Ecstasy

ecstasi
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Scientific Names: Methylenedioxymethylamphetamine abbreviated to MDMA

Generic Names: Phenethylamines, Empathogens.

An example of what Ecstasy looks like
MDMA in powder or larger crystalised form can range in colour from off white to pink or brownish yellow. Pills come in a huge variety of designs, sizes, shapes, and colours. Pills are pressed with designs from popular culture, such as images of brand logos like Louis Vuitton or Tesla and designs and shapes such as Mickey Mouse or Donald Trump’s head, which is usually a bright orange pill, with the words “Make Partying Great Again on the reverse.

Desired Effects:

  • Euphoria
  • Empathy
  • Exhilaration
  • Energy.

Side Effects:

  • Sweating
  • Nausea and vomiting
  • Jaw clenching (bruxism)
  • Teeth grinding
  • Rapid eye movement (nystagmus)
  • Dehydration
  • Confusion
  • Anxiety, paranoia.


After an MDMA experience many users report feeling fatigue, anxiety, or low mood for days or sometimes longer.
Anyone with heart, blood pressure, liver or kidney issues should steer clear of MDMA, along with anyone on any medication which affects serotonin or adrenaline levels (like antidepressants such as SSRIs, SNRIs and MAOIs).

  • If you can, check the contents of your pills and powders beforehand using a reagent test. These are far from perfect but are easy to get hold off. If you or your friends are attending a club night or festival and have purchased the MDMA in advance, send a sample to WEDINOS for testing.
  • You never know what is in the tablet or powder you get so be careful – start with a quarter or at most half a pill to see what the effects are and wait at least an hour before taking any more.
  • Crush and take a dab of any powders or crystals and again wait at least an hour to gauge the potency or any adverse reactions.
  • If using MDMA and dancing, take regular breaks to cool down as ecstasy can cause overheating and dehydration. Whether you are dancing or not, you should sip water regularly up to (but no more than) a pint an hour. Drinking excessive amounts of water in one go can be dangerous.
  • If you feel yourself overheating, take a break, go somewhere cool, take off any hats or excess clothes, sip water and/or splash it on your skin. If can’t don’t cool go to welfare or seek medical help.
  • Mixing ecstasy with alcohol will increase the risk of dehydration and can make you take more risks; and mixing ecstasy with any other drugs increases the risks even further and can be very dangerous.
  • If you choose to use ecstasy it is safer to use small amounts on an occasional basis, giving your body time to recover.
  • If someone is suffering bad effects like vomiting, or convulsions call for medical assistance immediately. If they are unconsciousness - put them in the recovery position and then call for medical assistance.
short term effects

Short term risks

Unknown contents, heatstroke, collapse, coma

desired effects

Desired risks

Euphoria, Empathy, Exhilaration, Energy

long term effects

Long term risks

Affects to mental wellbeing, Depression, Liver and kidney damage

Long term risks:

Long term risks are still unclear and there is some disagreement among experts, but it is generally thought infrequent and mild use may not cause detrimental effects in the long term, while frequent and heavy use is more likely to result in both psychological and physical harm.

Short term risks:

  • Ecstasy is often mis-sold in a pill or powders that may contain no active substances or occasionally more dangerous ones. Most commonly mis-sold pills and powders contain cathinones, most often in doses that are usually no more (or less) risky than MDMA. However, MDMA powders are frequently very high purity and pills are often more than twice what is considered a strong dose.
  • Many of the potent pills come with a break line as they and intended to contain more than one dose.
  • Overdose of MDMA depends both on the dose, your bodyweight, and individual differences, as no two people react in the same way.
  • There were 78 deaths associated with MDMA in England and Wales in 2024.
  • Deaths often involve a toxic reaction (poisoning) but can also involve heart failure and heatstroke.
  • Heatstroke is a condition where MDMA (or other stimulants) raise the bodies temperature to dangerously high levels, which can be exacerbated by dancing for extended periods in hot clubs.
Classed as an empathogen and a stimulant.
Either swallowed or crushed and snorted. It can be smoked or injected but these are rare and unpopular methods as the effects are less desirable.
MDMA has been used in the US for relationship therapy in the 1970s/80s, but there are currently no recognised medical uses.
MDMA is illicitly made in a few countries. Nearly all the MDMA sold in Britain is imported through or from Holland.
Most areas of the UK have ‘street agencies’ or projects (sometimes called community drug services or community drug teams) which offer a range of services including information and advice, counselling, and sometimes support groups and complementary therapies such as acupuncture. Some services have extended working hours and may offer weekend support. If use of this substance becomes a problem you can seek help, advice and counselling from a service in your area. However, very few users of ecstasy and other 'dance drugs' present at drug agencies because they don't perceive their recreational use to be a problem. Many drug agencies do outreach or other information work with young dance-drug users. For a description of what the different drug services do, choose helping services from here or the main menu.

Parents & other relatives

Drug agencies also provide lots of advice and support to parents of young people using these drugs. Many street agencies can provide relative support groups or counselling for family members, partners etc.

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