While cocaine, in its various forms like cocaine powder, rocks (crack), or crystalline powder, is primarily associated with illicit and recreational use, it does have some limited medicinal applications. Historically, it was used as a local anesthetic and vasoconstrictor for medical procedures. However, due to its high potential for addiction, cardiovascular risks, and association with the illegal drug trade, its medicinal use has been largely replaced by safer alternatives in the United States. It is a dangerous and illicit drug when used recreationally.