Mephedrone (MD), commonly known as “meow meow” or “M-Cat,” is a synthetic stimulant drug with effects similar to those of amphetamines and MDMA (ecstasy). It gained popularity as a recreational drug due to its stimulant and euphoric effects, leading to concerns about its abuse and potential health risks.

In India, mephedrone abuse has become a significant issue, particularly among young adults and partygoers in urban areas. The drug is often sold in powder form and may be ingested orally, snorted, or injected. Its availability and relatively low cost have contributed to its widespread use, despite being illegal under the Narcotic Drugs and Psychotropic Substances Act.

Short-Term Effects of Mephedrone Abuse:

1. Euphoria and increased energy
2. Heightened alertness and sociability
3. Enhanced sensory perception
4. Increased heart rate and blood pressure
5. Dilated pupils
6. Reduced appetite
7. Agitation, anxiety, and paranoia
8. Insomnia and difficulty sleeping
9. Sweating and dehydration
10. Nausea and vomiting

Long-Term Effects of Mephedrone Abuse:

1. Addiction and dependence
2. Cognitive impairments, including memory and attention deficits
3. Psychiatric disorders such as depression, anxiety disorders, and psychosis
4. Cardiovascular problems, including heart palpitations, chest pain, and increased risk of heart attack or stroke
5. Respiratory issues, such as difficulty breathing or lung damage
6. Liver and kidney damage
7. Dental problems, including tooth decay and gum disease
8. Impaired immune function and increased susceptibility to infections
9. Hormonal imbalances
10. Social and interpersonal difficulties, including relationship problems and social isolation

Treatment for Mephedrone Abuse:

1. Detoxification: The first step in treating mephedrone addiction involves detoxification to safely manage withdrawal symptoms. This may be done in an inpatient or outpatient setting under medical supervision.
2. Psychotherapy: Behavioral therapies such as cognitive-behavioral therapy (CBT) and motivational interviewing (MI) can help individuals address underlying issues contributing to their drug abuse and develop coping skills to prevent relapse.
3. Medication-Assisted Treatment (MAT): In some cases, medications may be prescribed to help manage withdrawal symptoms or reduce cravings. For example, antidepressants may be used to treat depression associated with mephedrone withdrawal.
4. Support Groups: Participating in support groups such as Narcotics Anonymous (NA) or SMART Recovery can provide individuals with peer support, encouragement, and accountability during their recovery journey.
5. Dual Diagnosis Treatment: For individuals with co-occurring mental health disorders, integrated treatment addressing both substance abuse and psychiatric symptoms is essential for comprehensive care.

Mephedrone abuse in India poses significant risks to individuals’ health and well-being, leading to a range of physical, psychological, and social consequences. Recognizing the short-term and long-term effects of mephedrone abuse and seeking appropriate treatment is crucial for mitigating these risks and promoting recovery. With comprehensive treatment that addresses the complex nature of addiction, individuals struggling with mephedrone abuse can achieve lasting sobriety and improve their quality of life.