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When under the influence of this drug, the user feels neither fatigue nor thirst and becomes unresponsive to the alarm bells sent by the body. Anxiety and insomnia Back ache, muscle pain and tension Confusion Defensive attitude Dehydration Depressive state when coming down from the high Dilated pupils Disorientation Dry mouth Exhaustion Flushing and excessive sweating Headache Impulsivity Increased heart rate Irrational behaviour Jaw tension Loss of appetite Loss of motivation Mental fatigue Motor tics, gait disturbance Nystagmus involuntary, jerky eye movements and blurred vision Obsessive behaviour Sexual dysfunction: erectile dysfunction; may prevent women from reaching orgasm Tachycardia increased heart rate Teeth grinding Trismus masticatory muscle spasm Urinary retention or urgent need to urinate. Tolerance to MDMA appears to develop quickly. That said, with repeated use, it becomes difficult, if not impossible for users to experience the same effects they did when they first started. Although some users become dependent, very few cases of MDMA-specific dependence have been reported in the literature. Since most users take this drug only occasionally, dependence is not very prominent. Withdrawal symptoms are caused by a depletion of serotonin and may include depression and anxiety. Other symptoms associated with withdrawal are insomnia, panic attacks, agitation, psychosis and paranoid delusions. During withdrawal, users may also experience fatigue, sadness, bad moods and nightmares. Many different street drugs are sold under the same name. Furthermore, nothing guarantees the quantity, purity or even the content of a street drug in spite of the fact that it may, in some cases, look like medication. This content is for information purposes only and does not in any manner whatsoever replace the opinion or advice of your health care professional. Always consult a health care professional before making a decision about your medication or treatment. The emotional and pro social effects of MDMA are likely caused by the release of large amounts of serotonin. Serotonin then triggers the release of the hormones ocytocin and vasopressin, which play an important role in love, trust, sexual arousal and other social experiences. This may explain the feeling of empathy and the increased need for intimacy associated with this drug. Routes of administration Ingested the most common route , smoked, injected or snorted. Effects sought out by the user Desire to communicate with others Distorted perception of time Euphoria Extraversion Heightened sensuality and increased need for intimacy Heightening and distortion of sensory and enjoyment perceptions Intensification of emotions Lowered inhibitions Reduced fatigue Self-confidence Spontaneity Common toxic effects When under the influence of this drug, the user feels neither fatigue nor thirst and becomes unresponsive to the alarm bells sent by the body. Addiction Although some users become dependent, very few cases of MDMA-specific dependence have been reported in the literature. Withdrawal Withdrawal symptoms are caused by a depletion of serotonin and may include depression and anxiety. Onset and duration of action Route of administration Onset of action Peak Duration of action Ingested about 20 to 70 minutes about 2 hours about 4 to 6 hours Intoxication management No antidote available. Treatment is mainly symptomatic. If you need help or want to learn more: Partnership for a Drug-Free Canada. Share This Article. Find a Pharmacy. Newsletter Signup. Expect up-to-date health and lifestyle advice, special promotions, and more! Blocks the reuptake and promotes the release of serotonin, dopamine and noradrenaline.

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Most data may be viewed interactively on screen and downloaded in Excel format. All countries. Topics A-Z. The content in this section is aimed at anyone involved in planning, implementing or making decisions about health and social responses. Best practice. We have developed a systemic approach that brings together the human networks, processes and scientific tools necessary for collecting, analysing and reporting on the many aspects of the European drugs phenomenon. Explore our wide range of publications, videos and infographics on the drugs problem and how Europe is responding to it. All publications. More news. MDMA is a synthetic drug chemically related to the amphetamines, but with somewhat different effects. In Europe, MDMA use has generally been associated with episodic patterns of consumption in the context of nightlife and entertainment settings. On this page, you can find the latest analysis of the drug situation for MDMA in Europe, including prevalence of use, seizures, price and purity and more. European Drug Report — home. The drug situation in Europe up to Drug supply, production and precursors. Synthetic stimulants. Heroin and other opioids. New psychoactive substances. Other drugs. Injecting drug use in Europe. Drug-related infectious diseases. Drug-induced deaths. Opioid agonist treatment. Harm reduction. Reported use of the drug appeared to decline temporarily during periods of social distancing during the early phases of the COVID pandemic. The currently available data would, however, suggest an overall relatively stable level of consumption but with national variations in the recent trends observed and the caveat that overall supply side indicators are suggestive of a slight recent decline in availability. About half of the European cities reporting wastewater analysis found an increase in MDMA residues between and , although in most other cities some decline was noted. Overall, available indicators suggest that MDMA production continues within Europe, both for domestic consumption and for export to non-EU markets. The information available is strongly suggestive that most MDMA production continues to be largely concentrated in or around the Netherlands. There are some signs of a reduction in the volume being manufactured in the most recent data. An important caveat here is that this information mostly covers the first years of the pandemic and needs to be interpreted with caution. In addition, while overall the average MDMA content of tablets and purity of powders remained stable in , a recent decrease in the MDMA content of ecstasy tablets was noted in some important source countries, most notably the Netherlands. With a typical MDMA content of to milligrams, the overall strength of tablets available on the retail marketplace still remains high by historical standards. It is difficult to interpret the more recent data with any certainty, but a possible decline in production volumes and some reductions noted in MDMA tablet content may indicate that producers have experienced greater problems sourcing precursor chemicals or that some producers may have switched to producing other substances, either because of market demand or because they are more profitable. It may also reflect a perceived consumer demand for lower-strength products. The use of MDMA is rarely cited as a reason for entering drug treatment in Europe but acute poisonings and deaths are sometimes associated with the consumption of this substance. The use of MDMA therefore continues to represent an important issue for prevention and harm reduction messaging and interventions. The availability of higher strength products potentially increases the risk of adverse health outcomes associated with the consumption of this substance. Interestingly, a decline in MDMA-related presentations by a quarter was observed in sentinel hospital emergency departments with data for and This data set, however, is difficult to interpret in respect to overall trends, as it is not nationally representative, has limited coverage and may reflect either changes in consumption or reporting during the pandemic. While it is again difficult to generalise due to limitations in national and European coverage, the available information from drug checking services suggests that MDMA products are generally less subject to adulteration than other illicit drugs they screened in This does occur however, as illustrated by the inclusion of synthetic cathinones in MDMA tablets observed on some occasions. These sorts of mixtures may also increase the risk to consumers of experiencing unexpected adverse effects and potential harm. This data explorer enables you to view our data on the prevalence of MDMA use by recall period and age range. You can access data by country by clicking on the map or selecting a country from the dropdown menu. Prevalence data presented here are based on general population surveys submitted to the EMCDDA by national focal points. For the latest data and detailed methodological information please see the Statistical Bulletin Prevalence of drug use. Graphics showing the most recent data for a country are based on studies carried out between and Mean daily amounts of MDMA in milligrams per population. Sampling was carried out over a week in March and April Show source tables. Back to list of tables. Homepage Quick links Quick links. GO Results hosted on duckduckgo. Main navigation Data Open related submenu Data. Latest datasets Prevalence of drug use Drug-induced deaths Infectious diseases Problem drug use Treatment demand Seizures of drugs Price, purity and potency. Drug use and prison Drug law offences Health and social response Drug checking Hospital emergencies data Syringe residues data Wastewater analysis Data catalogue. Selected topics Alternatives to coercive sanctions Cannabis Cannabis policy Cocaine Darknet markets Drug checking Drug consumption facilities Drug markets Drug-related deaths Drug-related infectious diseases. Activities We have developed a systemic approach that brings together the human networks, processes and scientific tools necessary for collecting, analysing and reporting on the many aspects of the European drugs phenomenon. European Drug Emergencies Network Euro…. Drug consumption rooms. Migrants: responses miniguide. Drug policy evaluation in Europe — …. HIV among people who inject drugs: Data…. Health risk communication strategies…. EU Drug Market: Cannabis. Online Training. Milan, Italy Conference. Lisbon, Portugal Training. Quick links Search news Subscribe newsletter for recent news Subscribe to news releases. This make take up to a minute. Once the PDF is ready it will appear in this tab. Sorry, the download of the PDF failed. Table of contents Search within the book. Search within the book Operator Any match. Exact term match only. No overall trend emerges from the data on MDMA use. Of the 11 European countries that undertook surveys since and provided confidence intervals, 1 reported higher estimates than their previous comparable survey, 9 reported stable estimates and 1 reported a decrease. Seizures of MDMA precursors increased to 2. The Netherlands, however, reported a lower average MDMA content of ecstasy tablets mg per tablet. MDMA market in Europe. Table 2. Prevalence of drug use in Europe, trends Country Country code Geographical scope Substance Recall period Age Austria AT National Table 3. Masaryk Water Resesrch institute, p. Table 4. Table 5. Table 6. Table 7. Table 8. Table 9. Table Main subject. Target audience. Publication type. European Drug Report main page. Forensic Toxicology Labs. Prevalence data presented here are based on general populaton surveys submitted to the EMCDDA by national focal points.

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