Department of Community Medicine, Shantabaa Medical College, Lathi Road, Amreli, Gujrat, India-365601

Teen drug and alcohol misuse among Indian teens is a big problem for public health since society and the economy are changing quickly, cultural values are shifting, and teens are spending more time in café, bars and party locations. Teenage years are a very important time in a person's life. They are willing to try new things, which makes it more likely that they will become addicted to drugs, develop mental health problems, drop out of school, and miss out on social events later in life. Indian teens still drink and smoke the most, according to national polls. However, drugs like cannabis, opioids, sedatives, and inhalants are becoming more of an issue. People could start and keep using drugs because of peer pressure, problems at home, mental stress, being around digital media, or the fact that drugs are easy to buy. In India, school-based learning, family-centred approaches, health treatments that are healthy for youth, rules, and getting people involved in their communities are all strategies to stop problems. Therapy programs created particularly for teens still have challenges with how effectively they function and how well they are put into action and followed. This study looks at current patterns in drug and alcohol use among young people in India, the causes behind them, the health effects, and ways to cut down on use. It stresses the importance of treatments that are founded on science, take culture into consideration, and work together.