Meth Sores & Mites Guide | Causes, Symptoms & Treatment Options

   Dec. 4, 2023
   4 minute read
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Last Edited: September 29, 2025
Author
Andrew Lancaster, LPC, MAC
Clinically Reviewed
Edward Jamison, MS, CAP, ICADC, LADC
All of the information on this page has been reviewed and certified by an addiction professional.

What are Meth Mites and Why Are They On My Face?

The sight of meth sores on the skin is one of the most visible and painful signs of meth abuse. These sores often come from scratching and picking at the skin, sometimes caused by a hallucination known as meth mites—the sensation that bugs are crawling under the skin. This skin damage from meth is more than cosmetic; it can lead to infections, scarring, and serious health risks.

The statistics are alarming. According to the National Institute on Drug Abuse (NIDA), nearly 2.5 million Americans used meth in the past year, and emergency rooms report increasing cases of skin infections and abscesses linked to meth abuse. Many people live in shame and isolation, hiding their sores while addiction continues to destroy their health.

As physician Benjamin Rush once said, “It is easier to prevent bad habits than to break them.” Recognizing the damage meth causes, including sores and psychosis-induced scratching, is a critical step toward prevention and recovery.

This hub page serves as the entry point for deeper exploration. Use the links below to dive into specific areas of meth addiction:


The Nightmare Meth Bugs Experience

The Feeling

This Overwhelming Sensation Causes the addicts to physically scratch and pick at their skin in an effort to remove imaginary bugs.


Hallucinations

Prolonged Meth use causes addicts to feel, see and believe that there are actual bugs crawling on and inside their skin. Resulting in scratching, picking.


Danger Zone

While meth sores itself isn’t life threatening, the resulting infections from the bugs have lead to amputations and serious health issue.


Other Names for Meth Mites: Meth sores, Meth Bugs, Crank Bugs, Ice Mites.


Why Do Meth Sores and Meth Mites Happen?

Meth changes the body in ways that make skin problems almost inevitable.

  • Dehydration and dry skin: Meth dries out the body, leaving skin cracked and fragile.
  • Reduced blood flow: Long-term meth use restricts circulation, slowing wound healing.
  • Compulsive scratching: The feeling of meth mites—bugs crawling under the skin—leads users to pick at healthy skin until sores form.
  • Poor hygiene and nutrition: Many people stop caring for themselves while using meth, increasing the risk of infection.

Together, these factors create open wounds that can become infected with bacteria like MRSA, which can be life-threatening.

Symptoms of Meth Sores

The appearance of meth sores is often shocking and unmistakable.

Common symptoms include:

  • Red, inflamed patches of skin
  • Open wounds and scabs
  • Repeated scratches and scars
  • Infections that ooze pus or cause swelling
  • Long healing times, with wounds reopening from repeated picking

Meth sores are most common on the face, arms, and hands—areas that are easy to reach and scratch. Over time, the damage becomes severe, leaving permanent scars.

What Do Meth Sores Look Like?

Meth sores and scabs are hallmarks signs of meth abuse or addiction. In general, those who abuse meth more frequently or for longer periods are likely to exhibit more sores than others. In addition to being unappealing to look at, meth sores can cause health problems if they become infected. Some meth sores can be treated with disinfectants, but sores that become infected will likely require medical treatment.

The Dangers of Skin Damage from Meth

The dangers of meth sores go far beyond appearance. Untreated sores can lead to:

  • Severe infections: MRSA and staph infections can spread into the bloodstream.
  • Permanent scarring: Skin often never returns to normal after repeated picking.
  • Systemic illness: Infections can spread to organs, leading to life-threatening conditions.
  • Emotional damage: People with visible sores often feel shame, depression, and social isolation.

This cycle of physical and emotional pain keeps many people trapped in addiction.

Contributing Factors to Meth Sores infographic

Treatment Options for Meth Sores and Recovery

The good news is that both meth sores and addiction can be treated. Healing begins with quitting meth, which allows the body to start repairing itself.

Treatment options include:

  • Medical care for wounds: Doctors may prescribe antibiotics, drain infections, and provide wound care.
  • Hydration and nutrition: Drinking water and eating a healthy diet help the skin recover.
  • Therapy and rehab: Inpatient or outpatient treatment programs address meth addiction and its root causes.
  • Behavioral therapies: Cognitive Behavioral Therapy (CBT) and contingency management help reduce cravings and relapse risk.
  • Dual diagnosis care: Treats both addiction and mental health conditions like psychosis.
  • Peer support: 12-step programs and sober living homes provide encouragement and accountability.

With time and treatment, many people see significant improvements in their skin and their lives.

Frequently Asked Questions
What are meth sores?
Meth sores are open wounds, scabs, and scars that develop from scratching and skin damage caused by meth use. They often appear on the face, arms, and hands and may become infected without proper care.
What causes meth sores?
Meth sores are caused by dehydration, poor blood circulation, dry skin, and compulsive scratching. Many users feel like bugs are crawling under their skin, a sensation known as “meth mites,” which leads them to pick at their skin.
What are meth mites?
“Meth mites” refers to a hallucination or sensation of bugs crawling on or under the skin. This is a form of meth-induced psychosis. The scratching and picking that follow often cause deep sores and scarring.
Are meth sores dangerous?
Yes. Meth sores can easily become infected, leading to abscesses, MRSA, or systemic infections that spread to the blood and organs. Severe infections can be life-threatening without medical treatment.
Can meth sores heal on their own?
Some sores may heal if meth use stops and proper hygiene is restored, but many require medical treatment. Without antibiotics and wound care, infections can worsen and leave permanent scars.
How do you treat meth sores?
Treatment begins with quitting meth. Doctors may prescribe antibiotics, clean wounds, and recommend proper hydration and nutrition. Addiction treatment is also necessary to prevent new sores from forming.
Why does meth cause skin damage?
Meth dehydrates the body, weakens the immune system, and reduces blood flow. Combined with scratching and poor hygiene, this creates an environment where sores and infections are almost unavoidable.
Can recovery help reverse skin damage from meth?
Yes. With sobriety, wound care, and healthy living, many people see significant improvement in their skin. While some scars may remain, both physical and emotional healing are possible in recovery.
What Causes Meth Mites, Meth Bugs and Sores? What Are The Symptoms?
Methamphetamine use is damaging to a person’s physical and mental health in many ways. Meth affects the function of important organs like the brain, the heart, and kidneys, in addition to causing psychological issues. It also affects the musculature and other things that change one’s physical appearance, such as their teeth (Meth mouth) and their skin (Meth sores).
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