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MDMA is an illegal drug that has stimulant effects. It can also cause hallucinations. Developed in as an appetite suppressant, MDMA gained popularity in the s with young adults at large music festivals and all-night dance parties or raves. The user experiences feelings of euphoria, increased energy, intimacy and emotional warmth, sensitivity to touch, and a distortion of time and of the senses. Ecstasy is frequently taken with other illegal drugs, and pills sold as MDMA on the street often contain additives. These factors can contribute to serious, and sometimes fatal, health effects. MDMA can also be addictive, and research suggests that long-term cognitive problems may develop in some users. Another survey published in the same year showed that 1 percent of people aged 19 to 28 years in the United States U. MDMA 3,4-methylenedioxy-methamphetamine is a synthetic drug that was used legally in the s for use in psychotherapy treatment, despite a lack of data to support its efficacy. A synthetic drug is one manufactured in a laboratory environment rather than coming from a natural source. MDMA functions by increasing 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, users may become more affectionate than usual, and feel a connection with complete strangers. The effects last for 3 to 6 hours, but people who take a moderate amount may experience withdrawal-type side effects for a week after. These include :. Being illegal, there is no government regulation over production. These harmful substances can be particularly dangerous when mixed with MDMA. When users buy MDMA from dealers on the street, they do not know what they are taking. Ingesting other substances, such as marijuana or cocaine, along with MDMA greatly increases the danger of adverse reactions. Deaths have been linked 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, as well as some severe risks and possible long-term damage. These stimulant effects, combined 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, or 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. Seek immediate medical attention if the above are experienced following 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 addiction potential, although researchers have not yet confirmed this. Due to the altered sense of reality caused by MDMA use, people who have taken it can make poor, risky, or even dangerous decisions without concern for the consequences. The often-added impurities, combined with the physical rigor of an all-night dance party experience, makes taking any form of MDMA significantly dangerous. Fast facts on MDMA. What is MDMA? Adverse effects and risks. This can, on occasion, be fatal. Long-term effects. Medically reviewed by Timothy J. Researchers establish factors linked with staying healthy for longer. Coronaviruses and heart health.

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