Methamphetamine in Ohio: Risks, Meth Use Disorder, Withdrawal & Treatment Support

Methamphetamine (“meth”) is a highly addictive stimulant linked to severe mental and physical health risks—including overdose, psychosis, and heart complications. Confidential help is available.

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What to Know

  • Methamphetamine is a highly addictive central nervous system stimulant.
  • In the U.S., methamphetamine is listed as a Schedule II controlled substance under federal law.
  • Stimulants can cause serious complications like stroke/heart attack, overheating (hyperthermia), and mental health crises.
  • Stopping after heavy use can trigger withdrawal—often depression, intense cravings, and sleep disruption.
  • Some stimulant supplies are contaminated with fentanyl (an opioid), increasing overdose risk and making naloxone worth having on hand.

What Is Methamphetamine?

Kratom comes from the leaves of a tropical tree native to Southeast Asia. In the U.S., it’s often marketed as an “herbal supplement,” but product potency and contents can vary widely. Kratom contains alkaloids (including mitragynine and 7-hydroxymitragynine) that can act on opioid receptors and may cause opioid-like effects—especially at higher amounts.

Why meth can become dangerous quickly?

Meth’s effects on the brain’s reward system can reinforce repeated use. Over time, many people develop escalating risk—sleep deprivation, agitation, impaired judgment, and medical complications—especially with frequent use or when combined with other substances.

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How People Are Exposed / Common Use Patterns

  • Meth may be encountered in different forms and may be smoked, snorted, injected, or swallowed.
  • People may use meth for energy, focus, or weight loss—or to cope with stress, trauma, anxiety, or depression (which can increase dependency risk).
  • Increasingly, stimulant harms occur in the context of polysubstance use, including opioid exposure.
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Possible Effects (Short-Term)

  • Euphoria, increased energy, reduced appetite
  • Dilated pupils, sweating/chills, restlessness
  • Anxiety, irritability, agitation, insomnia
  • Paranoia or hallucinations (especially with high doses or sleep deprivation)
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Additional Risks (Long-Term + Safety)

  • Increased risk of heart and brain damage, mood disturbance, and violent behavior
  • Cognitive and memory problems, persistent anxiety, depression, and psychosis risk
  • Higher risk of medical emergencies like arrhythmias, chest pain, seizures, and stroke
  • Greater overdose danger when stimulants are combined with opioids or unknowingly contaminated

This page is educational and not a substitute for medical advice.

Woman addicted to opioids

Overdose / Overamping: What to Do

Signs someone may need emergency help

  • Call 911 immediately if you see:
  • Chest pain, severe headache, weakness/numbness (possible stroke/heart event)
  • Seizure, confusion, extreme agitation, hallucinations/paranoia
  • Overheating (hyperthermia): hot skin, heavy sweating, collapse, or altered mental status
  • Trouble breathing or becoming unresponsive (treat as an emergency—opioids may be involved)

What to do right now

  • Call 911.
  • If overheating, cool them down (shade, fans, cool cloths/ice packs to armpits/groin/neck if tolerated) and offer sips of water/electrolytes if they’re awake and able to swallow.
  • Stay calm, reduce stimulation, and don’t leave them alone.
  • If you suspect opioids could be involved (unknown powder/pill, “down,” slowed breathing), give naloxone if available and continue to wait for EMS.
Bearded man recovering from opioid addiction

Important Note About Naloxone (meth-specific)

  • Naloxone reverses opioid overdose, not stimulant toxicity.
  • Because fentanyl contamination and polysubstance exposure occur, carrying naloxone can still save a life when the substance is unknown.
  • Always call 911 for severe symptoms—especially chest pain, seizure, confusion, or overheating.

Harm Reduction Tips (If Someone Is Still Using)

  • Avoid using alone; have someone who can call for help if things go wrong
  • Be cautious with any unknown supply; fentanyl contamination has been documented in stimulant products
  • Watch for overheating—take breaks, cool down, hydrate, and seek help early if symptoms escalate
  • Avoid mixing with other substances, especially depressants/opioids
  • If paranoia, agitation, or chest pain occurs, treat it as a warning sign and get medical help

Can Methamphetamine Cause Withdrawal?

Yes. A withdrawal/abstinence syndrome can begin within hours to days after stopping heavy or prolonged stimulant use. Common symptoms include fatigue, sleep changes (insomnia then hypersomnia), increased appetite/weight gain, depression (including suicidal thoughts), anxiety/irritability, and intense cravings.

Safety note: SAMHSA notes the greatest risk during stimulant withdrawal is self-harm, due to withdrawal-related dysphoria and depression—so support and monitoring matter.

Treatment Options & How KAV Health Group Can Help

Confidential assessment + individualized plan

We assess meth use patterns, overdose risk, mental health symptoms (anxiety, depression, trauma), and any co-occurring substances.

Evidence-based therapy for stimulant use disorder

  • SAMHSA identifies effective psychosocial treatments for stimulant use disorders, including approaches like contingency management (CM) and cognitive-behavioral therapy (CBT).

Support for stabilization and recovery

Care often focuses on sleep, mood stabilization, relapse prevention skills, and building a recovery support system.

Medication note (set expectations clearly)

As of SAMHSA TIP 33, there are no FDA-approved medications specifically for stimulant use disorders, but medications may be used to treat co-occurring conditions (e.g., depression, anxiety) as part of an overall plan.

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Frequently Asked Questions

What is methamphetamine?

Methamphetamine is a powerful stimulant that affects the central nervous system and carries high risk for addiction and serious medical/psychiatric complications.

Is meth illegal?

In the U.S., methamphetamine is listed under Schedule II in federal controlled substance schedules.

What are signs of meth overdose / overamping?

Warning signs include severe agitation/paranoia, confusion, seizure, chest pain/arrhythmias, and dangerous overheating (hyperthermia). Call 911.

Can meth withdrawal be dangerous?

Withdrawal is often intensely uncomfortable and can involve severe depression and suicidal ideation—which is why support and monitoring are important.

What treatment works for stimulant use disorder?

Evidence-based care commonly includes behavioral therapies such as contingency management and CBT, plus structured recovery support.

Do you offer telehealth in Ohio?

Yes—confidential, HIPAA-compliant telehealth is available across Ohio (and in-person services where available).

Resources & Safety Notes

  • Emergency: Call 911 for chest pain, seizure, severe confusion/agitation, or overheating.
  • SAMHSA National Helpline: 1-800-662-HELP (4357) (free, confidential, 24/7).
  • Find treatment: FindTreatment.gov (confidential locator).
  • Crisis support: If someone is at risk of self-harm during withdrawal, use 988 in the U.S. (also listed in SAMHSA’s help resources).