Methamphetamine info card

Apr 8

Methamphetamine: meth, crystal, ice, tina

Methamphetamine is a long-acting and powerful stimulant that increases energy, focus, confidence, and libido. First used in World War II, it’s now mostly used recreationally, including in queer party and sex scenes.

How it hits:

Swallowed/Snorted: Onset in 15–45 minutes, peaks at 1–3 hours and can last 8–12+ hours.

Smoked/Injected: Immediate, intense rush (within seconds), effects peak quickly, can last 6–12+ hours.

Stimulation from meth can continue for 24+ hours after using, especially after binging.

Side effects and complications include jaw clenching or grinding, dry mouth, itching, overheating (hyperthermia, especially in warmer months), insomnia, fast heartbeat and increased blood pressure, racing thoughts, anxiety or agitation, and paranoia or psychosis.

The comedown may bring anxiety, fatigue, and low mood for 1-3 days.

Binge use can lead to excessive stimulation and insomnia, hallucinations, and psychosis.

Risky Meth combos:

Mixing drugs increases the risk of serious health issues. Always check individual interactions and limit combinations:

+ Opioids = Increases risk of sedation and slowed or stopped breathing.

+ Other Stimulants (like cocaine, MDMA) = Increases risk of “overamping,” cardiovascular stress (heart rate/blood pressure), agitation, and psychosis.

+ Alcohol and Other Sedatives = Increases sedation, especially when meth wears off. 

+ Depressants (like benzos, GHB) = May lead to blackouts, overdose, or slowed or stopped breathing.

+ Erectile Dysfunction Drugs (like Viagra, Cialis) = Can cause dangerous swings in blood pressure, especially during sexual activity, and increase the risk of a heart attack, stroke, or sudden death.

Stay safer:

Don’t share snorting tools, smoke kits or injection supplies to prevent the spread of HIV, Hepatitis C, and other infections.

Start low and go slow: Avoid using again too quickly.

Meth can suppress body signals for hunger and thirst, set phone reminders to hydrate, eat, and cool down.

If using during sex, discuss boundaries with your partner(s) before you use drugs.

People under chronic stress, or dealing with low mood or energy, may be more vulnerable to meth dependency. Check in with yourself and know help is available.

Call 911 if someone experiences confusion, agitation, loss of consciousness, seizures, high body temperature, or chest pain.

Keep naloxone nearby: there is a risk that substances sold as or mistaken for meth may contain opioids (such as fentanyl) or other adulterants. Having naloxone accessible can help reverse a potential opioid overdose if exposure occurs.

Look out for each other tonight:

It’s okay to say no or take a break whenever you need.

Stay alert for any signs of distress and step in to help if needed.
In an emergency, call 911 for medical services. In Pennsylvania, you are protected under the Good Samaritan Law (Act 139 of 2014, "Drug Overdose Response Immunity Act") and will not get in trouble with the police.