MDMA Ecstasy or Molly: Side Effects and Risks

Adam is the lead addiction therapist at Olympic Behavioral Health and has been in the field of addiction treatment since 2009. No, Molly is not classified as a classic psychedelic but does have mild hallucinogenic properties owing to its effects on serotonin. Yes, molly is sometimes referred to as a “sex drug” due to its ability to accelerate emotional intimacy and boost tactile sensations.

The drug called Molly isn’t what most of its users think it is. Almost all the chemicals in Molly and other synthetic drugs come from laboratories in China All submitted personal and health-related information is encrypted, secure, and handled in compliance with theHealth Insurance Portability and Accountability Act acute and chronic effects of cocaine on cardiovascular health pmc (HIPAA). Our programs are clinically supervised by licensed mental health and addiction professionals with decades of experience. However, repeated use may lead to long-lasting or worsening mental health issues, including chronic anxiety or depressive symptoms. Both MDMA and Molly can deplete serotonin, which may lead to anxiety, depression, and mood swings, especially after the drug wears off.

Ingesting other substances, such as cannabis or cocaine, along with MDMA greatly increases the danger of adverse reactions. The effects last for an average of 3 hours, but people who take a moderate amount may experience withdrawal side effects for a week after. MDMA can also be addictive, and research suggests that long-term thinking problems may develop in some people who use it. These factors can contribute to serious and sometimes fatal health effects. Information provided by this website or this company is not a substitute for individual medical advice. These effects help to reduce conditioned fear and stress responses, which is why MDMA represents a powerful potential treatment for PTSD and anxiety disorders.

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Due to it being a more potent serotonin 5-HT2A receptor agonist than (S)-MDMA, (R)-MDMA has been hypothesized to have greater psychedelic effects than (S)-MDMA or racemic MDMA. By contrast, (R)-MDMA acts as a lower-potency serotonin–norepinephrine releasing agent (SNRA) with weak or negligible effects on dopamine. This may be due to formation of toxic MDMA metabolites and/or induction of simultaneous serotonin and dopamine release, with consequent uptake of dopamine into serotonergic neurons and breakdown into toxic species. In contrast, the serotonin reuptake inhibitor citalopram, which blocks MDMA-induced serotonin release, diminished all of the psychoactive and hallucinogenic effects of MDMA.

It’s commonly used in party settings, such as clubs and music festivals, where it can make people feel more social and connected with others. She holds a Master’s in Psychology with specialization in Transformational Life Coaching and also has an International Certificate in Behavioral Studies. This temporary depletion of active serotonin may be the cause of any post-MDMA depression.

Ecstasy withdrawal symptoms are challenging, with common effects including fatigue, depression, and decreased appetite, causing a cycle of repeated use to avoid these discomforts. MDMA affects serotonin, dopamine, and norepinephrine levels in the brain, leading to heightened mood and sensory experiences. A powdered form of Ecstasy, “Molly” (so called because it was a pure “molecular” state of MDMA), emerged in the early 21st century. A significant portion of what is sold as Ecstasy is MDMA adulterated with or replaced by other substances, such as ketamine, caffeine, mCPP (meta-chlorophenylpiperazine), or PMMA (paramethoxymethamphetamine). By the end of the 20th century, Ecstasy was reportedly used regularly by 500,000 people in Great Britain, and a 1998 study found that 3,400,000 Americans had tried the drug.

A scheme for management of acute MDMA toxicity has been published focusing on treatment of hyperthermia, hyponatraemia, serotonin syndrome, and multiple organ failure. Acute toxicity is mainly caused by serotonin syndrome and sympathomimetic effects. MDMA overdose symptoms vary widely due to the involvement of multiple organ systems. One study found approximately 15% of chronic MDMA users met the DSM-IV diagnostic criteria for substance dependence. Approximately 60% of MDMA users experience withdrawal symptoms when they stop taking MDMA. Global reductions in gray matter volume, thinning of the parietal and orbitofrontal cortices, and decreased hippocampal activity have been observed in long term users.

  • In more concrete terms, the drug has a unique touchy-feely pharmacological profile that increases feelings of emotional empathy, closeness with others, and prosocial behavior.
  • The often-added impurities, in combination with the physical rigor of an all-night dance party experience, make taking any form of MDMA significantly dangerous.
  • There are currently no FDA-approved medications to treat ecstasy addiction.
  • Sometimes, the drugs are taken at different times throughout the evening as a way of modifying the high.
  • The drug is made in illegal labs without any safety regulations, meaning that harmful chemicals can get mixed in.
  • But it also has serious potential for harm, including the risk of life-threatening overdoses.

MDMA was also found to have effects on blood sugar levels comparable to high doses of ephedrine. Compared to ephedrine, Oberlin observed that it had similar effects on vascular smooth muscle tissue, stronger effects at the uterus, and no “local effect at the eye”. In relation to the preceding, the psychoactive effects of MDA were discovered well before those of MDMA.

MDMA vs Molly

Fentanyl is powerful and can cause overdose and death, even in small amounts. Even if someone has taken ecstasy before, the ingredients in each pill can vary, making it impossible to know how the body will react. In severe cases, these effects can lead to heart failure, kidney damage, or even death.

Because ecstasy is made in illegal labs, there are no safety standards or regulations in place, which increases the danger for everyone involved. The main chemical used to create MDMA, the active ingredient in ecstasy, is safrole. Ecstasy is made in illegal laboratories, often hidden from law enforcement because making the drug is illegal in most countries. It could be made entirely of other chemicals, which are added to mimic the effects of MDMA. Even batches of molly sold by the same dealer can have very different ingredients, leading to unpredictable and sometimes life-threatening outcomes.

This increases people’s risk of contracting or transmitting HIV/AIDS or hepatitis. MDMA’s effects last about 3 to 6 hours, although many users take a second dose as the effects of the first dose begin to fade. The popular nickname Molly (slang for “molecular”) often refers to the supposedly “pure” crystalline powder form of MDMA, usually sold in capsules. People who use MDMA usually take it as a capsule or tablet, though some swallow it in liquid form or snort the powder. MDMA-assisted psychotherapy shows promising efficacy and a generally tolerable safety profile for treating PTSD, with meta-analyses indicating symptom reduction, though careful dosing and controlled therapeutic settings are essential to minimize risks.

The medical use of MDMA is highly regulated and only administered by healthcare professionals in regulated settings. This classification means that the substance has a high potential for abuse and is not approved by law to treat medical conditions. This use was interrupted by ecstasy being classified as a Schedule I drug in 1985. MDMA was explored as a therapeutic drug in the 1970s as some psychotherapists believed it opened people up and enhanced their potential for empathy and understanding of one another. MDMA is currently in clinical trials as a possible treatment aid for post-traumatic stress disorder and anxiety in terminally ill patients, and for social anxiety in autistic adults. Experiments have shown that animals will self-administer MDMA—an important indicator of a drug’s abuse potential—although to a lesser degree than some other drugs such as cocaine.

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  • Addiction Resource does not offer medical diagnosis, treatment, or advice.
  • MDMA is the acronym used to refer to the chemical, 3,4-methylenedioxy-methamphetamine, a man-made substance that is somewhat unique because it has both stimulant and hallucinogenic properties.
  • MDMA is also available as a powder or crystal that is crushed and snorted for a quicker start of effects.
  • In two days, the DEA seized $95 million off drug traffickers during a crackdown.
  • The most common salt of MDMA is the hydrochloride salt; pure MDMA hydrochloride is water-soluble and appears as a white or off-white powder or crystal.
  • The addictive risk is not necessarily higher in one over the other but depends on frequency, dose, and the presence of other mixed substances.
  • If you’re going to take ecstasy, try to take it in mini doses.

MDA and MDMA are both classified as stimulant drugs and can increase the release of serotonin, dopamine, and norepinephrine in the brain. MDA (3,4-Methylenedioxyamphetamine) and MDMA (3,4-Methylenedioxymethamphetamine) are synthetic, psychoactive substances belonging to the amphetamine and phenethylamine classes of drugs. We are committed to evidence-based addiction treatment, mental health care, patient safety, and long-term recovery. This pattern raises the risk for long-term mental health damage and addiction. The presence of unknown additives in both powder and pill forms means that even so-called pure molly can carry significant negative consequences, making every use a gamble with one’s health. However, regardless of the label, the risks of impure or mixed substances remain high.

Difference Between MDMA, Ecstasy, and Molly?

Please consult your healthcare provider if you think that using ecstasy or “molly” is right for you. This article is purely informational and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Scientists need more research to determine how effective this treatment option is for addiction to MDMA. Some people seeking treatment for MDMA addiction have found behavioral therapy to be helpful. There are no specific medical treatments for MDMA addiction.

MDMA triggers a significant serotonin release, enhancing mood and promoting feelings of empathy, closeness, and emotional warmth after consumption. The function Suboxone withdrawal of MDMA is to alter mood, perception, and energy levels by affecting key neurotransmitter systems in the brain. This powerful combination of effects contributes to MDMA’s reputation as both a stimulant and a mild hallucinogen, impacting sensory perception and emotional experiences. MDMA rapidly increases the release of serotonin, creating feelings of emotional closeness and relaxation after entering the bloodstream. MDMA, or 3,4-methylenedioxymethamphetamine, is a synthetic psychoactive drug with stimulant and hallucinogenic properties. All information provided in featured rehab listings is verified by the facility officials.

The American Society of Addiction Medicine shares that the definition of addiction is continued use despite harmful consequences. In one study, researchers found that only 60% of samples contained any MDMA at all and many were mixed with so-called “fake cocaine,” a substance typically made with synthetic cathinone. As a hallucinogenic drug, it distorts a person’s sense of time and perception. Other effects include feeling greater empathy toward others and enhanced sensory perception. The immediate impact of ecstasy begins within about 45 minutes of taking a dose.

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MDMA (3,4-methylenedioxymethamphetamine) is similar to an amphetamine but has both stimulant and hallucinogenic effects. While ecstasy may not be addictive, its use can be fatal. Ecstasy is a synthetic drug, meaning it’s made in a lab. You will begin to feel its effects within 30 to 45 minutes.

At Renaissance Recovery our goal is to provide evidence-based treatment to as many individuals as possible. A pill can look safe and still be laced with dangerous chemicals. Drug makers often press ecstasy into colorful pills with fun logos to make them look appealing, but that doesn’t mean the pill is pure.

Believing MDMA allowed users to strip away habits and perceive the world clearly, Shulgin called the drug window. While not finding his own experiences with MDMA particularly powerful, Shulgin was impressed with the drug’s disinhibiting effects and thought it could be useful in therapy. A 1960 Polish Letter to Alcoholic Husband paper by Biniecki and Krajewski describing the synthesis of MDMA as an intermediate was the first published scientific paper on the substance.

Pill testing stations allow people to receive a chemical test that reveals the purity and contents of the drug. Addiction is a chronic brain disease in which you experience cravings and continue abusing the drug despite knowledge of the negative consequences. MDMA produces its effects primarily by acting as an indirect serotonergic agonist, which essentially means that it increases the amount of serotonin released into synapses.2,3 Taking a drug that is unregulated can be very hazardous because you essentially have no idea what substance you are really taking.

John Webber
John Webber

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