Methamphetamine use can cause significant neurotoxicity, leading to long-term cognitive and behavioral impairments. This substance damages dopamine and serotonin systems in the brain, which are vital for mood regulation, reward processing, and motor function. Chronic methamphetamine exposure often results in oxidative stress and inflammation, further harming neural structures. Structural changes in brain regions, such as the prefrontal cortex and basal ganglia, are commonly observed, impairing decision-making and impulse control. These neurotoxic effects can persist even after prolonged abstinence, though some recovery may occur with time and therapeutic interventions. Addressing neurotoxicity through treatments like cognitive rehabilitation and antioxidant therapies is essential for improving the quality of life in affected individuals.