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Health Promotion. Accessed 21, Oct. Copy Citation. Is plugging ecstasy a safer alternative?. Go Ask Alice! On 'big nights out' about once a month friends of mine 'plug' ecstasy tablets — by which I mean they each stick one up their butt instead of swallowing. They claim that is a 'safer' way to ingest E because it bypasses the liver and goes right into the bloodstream. They also claim the effects are heightened. I have been tempted to try this method as they swear by it, but thought I'd get your opinion first — are there any potential side effects to plugging? Is it really a 'safer' way to use E? It may be time to plug up some of the misconceptions around plugging ecstasy. In fact, ecstasy was commonly used by therapists and marriage counselors in the s as a way for patients to increase their ability to get in touch with their emotions. There are many types of ecstasy , although people who use ecstasy typically take it orally through pills or powder. There are risks associated with taking ecstasy regardless of method of insertion, such as nausea, increased body temperature and blood pressure, muscle tension, and dehydration. It's difficult to say which method is 'safer' because there is little scientific research on the topic. For more information on the biological mechanisms of plugging ecstasy, read on! Plugging, or inserting drugs such as ecstasy into the anus, can give the same sensations as taking the drug orally through the mouth. Effects may be experienced more quickly when substances are inserted anally because the walls of the colon allow the substance to be absorbed more quickly into the bloodstream than the walls of the stomach. The effects of ecstasy usually hit their peak around 90 minutes after being taken and wear off around three to four hours later — this timeline may be sped up when plugging. While the effects of ecstasy may be experienced more quickly, they also wear off more quickly than if taken orally. There could be a greater risk of overdose when inserting anally because more drug is taken to perpetuate the effects, despite the fact that your body is still processing the previous dose. Taking E orally sometimes causes nausea. For those with a sensitive stomach, taking drugs anally may result in fewer stomach problems. The liver's job is to filter toxins such as ecstasy out of the blood. In fact, the more concentrated doses that the liver receives from ecstasy inserted anally may be more intense and cause more damage to the liver. The increased potency is what may contribute to the more intense high experienced more quickly for people who plug versus swallow ecstasy. People with hepatitis or other liver ailments may be especially vulnerable to liver damage from using E. Potential dangers from plugging include damage to anal and rectal tissues, which are more delicate than the stomach. If the rectal tissues are irritated, it may increase the risk of sexually transmitted infections during anal sex. Plugging is discouraged for people who experience constipation, diarrhea, any ano-rectal disease, thrombocytopenia low blood platelet count , or poor circulation. In addition to these risks associated with anal insertion, ecstasy in general has undesirable side effects, such as muscle tenseness, increased heart rate and blood pressure, psychological effects such as confusion or paranoia, and occasionally visual impairment such as blurred vision. Many people who take E experience a period of low activity when coming down from their ecstasy high , which may encourage additional substance intake to avoid the crash. Long-term effects include internal organ damage, mood disorders, and memory problems. Mixing E with other drugs on top of that, such as alcohol, increases those effects further. Most deaths associated with the use of ecstasy have been the result of heat stroke due to fluid loss from dancing in hot clubs without drinking enough water. Ironically, ecstasy can also lead users to drink too much water, causing hyponatremia, also known as water toxicity. E inhibits the body's ability to urinate, which can lead to edema or swelling of the brain. If taken before going to a party with a lot of dancing or activity, it may also be helpful to take breaks often to help lower your heart rate and cool your body down. There are risks associated with E no matter how you take it, so it would be inaccurate to call either plugging or swallowing 'safer. One route or the other may be more comfortable, or produce a better sensation, or induce a different side effect, depending on your body. Is plugging ecstasy a safer alternative? Cite this Response MLA 9. Dear Alice, On 'big nights out' about once a month friends of mine 'plug' ecstasy tablets — by which I mean they each stick one up their butt instead of swallowing. Dear Unplugged in NY, It may be time to plug up some of the misconceptions around plugging ecstasy. Was this answer helpful to you? Yes this answer was helpful to me. No this answer was not helpful to me. Other humans have also viewed…. Can I get high naturally? Substance Use and Recovery. Why did I test positive for cocaine when I've never touched the stuff?
The pharmacology and toxicology of “ecstasy” (MDMA) and related drugs
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Plugging drugs is a less common method of drug use that has dangerous effects on the body. Using this method to take drugs like MDMA Molly can lead to deadly overdose and long-term bodily damage. Typically, any medicines used rectally will be dispersed quickly and more effectively through the entire body than if ingested orally. Drugs taken this way will have a shorter peak time and their effects will not be felt for a long, extended period of time. For illegal drugs taken like this, plugging is generally a method used by people that abuse drugs. Sill, it can be used by self-described casual or recreational drug users. People who use drugs in this way do so despite the upfront consequences. Rectal administration of illegal substances carries an increased risk of numerous negative side effects. In general, the improper or unsanitary drug application, plus the chemical interaction with sensitive tissues, may cause damage to the intestines and rectum. Healthy people may experience very painful physical effects from improperly plugging illegal drugs like Molly. Prescribed drugs that are taken rectally include appropriate lubrication and a sterile syringe or applicator. People that plug substances might not take steps for safe and sterile use. Not using sterile applicators or suitable lubrication can cause extensive tissue damage to rectal membranes and tissues. Plugging drugs like MDMA into the rectum can be particularly dangerous for people with pre-existing ailments, such as:. Plugging causes additional damage to rectal tissues. The damage varies depending on the duration and intensity of anal drug intake. There is a misconception that it is safer to take medications through plugging. The reasoning behind this belief is that drugs go to the blood and entirely bypass the digestive tract and liver. The body filters out drugs from the digestive system by using the liver. Even if a drug enters the bloodstream first, it will undergo the exact same filtering process within the body through the liver, but have a greater initial bioavailability. The biggest downside with rectal drug use is that the high will arrive quickly and intensely, but leaves faster than if taken orally. A first-time user of drugs through plugging may continue taking drugs and suffer an overdose. The effects of a plugging-related overdose may be deadly. Regularly dosing drugs that work on dopamine and serotonin receptors, like MDMA, can have serious short-term and long-term effects that impact major organ systems and mental wellbeing. Used recreationally as a rave or party drug , MDMA methylenedioxymethamphetamine affects the body and mind simultaneously. It gives overall feelings of sociability, love, and well-being, as well as lowered inhibitions, all at the same time. Because it is an illegal substance, the purity of a given dose of MDMA can vary. Many variations of the drug include amphetamines, caffeine, ephedrine, or ketamine to amplify the feeling of high energy. Some also contain PCP phencyclidine , cocaine, or heroin. Usually, the effects of pure MDMA taken orally is felt around 45 minutes after taking a pill or through insufflation snorting. Side effects can last for days. Plugging MDMA makes the effects very intense, very quickly. The combination of physical and psychological effects makes the quick drug release and risk of overdose when plugging especially troublesome. Some of the serious side effects of MDMA use which may be made worse by plugging include:. If a person who is on MDMA is especially stressed, delirium and panic attacks may result. Over the long-term, MDMA abuse can lead to serious depression, learning difficulties, and memory issues. Long term abuse of MDMA can create unpleasant long-term effects. This is especially true when the drugs are abused through less conventional means like plugging, where the risk of overdose increases. Overdose on MDMA produces serious adverse effects. Rectal drug administration that leads to further drug use only increases the dangers. Harm reduction measures may be taken at a hospital that includes lowering the body temperature with ice packs, intravenous fluid, salt drips, and oxygen. If you or a loved one struggle with the effects of drug abuse, treatment is readily available. Drugs like MDMA, even if used occasionally, are ultimately destructive and interfere with your quality of life. Treatment can include cognitive behavioral therapy to give you the tools needed and the confidence to live without substance use. Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available. These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy. All Addiction Resource content is medically reviewed or fact checked to ensure as much factual accuracy as possible. We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please contact at info addictionresouce. The helpline at AddictionResource. This helpline is answered by Legacy Healing Center , an addiction treatment provider with treatment facilities in California, Florida, Ohio, and New Jersey. You, nor your loved one, are under any obligation to commit to a Legacy Healing Center treatment program when calling the helpline. To find another treatment program, browse the top-rated addiction treatment facilities in each state by visiting our homepage , or by viewing the SAMHSA Treatment Services Locator. Evidence Based. Medically Reviewed by Johnelle Smith, M. Written by Amanda Koennicke, M. This page does not provide medical advice. See more. Was this Helpful? Yes No. Van Wert, Ohio. Ashby, Massachusetts. This helpline is a free resource at no cost to the caller.
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