CLUB DRUGS

Club drugs are commonly used at clubs, concerts and parties. Examples include methylenedioxymethamphetamine, also called MDMA, ecstasy or molly, and gamma-hydroxybutyric acid, known as GHB. Other examples include ketamine and flunitrazepam or Rohypnol — a brand used outside the U.S. — also called roofie. These drugs are not all in the same category, but they share some similar effects and dangers, including long-term harmful effects.

Because GHB and flunitrazepam can cause sedation, muscle relaxation, confusion and memory loss, the potential for sexual misconduct or sexual assault is associated with the use of these drugs.

Signs and symptoms of use of club drugs can include:

  • Hallucinations
  • Paranoia
  • Larger than usual pupils
  • Chills and sweating
  • Involuntary shaking (tremors)
  • Behavior changes
  • Muscle cramping and teeth clenching
  • Muscle relaxation, poor coordination or problems moving
  • Reduced inhibitions
  • Heightened or altered sense of sight, sound and taste
  • Poor judgment
  • Memory problems or loss of memory
  • Reduced consciousness
  • Increased or decreased heart rate and blood pressure

MDMA

Ecstasy is an illicitly manufactured, synthetic drug used by many people for different reasons, such as to increase feelings of well-being or feel emotional closeness to others.1 Although ecstasy initially became popular for use at raves or parties, its use has become much more widespread among people in various other settings.1

Ecstasy use is associated with several adverse effects and potential health risks. Though the question of whether ecstasy is addictive or not has yet to be fully answered, ecstasy use can be quite problematic for some. Substance use disorders involving ecstasy use may benefit from professional treatment. A professional rehab facility can provide support and different therapies to help you, or a loved one, start the path to recovery.2

What Is Ecstasy/MDMA?

Ecstasy is the commonly used term for the synthetic drug 3,4-methylenedioxy-methamphetamine, or MDMA.2 It’s also known by various street names, such as molly, XTC, E, X, beans, and adams.3 Ecstasy is known as a club drug or party drug because it was originally used mainly at clubs, raves, and festivals, but it’s now taken in a variety of settings.3

People typically swallow ecstasy in capsule or tablet form, but some people use it as a liquid or snort ecstasy as a powder.2 Ecstasy tablets, and the purported “pure” powder referred to as molly, are often cut with other substances. These include MDA, methamphetamine, ketamine, caffeine, amphetamine, cathinones (bath salts), synthetic cannabinoids, and/or opioids, such as fentanyl.2,3

People are often unaware of these additives, which can result in additionally unpredictable and even more dangerous effects.

What Does Ecstasy Do?

Ecstasy shares chemical structural and pharmacological similarities with both amphetamine stimulants and hallucinogens.1 Using ecstasy can result in different perceptual and mood-altering effects that are similar to those of other hallucinogenic and stimulant drugs, such as:2

  • Increased energy.
  • Feelings of pleasure.
  • Emotional warmth.
  • Distortions in time or perception.

Ecstasy’s effects and the associated high are largely due to its impact on different chemical messengers, or neurotransmitters, in the brain, namely serotonin, dopamine, and norepinephrine.1 As with amphetamines, ecstasy increases the release and/or prevents the reuptake of these chemicals, which artificially boosts levels of active neurotransmitters in your brain.1

Increased serotonin may result in the elevated mood, increased trust, empathy, and sexual arousal associated with ecstasy. Increased norepinephrine affects heart rate and blood pressure, which can make ecstasy use especially dangerous for people with cardiovascular issues.2 The ecstasy-related surge in dopamine is thought to underlie the increased energy and activation of the reward system, which may reinforce drug-taking behaviors.

While it influences all 3 of these types of brain signaling, ecstasy specifically amplifies serotonin and norepinephrine activity, more than it does that of dopamine.1

Is MDMA Addictive?

MDMA is categorized as a Schedule I drug under the Controlled Substances Act, which means that it has no accepted medical use in the U.S., and it has a high potential for misuse.3 Research is not yet conclusive as to whether ecstasy is addictive, and there hasn’t been a substantial amount of research conducted on its addictive potential in humans, but ecstasy is known to act on the same brain areas as other addictive drugs.1

Some people have reported certain signs of addiction with drugs like ecstasy, including continued ecstasy use despite the negative mental and physical health consequences, cravings, tolerance (needing more to achieve prior effects), and withdrawal symptoms when they stop using the drug.1,2

Continued use of ecstasy can no doubt become significantly problematic for some people, and signs such as these, if present, may meet the diagnostic criteria for what’s known as a substance use disorder (SUD). Compulsive or otherwise problematic ecstasy use may be officially diagnosed by professionals as what’s known broadly as a hallucinogen use disorder or, more specifically, an MDMA use disorder.1,4

Teens and young adults may be more likely to use and misuse ecstasy.3 According to the National Institute on Drug Abuse, males aged 18–25 make up the largest population of ecstasy users, and most people start using it at around age 21.1 As mentioned earlier, ecstasy has historically been used more often at parties, raves, and nightclubs, but its use has spread to a wide range of additional settings, including college campuses.1,3

MDMA abuse often involves a practice called “stacking,” which means taking 2 or more tablets at once, or “piggy-backing,” which means taking several tablets over a short period of time.3 Additionally, using ecstasy and LSD together, known as “candy-flipping,” has become an increasingly common practice among younger adults.3

According to the 2021 National Survey on Drug Use and Health, nearly 2.2 million people aged 12 and older had used ecstasy in the past year.5

Ecstasy Side Effects and Signs of Ecstasy Use

Using ecstasy can have a range of effects, some of which can be viewed as pleasant, while others can be unpleasant, uncomfortable, or severe.

People may experience symptoms of the ecstasy high that are perceived as desirable, such as increased energy, feelings of pleasure, emotional warmth, distortions in time or perception, and an increased desire to talk about emotional events and experiences.1,2

These and other symptoms of ecstasy use usually begin around 30–45 minutes after it’s been taken orally, with effects peaking 15–30 minutes after onset and typically lasting 4–6 hours. However, effects can vary and can also last longer in some cases and differ depending on the individual.1,3

In addition to the perceived positive effects, ecstasy can have a wide range of adverse health effects, including:

  • Headache.1
  • Blurred vision.2
  • Perceptual changes, such as problems driving a car, which could lead to accidents.1
  • Illogical thoughts.1
  • Nausea.2
  • Appetite loss.1
  • Involuntary teeth clenching.2
  • Muscle cramping.2
  • Chills.2
  • Sweating.2
  • Restless legs.1

People often take multiple doses of ecstasy once the initial high fades, which can increase the likelihood of experiencing certain undesirable side effects. Some people may experience certain side effects days after use.1

The nature and severity of adverse ecstasy effects can also vary depending on whether you (knowingly or unknowingly) ingested contaminants or any other additional substances.1

Over the course of the week following moderate ecstasy use, people may also experience additional adverse effects, some of which can also vary depending on other substances used. These include:2

  • Anxiety.
  • Depression.
  • Irritability.
  • Impulsiveness.
  • Aggression.
  • Sleep problems.
  • Memory and attention problems.
  • Decreased appetite.
  • Lack of interest in and pleasure from sex.

Dangers of Ecstasy Misuse

Ecstasy addiction and misuse can present a range of dangers. One of the uncomfortable effects of ecstasy use can be withdrawal, which refers to the symptoms that can occur when someone stops or cuts down their ecstasy use.2 Some reports show that people who use ecstasy develop withdrawal symptoms, such as:2

  • Depression.
  • Fatigue.
  • Loss of appetite.
  • Trouble concentrating.

Another potential danger associated with molly use is polysubstance use.2 Polysubstance use means using two or more substances at the same time or within a short time of each other, and is something that can happen either inadvertently (such as when other drugs are used to adulterate or entirely replace what a person thinks is ecstasy) or when ecstasy is intentionally consumed with other substances.2,6 Ecstasy use frequently occurs in combination with cocainealcohol, and marijuana use, which can present a range of dangers.1,6

Using cocaine or other stimulants with ecstasy can increase your risk of brain injuryliver damage, heart attack, stroke, seizures, and other forms of overdose toxicity.6 Mixing ecstasy with alcohol or marijuana can also increase a person’s risk of experiencing adverse health effects.1,9

The dangers of ecstasy misuse and addiction can also include more severe health effects than those listed above. Some of these can be long-term effects of MDMA use, while others can occur days or weeks after last use.1 They may include:1

  • Panic attacks.
  • Hyperthermia, or dangerously elevated body temperature.
  • Dehydration.
  • Rhabdomyolysis (muscle tissue breakdown) and kidney injury.
  • Electrolyte disturbances and brain swelling.
  • Irregular heartbeat (arrhythmia) and other cardiovascular issues.
  • Harm to the fetus if used during pregnancy.
  • Ecstasy overdose, which can be fatal in rare cases.

People can also suffer from the secondary effects associated with ecstasy addiction and frequent use, such as legal, financial, relationship, work, and family problems.

MDMA Addiction Treatment Types

Treatment may take place in different settings depending on a person’s specific needs. Rehab may start with detox to support the individual during withdrawal, followed by an inpatient or outpatient drug recovery program.7,8

It’s important to note that no medications have been approved to specifically manage ecstasy withdrawal or addiction. Treatment often focuses on behavioral therapies, such as cognitive behavioral therapy (CBT), which helps people develop healthier, more positive thoughts and behaviors and improve their stress management skills.1

People with SUDs sometimes have co-occurring mental health conditions, such as depression and anxiety.9 As SUDs and mental health conditions can worsen the outcome of one another, a dual diagnosis program that addresses both conditions can help people recover from both disorders.

GHB-Gamma-Hydroxybutyric Acid

GHB, or gamma-hydroxybutyric acid, an illicit substance, affects the central nervous system in various ways.Individuals may use it for its sedative, amnesic, or euphoric effects.1,2 Others have reported using it because they think it helps metabolize fat and build muscle.1,3

GHB can be a potentially dangerous substance—especially if it’s used at higher doses or for long periods of time—which can cause overdose, seizures, coma, and death.2,3 If you or a loved one use GHB and want to stop, know that treatment can help you start the path to recovery.4

What is GHB?

GHB that is not produced as a pharmaceutical product with approval from the U.S. Food and Drug Administration (FDA) belongs to the class of drugs known as central nervous system (CNS) depressants.It falls under the Schedule I classification under the Controlled Substances Act, which means that GHB currently does not have an accepted medical use and it has a high potential for misuse.2,5

The therapeutic, FDA-approved product containing GHB, known as Xyrem, is a Schedule III substance, which means it has a moderate to low potential for physical and psychological dependence.2,5 Xyrem is used to treat daytime sleepiness in individuals with narcolepsy and to reduce the incidence of cataplexy (the sudden loss of muscle tone while a person is awake).2

When used illicitly, GHB may be referred to by many street names, including “G,” “Georgia Home Boy,” “Grievous Bodily Harm,” and “Liquid G.” 1,2,6

GHB Side Effects

Typically taken by mouth as a liquid, GHB effects may be felt within 15–30 minutes of ingestion and last 3–6 hours.2 GHB effects can include:1-3,6

  • Drowsiness.
  • Nausea.
  • Visual distortions.
  • Euphoria.
  • Vertigo.
  • Sedation.
  • Vomiting.
  • Impaired judgment.
  • Short-term memory loss.
  • Hallucinations.
  • Aggressiveness.
  • Seizures.
  • Coma.
  • Death, especially if combined with alcohol or other depressants.

Is GHB Addictive?

When used over a long-period of time, GHB can lead to addiction.2,6

GHB produces a complex effect on the brain and works on different neurotransmitters, or brain chemicals, including, among others, gamma-aminobutyric acid (GABA), a chemical that inhibits brain activity and causes effects like drowsiness and relaxation.4,7

Chronic GHB use can cause dependence, meaning an individual’s brain and body have adapted to GHB and they need it to function and feel normal.7,8 When an individual, who is dependent on GHB, stops using the drug, they can experience withdrawal, which can cause various unpleasant symptoms. Therefore, they may continue using GHB to prevent withdrawal symptoms.7

This can make it difficult for an individual to stop using GHB, and it can fuel the cycle of addiction, which means continuing to engage in compulsive substance use despite the negative effects.8

Symptoms of GHB Addiction

As previously mentioned, chronic use of CNS depressants like GHB can lead to addiction, which is diagnosed as a substance use disorder (SUD).Clinicians use the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, DSM-5, to diagnose individuals with a SUD. This criteria includes:9

Take Our Substance Misuse Self-Assessment

Take our free, 5-minute substance misuse self-assessment below if you think you or someone you love might be struggling with substance misuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

GHB Withdrawal

Dependence is a physiological adaptation of the body to a substance, wherein the body becomes so used to the drug being present in the system that when the individual cuts back on their use or quits, withdrawal symptoms emerge. With significant levels of physiological dependence, a person may continue to compulsively drink or use drugs to avoid unwanted withdrawal symptoms.

GHB Withdrawal Symptoms

The signs and symptoms of GHB withdrawal can include:1,2,4

  • Seizures.
  • Anxiety.
  • Insomnia.
  • Overactive reflexes.
  • Increased heart rate, blood pressure, and body temperature with sweating.
  • Psychotic thoughts or hallucinations.
  • Delirium.
  • Severe cravings.

GHB Overdose

It’s possible to overdose on GHB, and the potential for overdose is greater when using it with other CNS depressants such as alcohol or benzodiazepines, or when taking high doses over short periods of time.10 Signs of GHB overdose can include:2

  • Loss of consciousness.
  • Seizures.
  • Slowed heart rate.
  • Severe respiratory depression.
  • Low body temperature.
  • Vomiting.
  • Nausea.
  • Coma.
  • Death.

If you suspect that someone is experiencing an overdose, you should call 911 and seek immediate medical attention.4

GHB Addiction Treatment and Rehab

GHB misuse and addiction may be treated in a variety of ways. If you are dependent on GHB, you may benefit from supervised medical detox as the first step in recovery. You should not attempt to detox at home alone due to the risk of potentially severe symptoms.4,10 During detox, you may receive supportive care and benzodiazepines or other medications to help you stabilize, rid your body of the substance, and withdraw from it as safely and comfortably as possible.10

Detox is typically the first step in the recovery process and is often followed by some form of inpatient rehab or outpatient substance use treatment to address the behavioral and emotional components of addiction.3,11,12

Inpatient rehab requires you to live onsite at the facility, where you will receive 24/7 care, support, and treatment. This may include individual and group counseling, behavioral therapies, and education.12

Outpatient services mean that you live at home or in a sober living environment but travel to the facility to attend the same treatments, programs, and therapies as in the inpatient setting.12

Regardless of the rehab setting, you may participate in different behavioral therapiesCognitive-behavioral therapy, or CBT, has been found to be especially useful for addiction to CNS depressants.4 CBT helps you identify and make changes to unhelpful or negative thoughts and behaviors that can impact substance use and teaches you coping, stress management, and relapse prevention skills so you can stay sober and avoid substance use.4

You may also receive other forms of counseling and psychotherapy in individual and group formats such as treatment for polysubstance misuse (if you misuse other substances in addition to GHB) or co-occurring treatment to address substance use and mental health disorders at the same time.4

Health insurance should cover at least part of the cost of treatment. The Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 requires health insurers and group health plans to provide the same level of benefits for mental and/or substance use treatment and services that they do for medical and surgical care.13

Do not let the cost of treatment deter you if you or someone you care about uses GHB and wants to seek help.

Ketamine

Ketamine (often called “K,” “Special K,” or “Vitamin K”) is a potent dissociative anesthetic, meaning it provides feelings of detachment from one’s body. Commonly used in veterinary medicine, this drug has become common on the party scene among those seeking the detached high it provides.

Ketamine comes in several forms:

  • White powder.
  • Liquid.
  • Pills.

Ketamine’s dissociative effects are so powerful that it is commonly referred to as a “date rape drug.” When ingested, ketamine can cause users to hallucinate (experience visual and auditory disturbances). Because it’s an anesthetic, it can reduce physical sensations and induce temporary paralysis, so the user is awake but unable to move his or her limbs or even talk.

Similar to LSD, ketamine’s effects are varied and very unpredictable. It can induce euphoria, but in some cases, the hallucinations it causes can become extremely frightening. Mixing the drug with other depressants like alcohol and heroin intensifies the dangers of respiratory depression, which can be deadly.

Additionally, when the user is temporarily paralyzed by the drug, they won’t be able to clear their airway, which can lead them to choke and potentially die from aspiration.

Ketamine Abuse Signs and Symptoms

Ketamine is a very short-acting drug. One of the key symptoms people find is that it blocks pain, so if someone doesn’t react to painful stimuli in an expected way, they may be under the influence.

Furthermore, it tends to slow people down and make their movements rather exaggerated due to a loss of motor coordination. Consequently, they tend to look as though they’re walking in slow motion. The person might also slur their speech and appear confused.

The symptoms of ketamine abuse are quite similar to the symptoms of alcohol abuse and may include:

  • Disorientation.
  • Feelings of detachment/dissociation.
  • Hallucinations.
  • Slowed or difficult breathing.
  • Mood changes.
  • Depression.
  • Impaired ability to think or learn.
  • Nausea and vomiting.
  • Memory impairment.

If you suspect that someone you know is abusing ketamine, look for paraphernalia associated with ketamine use:

  • Pill packets.
  • Needles.
  • Empty bottles.

Side Effects of Ketamine Abuse

Ketamine is a rather unpleasant drug in the long term. It tends to cause a wide variety of effects relating to almost every area of the body. In the stomach, it often causes severe abdominal pain. It’s very easy to accidentally hurt yourself while on ketamine because it’s an anesthetic. Pain tells us when we’re injured or doing something that is likely to lead to injury. It also forces us to stop and focus on the injury, preventing further damage. Someone on ketamine can incur a serious injury and continue on as if nothing happened, exacerbating the problem.

Ketamine also causes long-term damage to the bladder and urinary tract that can result in a condition known as ketamine bladder syndrome. This triggers decreased control of the bladder with incontinence. Ketamine bladder syndrome may also cause blood in the urine and ulcers in the bladder.

Since the drug is usually found as a powder, it is often sniffed, but most of these powders are mixed with other drugs. It may be mixed with something relatively harmless like talcum powder or sugar, or it could be combined with something more dangerous like acetaminophen or drain cleaner.

Dosing can be challenging to gauge, and a person could be using the wrong drug altogether, leading to a dangerous overdose.

Ketamine Statistics

Ketamine was originally developed as an alternative to PCP, but it had more powerful side effects, so its use was relegated to animal medicine.

  • According to the National Institute on Drug Abuse, ketamine had been used by 1.5% of 12th graders in 2014. This compares to 3.3% who abused OxyContin and 4.8% who abused Vicodin.
  • In 2013, 41,000 people between the ages of 12 and 17 reported using ketamine at some point in their lives, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).
  • SAMHSA also reported that almost 540,000 people between the ages of 18 and 25 reported ketamine use at some point.

Ketamine Abuse Treatment

Ketamine Withdrawal Symptoms and Treatment

Withdrawal from ketamine typically lasts for 4-6 days after the last use, and you’ll find that it’s a bit like suffering from a severe flu. You’ll likely notice:

  • Chills.
  • Cravings.
  • Tiredness.
  • Nightmares.
  • Depression.
  • Sweating.
  • Anxiety.
  • Dilated pupils.
  • Stiff muscles.
  • Involuntary eye movements.

These symptoms are not pleasant, but they can be managed with medical care. Supervised medical detox can ensure that you are monitored as you withdraw and your comfort is maximized during the process.

Types of Ketamine Rehab Programs

If you’re addicted to ketamine, you can get help at a ketamine rehab center. There, you can receive treatment for ketamine addiction in a safe environment that’s far from temptation.

There are two major types of facility you can attend:

Inpatient rehabs are centers where you live at the clinic for a set period of time—typically between 30 days and 90 days.

Outpatient treatment programs allow you to go home each day after treatment, although they do expose you to the temptations and triggers of your everyday environment.

Whether residential or outpatient addiction treatment is right for you, therapy will be part of the treatment. Cognitive behavioral therapy is particularly useful, as it helps you to see the reasons behind your ketamine use and discover ways to prevent it from reoccurring. You might also undergo a number of other therapies, including family therapy and motivational interviewing. All of these therapies seek to help you realize the underlying reasons for your drug-taking behavior.

After you’ve finished with the therapeutic program and your treatment team deems you’re ready, you leave the facility. Once you exit the rehab center, outpatient treatment and peer supports become more valuable and should be utilized.

Rohypnol

Rohypnol is an intermediate-acting benzodiazepine with general properties similar to those of Valium (diazepam). It is used in the short-term treatment of insomnia, as a pre-medication in surgical procedures and for inducing anesthesia.

Since the 1990s Rohypnol has been used illegally to lessen the depression caused by the abuse of stimulants, such as cocaine and methamphetamine, and also as an aid for sexual assault. The so-called “date-rape drug” was placed unknowingly in the drinks of victims, often at a bar or party (“club drug”). Due to the strong amnesia produced by the drug, victims would have limited or no memory of the assault.

Like other benzodiazepines (such as Valium, Ativan and Xanax), Rohypnol’s therapeutic effects include:

  • sedation
  • muscle relaxation
  • reduction in anxiety
  • prevention of convulsions.

However, the sedative effects of Rohypnol are approximately 7 to 10 times stronger than Valium. The action of Rohypnol appears 15 to 20 minutes after administration and last approximately four to six hours. Some residual effects can be found 12 hours or more after administration.

Why is Rohypnol called the date rape drug?

Amnesia is an expected pharmacologic effect of benzodiazepines. Rohypnol causes partial amnesia; individuals are unable to remember certain events that they experience while under the influence of the drug. However, this effect is particularly dangerous when Rohypnol is used illicitly to aid in sexual assault. Victims may not be able to clearly recall the assault, the assailant, or the events surrounding the assault.

Learn MoreAmnesia Overview

How is Rohypnol taken?

Rohypnol can be taken by mouth as a whole tablet, it can be crushed and snorted up the nose, or dissolved in a liquid prior to drinking.

Rohypnol may also be used with other drugs of abuse, such as alcohol or cocaine for various effects. Rohypnol can increase the intoxication of alcohol, or may be used to lower the irritability and anxiety linked with excessive cocaine use (binging).

Is Rohypnol available in the United States?

Rohypnol is not approved for medical use or manufactured in the United States and is not available legally.

However, it is legally prescribed in dozens of other countries and is widely available in Mexico, Colombia, and Europe where it is used for the treatment of insomnia and as a pre-anesthetic. Rohypnol is often smuggled into the U.S from other countries, such as Mexico.

Rohypnol DEA Drug Schedule

Rohypnol was placed into Schedule IV of the Controlled Substances Act in 1984. Schedule IV drugs are considered to have a lower abuse potential but can lead to physical or psychological dependence.

However, the penalties associated with the possession, trafficking, and distribution of Rohypnol involving one gram or more are equivalent to those of a Schedule I substance according to the DEA. Schedule I substances include heroin, LSD and MDMA (Ecstasy, Molly).

Can Rohypnol be detected in a urine drug test?

If Rohypnol exposure is to be detected, urine samples need to be collected within 72 hours of consumption and subjected to sensitive analytical tests. Very often, biological samples are taken from the victim at a time when the effects of the drug have already passed and only residual amounts remain in the body fluids. These residual amounts are difficult, if not impossible, to detect using standard screening assays available in the United States. Due to this, it is difficult to estimate the number of Rohypnol-facilitated rapes in the United States.

The problem is compounded by the onset of amnesia after ingestion of the drug, which causes the victim to be uncertain about the facts surrounding the rape. This uncertainty may lead to critical delays or even reluctance to report the rape and to provide appropriate biological samples for toxicology testing.

What does Rohypnol look like?

Rohypnol is no longer available legally in the United States.

Rohypnol, previously available as a white tablet that dissolved without color, taste, or smell is now formulated as an oblong caplet that is light green with a blue core. The manufacturer instituted this change to help identify tampered drinks at clubs. When dissolved in clear liquids the blue core will turn the clear liquid to blue. However, when dissolved in darker-colored liquids, the blue dye may not be noticeable. Generic versions of Rohypnol may not contain the blue dye.

Effects of Rohypnol?

While Rohypnol has become widely known for its use as a date-rape drug, it is abused more frequently for other reasons. It is abused by high school students, college students, street gang members, rave party attendees, and heroin and cocaine abusers to produce profound intoxication, boost the high of heroin, and modulate the effects of cocaine. Teenagers and young males age 13 to 30 years of age have been noted as the primary abusers of Rohypnol.

Rohypnol is usually consumed orally, and is often combined with alcohol. Rohypnol use causes a number of adverse effects, which may last 12 hours of more, including:

  • drowsiness, sleep
  • dizziness
  • loss of motor control
  • decreased reaction time
  • impaired judgement
  • lack of coordination
  • slurred speech
  • confusion
  • aggression or excitability
  • loss of memory of events while under the influence (amnesia)
  • stomach disturbances
  • respiratory depression with higher doses.

Can you get addicted to Rohypnol?

Chronic use of Rohypnol can result in physical dependence and the appearance of a withdrawal syndrome when the drug is discontinued.

Rohypnol impairs cognitive and psychomotor functions affecting reaction time and driving skill. The use of this drug in combination with alcohol is a particular concern as both are central nervous system depressants and will increase each other’s toxicity. Injection of any illegal drug puts the user at risk of contracting HIV (human immunodeficiency virus), hepatitis B and C, and other blood-borne illnesses due to needle-sharing.

Withdrawal can occur with Rohypnol use, as with other benzodiazepines. Seizures, behavioral changes, anxiety, and insomnia can be side effects of long-term use. Some adverse reactions, such as insomnia, may occur after only a few days of use.