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A recent spate of deaths from illicit drugs at music festivals has reignited the call for pill-testing to be introduced in Australia. Public health advocates and academics are calling on state and territory governments to introduce pill-testing to limit the danger of taking ecstasy pills by assessing a pill's chemical ingredients. However, ecstasy tablets are commonly 'cut' with filler ingredients , which can range from benign additions such as caffeine pills and dietary supplements to potentially lethal drugs such as synthetic stimulants. During the pill-testing trial at ACT music festival Groovin the Moo , researchers discovered ecstasy capsules containing N-Ethylpentylone ephylone , a ' designer' stimulant responsible for deaths in the United States and South Africa in recent years. Ephylone was also responsible for the hospitalisation of 13 New Zealanders in early Bright says MDMA has been shown to cause no harm in moderate dosages in clinical settings. MAPS states that in its study participants, 'MDMA transiently increases heart rate, blood pressure, and body temperature depending on dose, though none of these effects are problematic for physically healthy individuals'. Bright notes that physical issues such as cardiovascular disease, renal disease, and epilepsy increase the risk of complications with MDMA, as do mental illnesses such as bipolar disorder or schizophrenia. MDMA reduces functioning in the amygdala, decreasing fear responses, as well as releasing large amounts of oxytocin, a bonding hormone that leads to feelings of empathy and connectedness. Some recreational ecstasy pills, such as batches found in the Netherlands in , have been found to contain up to mg, which is extremely dangerous. MDMA overdose involves cardiovascular problems, overheating, hypothermia and a condition known as rhabdomyolysis, which leads to organ failure, and death. It can also cause serotonin syndrome, which is a toxic state caused by excess serotonin in the body that can cause agitation, high body temperature, shaking and seizures. Caldicott notes that the tendency to take two or more ecstasy pills at a time is a problem that has been driven by the historically poor strength of the drug in Australia. This increase in potency and dose is thought to have led to the UK experiencing a rise in the number of ecstasy-related deaths in recent years. Caldicott notes that illegal drug markets incentivise manufacturers to create stronger drugs so they have to transport less mass. Caldicott believes that understanding quantity of dosages is an important component of education that should accompany pill-testing. Lee notes that MDMA disrupts electrolytes, which control water balance in the body as well as causing people to sweat and become dehydrated. Ecstasy users are also at risk of water intoxication if they are consuming it too frequently, such as was seen in the death of UK teenager Leah Betts in who drank 7 litres of water in 90 minutes. Bright also states that mixing MDMA with other illicit drugs or legal drugs such as alcohol increases its risk of harm. Contact Elfy Scott at elfy. Got a confidential tip? Submit it here. Share This Article Facebook.

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