In a nutshell, yes.
The unit I work in makes unlicensed medicines, which includes things that no big pharmaceutical manufacturer can be bothered to make anymore because it wouldn't be profitable for them. These days, it's difficult to imagine a scenario in which cocaine would be more clinically appropriate than any of the alternatives.
(The Porcupine From Purgatory we of all lost both have them, Thu 13 Jul 2023, 16:14, archived)