What Are Meth Sores?

Updated January 6, 2026

An image of Karena Mathis, author for gratitude lodge
Authored By:

Karena Mathis

Edited By

Amy Leifeste

Medically Reviewed By

Sean O'Neill
MS, LMFT 112879

Explore treatment options today. For general drug info, contact your doctor.

What Are Meth Sores?

Updated January 6, 2026

Authored By:

Karena Mathis

Edited By

Amy Leifeste

Explore treatment options today. For general drug info, contact your doctor.

How Meth Use Causes Skin Damage and Infection

What are meth sores? Facial sores (meth sores) are a visible manifestation of the abuse of methamphetamine, otherwise known as crystal meth or meth. Meth facial sores typically arise due to the compulsion to scratch and pick at the skin induced by meth use, although sores from meth may also result from the toxic effects of the drug. Healing meth sores on the skin takes weeks or months, and sores from crystal meth can leave behind lasting scars without proper attention โ€“ read on to discover how to achieve this.

What Is Methamphetamine (Meth)?

Meth (Methamphetamine) is a highly addictive, Schedule II stimulant that affects the central nervous system (CNS). This illicit substance is most commonly found in the form of a white, odorless powder that tastes bitter and dissolves quickly in water.

More and more, street-sold methamphetamines are cut with dangerous fillers such as fentanyl to make them cheaper to produce. This causes extreme physical duress and disease, overdose, and even death.

What Are Meth Sores?

Meth sores are painful, open wounds that occur on the surface of chronic meth usersโ€™ skin. These lesions can develop due to a number of factors, including poor personal hygiene, skin picking at meth-induced irritants (โ€œcrank bugsโ€), and poor circulation or skin health. Meth also causes a weakened immune system which makes the user more prone to infections and longer healing times.

What Do Meth Sores Look Like?

an image of meth sores

  • Appearance: Meth sores can vary in appearance but are often characterized by red, inflamed, and sometimes raised areas on the skin. They may resemble small, open wounds or scabs.
  • Crusting and scabbing: The sores can form crusts or scabs, particularly if the individual scratches or picks at them. This can further delay the healing process and increase the risk of infection.
  • Pain and discomfort: Meth mouth sores and face sores can cause pain, itching, and discomfort. The urge to scratch or pick at them can intensify the irritation and contribute to the development of more sores.
  • Location: Meth sores are commonly found on the face, especially around the mouth and on the arms. These areas are more accessible and likely to be affected by scratching.
  • Healing and scarring: If left untreated, meth sores on face can take weeks or even months to heal. As they heal, they may leave behind scars or hyperpigmented areas on the skin.

Meth sores on the face are a visible sign of deeper physical and psychological issues related to methamphetamine use. These sores may indicate a problematic pattern of behavior and potential health risks. Seeking professional help for both the addiction and the physical consequences is crucial for those caught in the cycle of methamphetamine use and its associated effects.

What Causes Meth Sores?

Timeline and Progression of Meth Sores

Meth sores typically begin when a chronic meth user gets a cut, skin lesion, or begins picking at their skin. These types of minor injuries to the skin can be common in meth users as a side effect of both the drugโ€™s toll on the immune system and the mind.

While a normal abrasion on the skin may clear within a few days to a week, sores acquired during meth use can take much longer to heal due to methโ€™s suppressant effects on the immune system. At this point, the sore is considered a chronic wound and can take as long as 4โ€“12 weeks to heal.

There is also a higher risk of MRSA (antibiotic-resistant staph infection) developing in these types of wounds. With medical intervention, MRSA can take up to several months to heal. Without treatment, MRSA can result in sepsis, which can be deadly and cause necrosis (death) of limbs or other body parts.

Meth Sores Treatment

Wound Care

  • Cleanliness: Maintaining proper hygiene around meth sores helps prevent infection. Gently clean the affected areas with mild soap and water.

Professional Medical Care

  • Infection management: If a meth sore becomes infected, seek medical attention promptly. Infections can lead to serious complications and may require antibiotics.
  • Wound assessment: A healthcare provider can assess the severity of the sores, provide recommendations for care, and monitor the healing process.
  • Prevention of scarring: Medical interventions, such as silicone-based scar sheets or gels, may help minimize scarring as the sores heal.
  • Addiction treatment: Treating the underlying addiction is essential to break the cycle of compulsive skin-picking and methamphetamine use. Seek help from addiction specialists, therapists, or support groups.
  • Professional support: A healthcare provider, therapist, or counselor can assist in developing a comprehensive plan to address methamphetamine use and its associated behaviors.
  • Rehab: In severe cases of methamphetamine addiction, inpatient or outpatient rehab programs can provide structured support for individuals seeking to overcome their addiction.
  • Behavioral therapies: CBT (cognitive behavioral therapy) and DBT (dialectical behavior therapy) can help individuals learn healthier coping mechanisms to manage the urge to pick at their skin.
  • Support groups: Connecting with others who have experienced similar struggles can provide valuable support and understanding.

Meth Sores | FAQs

What are meth sores?

Meth sores, often referred to as โ€œmeth mitesโ€ or โ€œcrank bugs,โ€ are skin lesions that develop due to methamphetamine use. They are usually caused by intense scratching or picking at the skin, as meth users often experience hallucinations of bugs crawling under their skin (a condition known as formication).

What causes meth sores?

  • Formication: Meth users may feel sensations of bugs under their skin, leading them to scratch or pick at it.
  • Dehydration and Poor Hygiene: Meth dehydrates the body, leaving the skin dry and more prone to breaking. Poor hygiene during meth use also contributes to infections.
  • Weakened Immune System: Chronic meth use weakens the immune system, making it harder for wounds to heal.

Where do meth sores typically appear?

Meth sores commonly appear on the face, arms, and legs, but they can develop anywhere on the body. Facial sores are especially common, often worsened by the userโ€™s scratching and picking.

Do meth sores go away?

Meth sores can heal if meth use stops and proper care is taken to treat the skin. Without continued scratching or drug use, mild sores may fade over time, but severe sores can leave scars.

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Get Treatment for Meth Addiction at Gratitude Lodge

  • Psychotherapy (CBT or DBT)
  • MAT (medication-assisted treatment)
  • Group therapy
  • Family therapy
  • Individual therapy
  • Holistic therapy
  • Aftercare support

Get effective, insurance-covered treatment for meth addiction today by calling our team at 844-576-0144.

Sources

  1. https://www.ncbi.nlm.nih.gov/books/NBK535356/

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