The mum-of-two's lips went blue and she struggled to breathe at her home in Bolton, Greater Manchester on the night of July 22.
The Bolton inquest heard how the retail assistant died of a heat attack caused by taking cocaine that night or a large amount the weekend before.
"I knew that she took cocaine at weekends sometimes. It was a form of self medication for her."
Miss Fielding had been snorting cocaine since 2002, Dr Anindita Paul said.
Mr Goodyear described how she "wasn't in a good state" that night.
He added: "I had seen her like this before.
The mum-of-two told the Bolton Drug and Alcohol Service she had reduced her cocaine intake to two grams and six units of alcohol a day – the equivalent of a half bottle of wine, an inquest heard.
She had been treated for her tinnitus and inflammation of the throat from February 3, 2016.
Assistant coroner Rachel Griffin said: "Claire has been described as a very bubbly and very caring young lady.
"She reported that she was using cocaine on a daily basis and that she was using the drug to a relatively high level.
"It is a very dangerous drug even in small amounts even with a one off use or long term use it can have fatal consequences."