versus Evidence of Harm

Traditional Andean communities have long attributed health benefits to coca leaf consumption, primarily through chewing (masticado) with alkaline substances like llipta or as infusions like mate de coca, claiming it alleviates fatigue, suppresses hunger and thirst, combats altitude sickness, and aids digestion. These effects stem from alkaloids including cocaine (0.11-1.02% dry weight), ecgonine, and others, alongside nutrients such as carbohydrates, proteins, fiber, vitamins (e.g., riboflavin, vitamin C), and minerals (e.g., calcium at ~3,510 mg/kg, iron). However, empirical nutritional analyses indicate that typical daily intake (20-50g leaves) provides negligible caloric or micronutrient contributions relative to requirements, failing to meaningfully improve status in Andean populations. Physiological studies offer mixed support for stimulant benefits: chewing elevates mood, , and physical performance at high altitudes (e.g., >3,000m), potentially via enhanced oxygen utilization and glucose modulation, with one showing improved exercise tolerance without . Small-scale research suggests , , and blood glucose-stabilizing effects, possibly aiding or , though these lack large randomized controlled trials and are confounded by or cultural factors. In traditional low-dose use (absorbing ~0.2-1mg equivalents daily via ), effects differ from purified due to slower absorption, co-alkaloids buffering , and absence of intravenous peaks, yielding no demonstrated liability or withdrawal in chronic users. Evidence of harm predominates in chronic heavy use (>100g/day), correlating with , (via appetite suppression reducing overall intake), and potential liver enzyme elevations, though causality remains associative rather than proven. Cardiovascular strain includes modest increases and , risking exacerbation in predisposed individuals, while adulterants in illicit or processed leaves (e.g., ) introduce toxicity risks absent in pure traditional preparations. Oral consumption may erode dental enamel over decades from abrasive chewing, and fetal exposure studies in link maternal use to , though confounded by socioeconomic variables. Systematic reviews emphasize that while is rare, long-term data gaps persist, with benefits often anecdotal and harms amplified when leaves serve as cocaine precursors rather than direct consumption.

Cultural Preservation Versus Public Health Priorities

The coca leaf holds profound cultural significance in Andean indigenous societies, where it has been used for in rituals, social gatherings, and daily practices such as with alkaline substances like llipta to enhance extraction. In and , coca facilitates offerings to , , and alleviation of high-altitude stresses, embedding it in communal identity and spiritual life. Traditional consumption involves masticating leaves or brewing tea, providing mild stimulation without the intense effects of isolated , and indigenous advocates argue that such uses predate colonial bans and constitute non-narcotic heritage deserving legal protection. Public health priorities, however, emphasize curbing production, as the leaf serves as precursor to a substance linked to severe harms including , cardiovascular events, and overdose deaths. In the United States, cocaine-involved overdose fatalities increased from 6,784 in 2015 to over 29,000 by 2023, often compounded by opioids, underscoring the drug's role in broader mortality trends. Empirical studies on coca chewing reveal mixed outcomes: while a 1995 WHO assessment found no significant mental or physical damage from traditional use, other research indicates potential risks such as elevated blood glucose, chronic brain alterations, and increased oral incidence among habitual chewers. Proponents of contend that even low-level diversion from legal cultivation fuels illicit markets, prioritizing metrics over localized traditions, though critics note that content in leaves (0.1-0.9%) yields negligible potential compared to refined . This tension manifests in policy clashes, as seen in Bolivia's 2013 constitutional recognition of traditional coca cultivation—capping legal hectarage at 22,000 for domestic use—contrasting with UN Single Convention on Narcotic Drugs (1961) scheduling of the leaf itself as illicit. Eradication campaigns in producer regions have led to violent confrontations, economic displacement, and cultural erosion among indigenous groups, with forced manual destruction in Peru and Colombia resulting in fatalities and human rights violations without proportionally reducing cocaine supply. Bolivia's ongoing challenge to the UN for leaf descheduling highlights indigenous rights to self-determination, yet international frameworks prioritize supply-side controls amid evidence that prohibition exacerbates violence and fails to address demand-driven harms. Causal analysis suggests that distinguishing low-risk traditional practices from high-purity cocaine trafficking could reconcile preservation with health goals, though systemic biases in academic and media sources—often favoring decriminalization narratives—warrant scrutiny against overdose data.

Prohibition Efficacy: Eradication Efforts and Unintended Consequences

Efforts to eradicate cultivation have primarily targeted major producer countries—, , and —through international cooperation, including U.S.-funded programs like , initiated in 2000 with over $10 billion in aid focused on aerial fumigation, manual eradication, and interdiction. In , these initiatives reduced cultivation from approximately 163,000 hectares in 2000 to under 9,000 hectares by the mid-2000s, but areas rebounded to 154,000 hectares by 2019 according to Office on Drugs and Crime (UNODC) surveys. Similar forced eradication in and , often tied to UN conventions, has yielded temporary declines, such as 's drop from 38,000 hectares in 2011 to 24,000 in 2019, yet global cultivation persists due to crop displacement and resilient farming techniques. Despite substantial investments, eradication's efficacy remains limited, as evidenced by fluctuating yet persistently high production levels; Colombia's potential cocaine output rose 46% to 646 metric tons in 2015 amid intensified spraying, while post-2016 peace accords saw record yields from surviving plots due to improved expertise and seed varieties. UNODC data indicate that while manual eradication destroyed over 130,000 hectares in in 2020 alone, net reductions fail to materialize long-term, with cultivation shifting to remote or ungoverned areas and overall Andean coca hectarage stabilizing around 200,000-250,000 annually since the early . Critics, including analyses from the U.S. Government Accountability Office, attribute this to inadequate alternative development programs, which cover only a fraction of affected farmers, perpetuating a cycle where eradication premiums incentivize replanting. Unintended consequences have amplified harms, particularly violence: aerial spraying in correlates with elevated rates and forced displacements, as it disrupts local equilibria between farmers, traffickers, and armed groups, prompting retaliatory attacks and power vacuums filled by groups like dissident FARC factions. Micro-level studies confirm that fumigated municipalities experienced up to 20-30% spikes in violence metrics, including landmine incidents and clashes, as eradication forces communities into alliances with illicit actors for protection. Environmental and health impacts further undermine efficacy; glyphosate-based fumigation has caused soil degradation, aquatic contamination, and across millions of hectares, with residual effects persisting years after application and affecting legal crops like and bananas. Community health surveys link spraying to increased respiratory illnesses, conditions, and miscarriages in exposed populations, though causal attribution remains debated amid poverty factors. Economically, eradication displaces smallholders into deeper without viable substitutes, fostering recidivism rates exceeding 50% in substitution trials and exacerbating rural inequality. These outcomes suggest that prohibition-driven eradication, while reducing visible crops short-term, sustains a resilient illicit economy through adaptive responses and collateral damages.

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