MDMA

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3,4-Methyl​enedioxy​methamphetamine, commonly known as ecstasy or molly, is a psychoactive drug primarily used for recreational purposes. The desired effects include altered sensations, increased energy, empathy, as well as pleasure. When taken by mouth, effects begin in 30 to 45 minutes and last 3 to 6 hours.

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Description

MDMA is substance related to amphetamines

Also known as ecstasy or molly when it’s in the form of pills of different shapes and colors (often stamped with a logo), it can be cut with other substances (amphetamine, caffeine, or medicine). MDMA can also be sold as powder or capsules. Whatever form it is, the molecule is still the same.

How do people use MDMA?

People who use MDMA usually take it as a capsule or tablet, though some swallow it in liquid form or snort the powder. The popular nickname Molly (slang for “molecular”) often refers to the supposedly “pure” crystalline powder form of MDMA, usually sold in capsules. However, people who purchase powder or capsules sold as Molly often actually get other drugs such as synthetic cathinones (“bath salts”) instead (see “Added Risk of MDMA“).

Some people take MDMA in combination with other drugs such as alcohol or marijuana.

How does MDMA affect the brain?

MDMA increases the activity of three brain chemicals:

  • Dopamine—produces increased energy/activity and acts in the reward system to reinforce behaviors
  • Norepinephrine—increases heart rate and blood pressure, which are particularly risky for people with heart and blood vessel problems
  • Serotonin—affects mood, appetite, sleep, and other functions. It also triggers hormones that affect sexual arousal and trust. The release of large amounts of serotonin likely causes the emotional closeness, elevated mood, and empathy felt by those who use MDMA.

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