Medically Reviewed By
On April 16, 2024
Written By
On November 11, 2023
Often associated with raves, nightclubs, and electronic dance music (EDM) parties, club drugs are psychoactive stimulant drugs that are used by young people to enhance the sensory experience, reduce inhibitions, and party for hours.
Though common, club drugs can lead to serious side effects, either directly or indirectly, that may occur after a single use, ongoing use, or use with other substances.
Find out more about the common club drugs and the risks associated with them.
Club drugs are drugs that are popular among adolescents and young adults in social situations, such as ecstasy or ketamine.[1] The term arose from the rave phenomenon in the 1980s, which included large dance parties in warehouses, clubs, or other venues with loud electronic or techno dance music and light shows.
Club drugs often refer to designer drugs that are synthetic rather than derived from natural substances. Going along with the stimulation of a rave, which features a combination of loud, repetitive music, dizzying laser light shows, and other sensory experiences, club drugs are often mind-altering drugs that overload the senses further.
Though these drugs arose with rave culture, they’re not limited to raves. People use club drugs in nightclubs, parties, or other social events. They may be derived from parental compounds with more “traditional” drugs like LSD and amphetamines.
What drugs are included in the term “club drugs?” Here’s a list of the most common party drugs:
Methamphetamine, also known as meth, crystal meth, crystal, speed, and ice, is an amphetamine derivative with stimulant properties.[2] Meth has been around since the 1980s, but it’s become one of the most problematic illicit drugs in the US.
A synthetic drug, methamphetamine, often comes in powder form to be inhaled, smoked, ingested, or injected. When inhaled or ingested, it lasts longer and has no odor, color, or taste. It can also be injected for a more intense high.
After the initial stimulation, people using meth often become agitated, even violent. The slang term “tweaking” is used to describe this behavior. They may experience hallucinations, delusions, and paranoia, which can lead to violent or dangerous behaviors that affect themselves or others.
After consuming meth, the effects can last for up to 20 hours. In severe cases, people who use meth regularly may be awake for several days. Over time, meth can damage nerve cells and cause mental impairment, an increased risk of heart attack or stroke, malnutrition, poor dental health, and fluid buildup in the lungs.
Methamphetamine use can lead to addiction, characterized by symptoms such as:
Once addicted, meth can be very challenging to stop, but recovery is possible with appropriate treatment. It comes with severe withdrawal that may include symptoms like difficulty breathing, insatiable appetite, lethargy, headache, gastroenteritis, digestive issues, and depression. Having health professional assistance is crucial to manage withdrawal symptoms during meth detoxification.
Ecstasy is the street name for the hallucinogenic methamphetamine derivative methylenedioxymethamphetamine (MDMA).[3] It also goes by the street names X, E, Adam, M&M, roll, clarity, XTC, and essence. Though ecstasy originated as a drug for psychiatric patients, it became favored for recreational use for its hallucinogenic effects.
Ecstasy is often taken in tablet or capsule form, though it may be powdered and inhaled, smoked, or injected. These usually have brand logos like Gucci or Mercedes.
Ecstasy is popular in club settings for its stimulant properties, which constrict blood flow in the veins and arteries within 15 to 60 minutes after ingestion and last for up to six hours. When the effects begin, the pupils dilate, and the heart rate and blood pressure increase, allowing people to dance and party for hours. It also increases the feelings of emotional closeness and reduces inhibitions.
With short-term use, ecstasy increases catecholamines, which cause blood vessel constriction and an elevated heart rate. This can lead to high blood pressure, dehydration, and a spike in body temperature. In some cases, this can cause heart failure, heart attacks, and kidney failure. With chronic use, seizures or death may occur.
Ecstasy elevates the serotonin levels in the brain, leading to hallucinations and a low appetite. It can damage the neurons that release serotonin and lead to chronic mood instability, impulsivity, psychosis, or cognitive impairment.
Phencyclidine (PCP) is a dissociative anesthetic that arose in the 1950s as a general anesthetic.[4] It was discontinued in the 1960s because of side effects like depression and delusions, but it gained popularity among clubgoers.
PCP goes by the street names love boat, elephant tranquilizer, crystal, crystal joints, TAC, and angel dust. In San Francisco, where recreational use began in the 1970s, it was known as the Peace Pill.
Often combined with other drugs like cocaine and amphetamine, PCP comes in liquid, powder, tablet, and rock crystal forms. It’s easily absorbed by water and alcohol and can be smoked, ingested, injected, or inhaled. PCP may be added to menthol cigarettes – known as “supercools” – to be smoked.
The dissociative state that made PCP a useful anesthetic is what gives it recreational value. It causes people to have an “out-of-body” experience that can last for hours, especially when injected. People also experience amnesia, delirium, intrusive thoughts, paranoia, apathy, and depersonalization.
In large doses, PCP symptoms can last up to 48 hours. The effects of dissociation can appear as schizophrenia. Other symptoms include the inability to balance, uncontrolled eye movements, speech impairment, and a loss of consciousness. Delusions and dissociation can cause people to become violent or hostile, sometimes leading to reckless behaviors like jumping from dangerous heights.
Ketamine is a derivative of PCP that’s also a veterinary tranquilizer.[5] It’s becoming more popular for recreational use, as it’s effective, inexpensive, and relatively easy to source from medical or veterinary facilities. There are several street names for ketamine, including fort dodge, vitamin K, special K, and simply K.
Often found in club environments, ketamine is often inhaled in powder form. It may be injected into the muscle or placed in the rectum. Some people use ketamine to “come down” from other drugs.
Upon ingestion, ketamine increases heart rate, blood pressure, salivation, and muscle tone, lasting up to an hour. With high doses, also known as “K hole,” people experience severe dissociation, vomiting, fatigue, restlessness, and an inability to interpret reality. Ketamine may cause emergence reactions, which mimic schizophrenia and include vivid dreams, out-of-body experiences, floating sensations, and confusion.
Date rape drugs are often used in club environments to facilitate sexual assault.[6] Though other club drugs, such as ecstasy or ketamine, may be used, the commonly known date rape drugs include:
Gamma-hydroxybutyric acid (GHB) is a hypnotic depressant that’s a well-known date rape drug. It goes by many street names, including liquid X, Georgia home boy, easy lay, grievous bodily harm, Gib, G-riffic, liquid E, cherry meth, soap, salty water, organic Quaalude, fantasy, and somatomax.
Typically, GHB is liquid and can be mixed into other liquids. Once ingested, GHB is a nervous system depressant that causes loss of muscle tone, forgetfulness, and drowsiness. In high doses, it may cause seizures, slowed breathing and heart rate, and coma. This may last one to two hours, but the person usually recovers fully in eight hours.
When used as a party drug, GHB can cause tolerance, dependence, and withdrawal. If the respiratory depression is severe enough, it could require support from a ventilator until its effects wear off.
Rohypnol is the brand name for another well-known date rape drug, flunitrazepam, that’s in the benzodiazepine class.
There are many street names for Rohypnol, including Roche, La Roche, Roofies, Mexican Valium, Rope, Forget-Me Pill, R2, and Circles. It’s widely available in many countries but not in North America.
Rohypnol typically comes in pills with a single score, the Roche imprint, and a number denoting strength. It’s ten times more potent than Valium, inexpensive, odorless, and colorless, making it a popular choice to spike drinks.
In low doses, Rohypnol relaxes the muscles and has a sedative effect. In high doses, it can lead to amnesia, lowered inhibitions, and a lack of muscle control. The effects are compounded with alcohol and occur about 30 minutes after ingestion. The person may be impaired for eight to 12 hours.
Rohypnol is associated with side effects like confusion, dizziness, low blood pressure, and visual disturbances. Some people may have aggressive reactions. With regular use, Rohypnol can cause tolerance, dependence, and withdrawal.
These are the most common club drugs, but the list is not exhaustive. Chloral hydrate, historically known as a Mickey Finn when used to spike drinks, has sedative effects that can incapacitate individuals. It’s important to clarify that it’s not commonly used as a club drug for voluntary consumption but rather has been misused for criminal purposes.
Dextromethorphan, an over-the-counter cough suppressant, can be abused for its dissociative effects, which are somewhat similar to those of PCP. However, it does not mimic the effects of morphine derivatives, which are opioids and produce different effects.
Club drugs can be highly addictive, especially when they contain amphetamines like methamphetamine. Regular use can lead to dependence and withdrawal, problems at work or school, financial problems, and the inability to control or stop using drugs, which fall into the criteria for a substance use disorder.
Substance abuse treatment for use of club drugs is similar to other substances. Depending on the severity of the addiction and the symptoms, the integrative treatment plan may involve detox, behavioral therapies, group therapy, hospitalization, and medication. Because club drugs are often tied to social environments, sober living facilities can be beneficial to learn coping skills for everyday life.
Though they may begin as a way to enhance the experience at a club or dance party, club drugs can be highly addictive. Over time, people become dependent on club drugs for daily life – not just in social events – and experience the adverse effects of regular use.
Here at Ascendant New York, we understand the importance of having access to accurate medical information you can trust, especially when you or a loved one is suffering from addiction. Find out more on our policy.
[1] Club drugs: Effective Health Care (EHC) program. Club Drugs | Effective Health Care (EHC) Program. (n.d.). Retrieved from https://effectivehealthcare.ahrq.gov/health-topics/club-drugs on May 3, 2023.
[2] U.S. Department of Health and Human Services. (2023, March 3). Methamphetamine drugfacts. National Institutes of Health. Retrieved from https://nida.nih.gov/publications/research-reports/methamphetamine/overview on May 3, 2023.
[3] Drug Enforcement Administration, Diversion Control Division, & Drug & Chemical Evaluation Section. (2024). 3,4-Methylenedioxymethamphetamine. Retrieved from https://www.deadiversion.usdoj.gov/drug_chem_info/mdma.pdf on July 2, 2024
[4] Phencyclidine December (street names: PCP, Angel Dust, supergrass, boat … (n.d.). Retrieved from https://www.deadiversion.usdoj.gov/drug_chem_info/pcp.pdf on May 3, 2023.
[5] Ketamine. DEA. (n.d.). Retrieved from https://www.dea.gov/factsheets/ketamine on May 3, 2023.
[6] Date rape drugs. (n.d.). Retrieved from https://www.cham.org/HealthwiseArticle.aspx?id=uq2448 on May 3, 2023.