Physiologically, it depends on what drugs you take. There are stimulants and depressants.
Socially, it destroys the life of people who take and get addicted to it. If the user has a family, a wife and a kid most cases they end up having no parents to grow up with or greatly hate them. Users usually are incapable of thinking right so they might be get jailed or be killed because of it.
With the HIV part, I doubt though expect if drug users share same injectable needle or the have sexual intercourse while intoxicated.
