Understanding Meth Withdrawal Symptoms & Treatment

Meth withdrawal symptoms are extensive and range from mild (fatigue and joint pain) to serious (cravings, paranoia, sleep disruption, and suicidal thoughts). Early withdrawal is the most critical, and the potential for relapse is high. Seek professional treatment right away to withdraw safely and cultivate a sober, healthy lifestyle.

An Overview Of Meth

Meth or methamphetamine is a highly potent synthetic stimulant drug and a schedule II controlled substance with a high potential for abuse, dependence, and addiction.[1] There are some medically approved uses for methamphetamine, including attention-deficit hyperactivity disorder (ADHD), obesity, and narcolepsy, though these are available via prescription only.[2]

The stimulant is commonly used recreationally in some formulations and can be ingested, injected, or smoked as a pill, liquid, or powder. Some street names for meth include ice, crystal ice, crystal meth, glass, Tina, chalk, redneck cocaine, crypto, and many others.

Meth’s short-term effects include euphoria, increased alertness, and an energy boost. These effects come with serious side effects and health concerns, including rapid heart rate, anxiety, irregular heartbeat, paranoia, insomnia, memory loss, stroke, or even death—especially with long-term or consistent use.[3]

Common Meth Withdrawal Symptoms

Like any harmful substance, physical or psychological dependence on methamphetamine addiction is associated with withdrawal syndrome. This usually occurs when the substance intake is reduced or eliminated, triggering many unpleasant symptoms.

That experience can lead one back to the substance in an attempt to find relief and can continue the cycle of substance use disorder. Common symptoms of meth withdrawal include the following:[4]

Physical Meth Withdrawal Symptoms

• Diarrhea
• Constipation
• Headaches
• Red and itchy eyes
• Muscle pain
• Joint pain
• Pounding heart sensation
• Clammy skin

Emotional, Psychotic, and Psychological Meth Withdrawal Symptoms

• Constant thoughts of meth or using meth
• Lack of motivation
• Mental health symptoms like anxiety and depression
• Lack of interest in life or pleasure
• Feeling restless
• Suicidal ideation
• Experiencing hallucinations (audible or tactile)
• Feeling paranoid

Cognitive Meth Withdrawal Symptoms

• Appetite changes (increase or decrease)
• Disrupted sleep patterns
• Fatigue
• Memory loss
• Inability to concentrate

How long do withdrawals last?

The meth withdrawal timeline typically occurs in three phases, the crash, withdrawal, and protracted withdrawal. The crash phase can last anywhere from 12 to 24 hours and is defined by exhaustion, intense cravings, and fatigue.[5] The primary withdrawal phase can last anywhere from 2 to 4 weeks, peaking in intensity after approximately 7 days.  Protracted withdrawal is a long-term experience that lasts anywhere from 6 to 12 months. This phase can have lasting effects and symptoms, including cognitive deficiencies.[6]

How long do meth cravings last?

Meth cravings are a common meth withdrawal that can be the hardest to overcome. Cravings are usually the strongest in the first week and can last up to 5 weeks.[7] Persistent drug cravings during this time are one of the primary reasons that this is the most critical recovery period. Seeking treatment and learning coping skills to prevent relapse is the best way to remain sober and continue healing.

How To Tell Meth Withdrawal Symptoms From Other Conditions or Illnesses

It is possible to tell the difference between methamphetamine withdrawal and other conditions or illnesses. There is a specific withdrawal pattern and phases of withdrawal that can be an indicator of where one is at in the process. The presence of psychotic and psychological symptoms, in addition to physical symptoms, may further indicate the cause.

Also, consider the person’s history of meth or substance use and when the symptoms began. If they’ve been exposed to another illness with similar symptoms or uncertainty about the cause of any sickness, seek medical attention and get evaluated.

Treating Meth Withdrawal Symptoms

There is currently no FDA-approved medication to treat methamphetamine withdrawal directly. This is true of all stimulant substances. The effects of other substances (like opioids and alcohol) can be halted or reduced with other medications to reduce cravings, but this is not the case for meth.

It is possible to manage symptom relief with over-the-counter painkillers, antidiarrheals, and other easily accessible solutions. However, medical professionals should manage and oversee this approach as part of a greater recovery plan.

Studies show that the best treatment for meth withdrawal and substance use disorder is
behavioral treatment, contingency management, cognitive behavioral therapy, motivational interviewing, group therapy, and other evidence-based interventions.[8] These interventions extend beyond “feeling better” and help you or your loved one create a new life full of potential, success, and joy.

What Are the Best Coping Strategies for Overcoming Meth Addiction?

There are many coping strategies beneficial to recovery. According to behavioral studies, some of the best include mindfulness and building self-efficacy.[9] Together, this pairing helps clients reduce negative emotions that can trigger relapse, handle challenging situations confidently, put stressful situations in a new perspective, improve overall well-being, and reduce cravings. It’s also important to build social support and have a trusted circle of confidants who can hold you accountable and help you through challenging times.

Other common coping strategies for recovery include:

• Journaling
• Hobbies and adventures
• Exercise
• Meditation
• Breathwork
• Sufficient sleep
• Music (playing, listening, writing)
• Self-care
• Charitable and community work
• Practicing gratitude

What Treatment Programs Are Available for Meth Addiction?

There are several treatment options available for anyone navigating substance abuse or dual diagnosis concerns.

• Medical Detox: The detoxification level of care offers a safe and monitored space where clients receive 24/7 support during withdrawal and early recovery.
• Inpatient Residential: Residential treatment is a distraction-free environment where clients can focus on treatment and healing.
• Partial Hospitalization Program (PHP): Full-time care without a residential component so clients can stay home or in a safe place.
• Intensive Outpatient Program (IOP): Flexible, part-time treatment that lets you live your life while still benefitting from consistent treatment.
• Outpatient Programs (OP): Clients attend weekly treatment and maintain access to group support and other recovery resources. This level of care is best for after other programs are completed.

Get Help With Meth Withdrawal Symptoms & Recovery

Overcoming substance use disorder or co-occurring disorders is always challenging, and it’s generally not safe to attempt withdrawal and detox alone. If you or a loved one are struggling with this highly addictive stimulant, reach out to an addiction treatment center for support right away.

Frequently Asked Questions About Meth Withdrawal Symptoms