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What is MDMA/Ecstasy?

In Europe, MDMA/Ecstasy is also known as E, pills, caps, pingers, M&M, doopa, love drug, disco biscuits, XTC, X, eccy, ekky, or molly.

Ecstasy is the common name for a drug called MDMA, which is usually sold as a tablet/pill (“pills”) or capsule (“caps”), although it can also come in powder or crystal form. When sold as a pill, a logo is typically stamped on the tablet, but this is no guarantee of quality or purity. For example, two pills that look the same may have very different effects as they can have different ingredients.

Analysis of drugs sold as MDMA/ecstasy in Australia shows that these contain a wide range of substances, and some contain no MDMA at all. Some substances found in these drugs can be toxic, even at low doses and even pure MDMA can be dangerous.

What are the effects of MDMA/Ecstasy?

MDMA/Ecstasy causes the body’s central nervous system to speed up. It can take effect within 60 minutes of initially taking it but this can vary. Sometimes people mistakenly think the first pill or cap they took isn’t working and take more — this can be very dangerous.

The effects of MDMA/ecstasy can be immediate or long-term, as listed in the table below.

Immediate	Long-term
Enlarged pupils	Dependence (see glossary)
Increased heart rate and blood pressure	Long-term problems with depression
Increased energy	Liver problems
Feeling of euphoria (a ‘high’)	Impairments to memory and attention
Teeth grinding and jaw clenching
Anxiety and panic attacks
Overheating and dehydration (when the body loses more water than it takes in)
A ‘comedown’ (see glossary)
Nausea, vomiting and dizziness
Visual distortions (things looking weird or different)
Paranoia (feeling extremely suspicious and frightened)
Psychosis (see glossary)
Serotonin syndrome (see glossary)
Stroke

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(Beans, Brownies, Cowies, Crystal, Dizzle, Dolphins, E, MD, MDMA, Mandy, Mitsubishis, Molly, Pills, Pink Superman, Rolexs, Superman, Xtc.) How MDMA might feel ‘Loved-up’, alert, energised and/or anxious, panicky, paranoid. How long MDMA takes to work 20 – 30 mins on average. How long the effects last 2 – 4 hours on average.

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Why People Use MDMA

People report different reasons for using MDMA. Some research and surveys associate its use with social environments, nightlife and entertainment. Some people describe seeking particular emotional or social experiences.

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Understanding these motivations is important for prevention because the reasons someone uses a substance can influence their circumstances, expectations and potential risks. Explore: The social, psychological and environmental factors associated with MDMA use.

Short-Term Effects

MDMA can produce short-term psychological and physical effects. Reported effects can include changes in mood, increased stimulation, feelings of closeness or empathy, increased heart rate and changes in body temperature. However, serious adverse reactions can also occur. European health monitoring identifies risks including overheating, electrolyte disturbances, acute poisoning and other medical emergencies. Explore: Common short-term effects, potential adverse reactions and important health warning signs.