long term effects of cocaine ;The continuous binding of dopamine to the dopamine receptors is overstimulating and negatively affects the neural transmission, Overtime the dopamine receptors become damaged, changing shape which prevents neurotransmitters binding successfully, The number of dopamine receptor sites will also decrease, This leads to desensitisation and more dopamine is required to stimulate the post synaptic neuron to a 'normal level', As there is a loss of response to the drug so more is needed to experience the same effect, this is called tolerance.