Information on MDMA which is the active ingredient normally found in ecstasy pills, including the risks, what to do in an emergency and

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MDMA (Methylenedioxymethamphetamine), commonly referred to as ecstasy, was manufactured as a potential pharmaceutical early last century. It had some limited use in the 1970s as a therapeutic aid in trauma treatment and in relationship counselling, and more recent studies using MDMA for trauma have shown some promise.

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Structurally, MDMA is similar to the stimulant methamphetamine and to the hallucinogen mescaline, and so has both stimulant and mildly hallucinogenic effects.

Most problems with recreational MDMA are acute. Dependence and other long-term problems are quite rare. Less than 1% of all drug treatment presentations are for ongoing problems with MDMA, such as dependence.

Most fatalities from taking ecstasy are a result of a combination of factors, not just the drug itself.

Most of these conditions don’t result in death if they are treated early, but because of the stigma associated with using illicit drugs, sometimes people don’t seek help early enough. Any unusual or unwanted symptoms experienced while taking ecstasy should be treated as soon as they appear.


Read more: Six reasons Australia should pilot 'pill testing' party drugs


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Most people are under the impression drugs are illegal because they are dangerous, but a drug’s legal status isn’t necessarily related to relative danger. In fact, drugs are much more dangerous because they are unregulated, manufactured by backyard chemists in clandestine laboratories.

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Unlike alcohol, which is a highly regulated drug, there’s no way to tell how potent illicit drugs are or what’s in them, unless you test them.

In Australia, what is sold as ecstasy may contain a lot of MDMA or very little. Pills can contain other more dangerous drugs that mimic the effects of MDMA, and benign substances, such as lactose, as filler agents.

But Ecstasy’s younger, cleaner cousin turns out to be anything but that. In August 2013, two attendees of Electric Zoo, a large music festival in New York City, died. News reports focused on the deceased taking Molly. Street demand is up, and, like any other product, sellers are looking to profit. But the ingredients to produce pure MDMA are difficult to acquire. Just as with Ecstasy, this leads to knockoffs and filler – with potentially deadly results. While drug enforcement agencies fight the dealers and cartels to control both the pure stuff and the impostors, user education groups are left battling Molly’s safe reputation.

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