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MDMA has many of the same physical effects as other stimulants such as cocaine and amphetamines.
These include increased heart rate and blood pressure, decreased appetite, and increased energy.
These are the brain’s neurotransmitters, and they influence mood, sleep, and appetite.
Serotonin also triggers the release of other hormones that can cause feelings of attraction and intimacy. As a result, users may become more affectionate than usual, and feel a connection with complete strangers.
The effects last for 3 to 6 hours, but people who take a moderate amount may experience withdrawal-type side effects for a week after.
- confusion, irritability, anxiety, and depression
- impulsiveness and aggression
- decreased interest in sex
- memory and attention problems
- reduced appetite
These effects may be due to MDMA alone, or to the combination of MDMA use with other drugs.
Other substances can be mixed with MDMA
Not all the effects are predictable because so-called pure “ecstasy” can contain other unwanted drugs or chemicals. Being illegal, there is no government regulation over production.
As a result, people using MDMA could also unwittingly be using:
- synthetic cathinones such as mephedrone, the psychoactive ingredient in another drug, known as “bath salts.”
These harmful substances can be particularly dangerous when mixed with MDMA. When users buy MDMA from dealers on the street, they do not know what they are taking.
Ingesting other substances, such as marijuana or cocaine, along with MDMA greatly increases the danger of adverse reactions.
Deaths have been linked to some fatal batches of MDMA.
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