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MDMA is an illegal drug with stimulant effects. It can also cause hallucinations. The drug gained popularity in the s with young adults at large music festivals and all-night dance parties or raves. A person experiences feelings of euphoria, increased energy, intimacy and emotional warmth, sensitivity to touch, and a distortion of time and of the senses. People frequently take Ecstasy with other illegal drugs, and pills that people sell as MDMA on the street can contain additives. These factors can contribute to serious and sometimes fatal health effects. MDMA can also be addictive, and research suggests that long-term thinking problems may develop in some people who use it. MDMA 3,4-methylenedioxy-methamphetamine is an artificial drug that people legally used in the s for psychotherapy treatment despite a lack of data to support its effectiveness. This category refers to a drug with high abuse potential and of no recognized medicinal use. People mainly take MDMA by swallowing a capsule or tablet. They can also snort or smoke it as a powder. A person taking the drug will feel the effect within 1 hour, and it can last up to 6 hours. Users commonly take a second dose as the first wears off. These include increased heart rate and blood pressure , decreased appetite, and increased energy. MDMA works by increasing the production of serotonin , dopamine, and norepinephrine. Serotonin also triggers the release of other hormones that can cause feelings of attraction and intimacy. As a result, people may become more affectionate than usual and feel a connection with strangers. 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. These include :. Not all the effects are predictable because pure Ecstasy can contain other unwanted drugs or chemicals. As the drug is illegal, there is no government regulation over its production. These harmful substances can be particularly dangerous when a person mixes them with MDMA. When people buy MDMA from dealers on the street, they do not know what they are taking. Ingesting other substances, such as cannabis or cocaine, along with MDMA greatly increases the danger of adverse reactions. Deaths have had links to some fatal batches of MDMA. People use MDMA because it enhances feelings of alertness, euphoria, and physical and mental powers. However, there are also some common adverse effects, some severe risks, and possible long-term damage. These stimulant effects, in combination with prolonged physical activity, a hot environment, and other drugs, can result in unpredictable and serious physical complications. Deaths from MDMA use mostly result from hyperthermia. This refers to a sudden increase in body temperature, cardiovascular collapse, or significant dehydration. These can lead to liver, kidney, or heart failure and even death. These signs indicate an emergency. A person needs to seek immediate medical attention if they experience the above MDMA use. The brain can take days or weeks to replenish the serotonin. Side effects of moderate use can persist for a week after using it. Some users continue to use the drug despite experiencing negative consequences. This suggests MDMA has the potential for addiction , although researchers have not yet confirmed this. Due to the altered sense of reality due to MDMA use, people who have taken it can make dangerous decisions without concern that these could lead to negative consequences. 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. Learn about its uses and…. Researchers are looking into whether MDMA, also known as ecstasy, can help treat depression by increasing serotonin levels. Learn more here. What are the dangers of mixing MDMA and alcohol? Read on to find out the risks of mixing both, precautions to take, and treatment options. The length of time that molly, or MDMA, stays in the system depends on many factors, including the amount taken. Medical News Today. News Latest News. Podcasts All 3 ways to slow down type 2 diabetes-related brain aging Toxic metals in tampons: Should you be worried? Can tattoos cause blood or skin cancer? What makes a diet truly heart-healthy? Is intermittent fasting actually bad for your heart? Newsletters Sign Up. Follow Us. Fast facts on MDMA. Some people perceive MDMA as a safe party drug, but its effects can be lethal. Tablets that people sell as pure Ecstasy can contain highly toxic additives. A person can feel the adverse after-effects of Ecstasy for a week or more. What is MDMA? MDMA has many of the same physical effects as other stimulants such as cocaine and amphetamines. Adverse effects and risks. Long-term effects. Animal studies show that MDMA in moderate to high doses can damage nerve cells in the brain. How we reviewed this article: Sources. Medical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Share this article. Latest news Study detects early Alzheimer's 'stealth' phase before symptoms set in. Can standing too much be harmful to heart health? Semaglutide boosts heart health, weight loss but may lead to gut problems. Tenecteplase more likely to lead to 'excellent' stroke recovery, study finds. Mitochondria may trigger Crohn's disease by disrupting the gut microbiome. Related Coverage. What is MDMA therapy used for? Can MDMA treat depression? Medically reviewed by Timothy J. Legg, PhD, PsyD. What happens when you mix MDMA and alcohol? Medically reviewed by Sirisha Yellayi, DO. How long does molly stay in your system?

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