What All Social Workers Should Know About MDMA (Ecstasy)
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ABSTRACT This article describes the history of MDMA, its relationship to other drugs, its manufacture and how it is trafficked, and the physiological reactions and health consequences associated with its use. It also presents recommendations for drug abuse prevention and treatment. Material was drawn from government publications, professional journals, and private organization Web sites. Effective strategies for decreasing MDMA use and for minimizing deleterious effects on users exist.Keywords:
MDMA
Ecstasy
It has recently been reported that purity of illicit tablets of ecstasy (MDMA) is now high. Our objective was to confirm whether hair of drug users, who request only ecstasy from their supplier, contains MDMA in the absence of other drugs. GC-MS analysis of scalp hair segments disclosed the presence of MDMA in 19 of 21 subjects and amphetamine/methamphetamine in eight subjects. Surprisingly, seven subjects had hair levels of the MDMA metabolite, MDA, equal to or greater than those of MDMA, suggesting use of MDA in addition to that of MDMA. These amphetamine derivatives might be included by clandestine laboratories to enhance effects of the drug cocktail or because of a perception that MDA synthesis might be simpler than that of MDMA. Drug users and investigators examining possible brain neurotoxic effects of MDMA need to consider that "ecstasy" tablets can contain MDA and methamphetamine despite no demand for the drugs.
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MDMA
Methamphetamine
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Mephedrone
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Ecstasy
MDMA
PsycINFO
harm reduction
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MDMA
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Ecstasy
MDMA
Drug reaction
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MDMA
Ecstasy
Recreational Drug
Recreational use
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Toxicity, such as hyperpyrexia, associated with the use of 3,4-methylenedioxymethamphetamine (MDMA; 'ecstasy') appears to be related to serum MDMA concentrations. However, there does not appear to be a similar association with the number of tablets ingested, suggesting variation in the tablet content of MDMA. Although work has shown this variation in other areas of the world, no studies have reported on the variation of MDMA content in UK ecstasy tablets.Ecstasy tablets seized from individuals attending nightclubs were analysed qualitatively to determine if they contained MDMA and quantitatively to determine the MDMA content per tablet.The mean amount of MDMA hydrochloride in 101 seized ecstasy tablets was 58.7±22.9 mg per tablet, with a range of 20 mg to 131 mg per tablet. The majority (96.0%) of tablets contained less than 100 mg MDMA per tablet. There appeared to be a bimodal distribution of MDMA content at approximately 20-40 mg per tablet and 60-80 mg per tablet.There is variability in the MDMA content of ecstasy tablets in the UK. This variability could potentially put users at increased risk of acute harm due to inadvertent excess ingestion of MDMA, as they are unaware of the differences in the MDMA content. Repeat sampling and quantification of MDMA content of ecstasy tablets in the UK will allow better education of users about the potential harms associated with the variability in the MDMA content. In addition, it will provide information to allow the monitoring of changes in not only the MDMA content, but also other adulterants, in ecstasy tablets.
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In society there is a discrepancy that has developed in what the public understands about what Ecstasy is, in relation to the term ‘MDMA’. MDMA, the abbreviation for 3, 4-methylenedioxymethamphetamine, is the chemical constituent that has most commonly been associated with the street drug known as Ecstasy. Though the use of Ecstasy was reportedly on the decrease, a new product has emerged known as crystal or MDMA powder. This is alongside new competing compounds entering the market, most notably Mephedrone.
The research examined explores the changing perception around what the terms Ecstasy and MDMA represent, comparing their popularity and prevalence with that of Mephedrone. This was investigated using an interdisciplinary approach, utilizing methods drawn from social sciences and analytical chemistry. Two online social research surveys were employed to establish what the public knew and understood about the terms, Ecstasy and MDMA and the drug Mephedrone. The surveys included both quantitative questions regarding specific drug knowledge and qualitative questions which asked participants about their reasons behind selecting to use a substance. The surveys provided a social context and highlighted specific perceptions that were held about these drugs. The results from the surveys were compared to seizure data collected from the Cambridgeshire Constabulary, which provided a timeline of the emergence and prevalence of the types of Ecstasy/MDMA and Mephedrone being seized. The perceptions were also compared to a qualitative chemical analysis of seized samples using Gas Chromatography – Mass Spectrometry (GC-MS).
In the findings from this research there is a definite gap between what the public know and perceive about the terms Ecstasy, MDMA and Mephedrone. A key finding from this research is what is reportedly known about Ecstasy has not translated into what is known about MDMA. There is an observed disassociation between these two terms. Mephedrone, on the other hand appears to have fallen into obscurity post its media high of 2010. The responses to the social surveys indicate a clear preference for MDMA over ‘Ecstasy’ or Mephedrone, as the former is seen as being of better ‘quality’. The user preference was supported by the findings from the seiuzers recorded in Cambridge, with the new crystal form being the most dominant type seized post 2012 and Mephedrone seizures declining after its control in 2010. In reporting the purity of street samples, the public perception was again supported as the crystal materials contained a higher percentage of the chemical MDMA. This is the first reported study of the relative purity of the alternate forms of MDMA.
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MDMA
Mephedrone
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Ecstasy
MDMA
Neurotoxicity
Recreational use
Recreational Drug
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Little is known about factors affecting individual differences in acute response to ±3, 4-methlyenedioxymethamphetamine (MDMA; ‘ecstasy’). To our knowledge, only one prior report has documented such differences in humans after controlled MDMA administration [1]. In that report, females had greater hallucinogenic and negative psychological responses to MDMA, whereas males showed greater cardiovascular responses. Here, we assessed sex differences in acute subjective and cardiovascular responses to MDMA (0.75mg/kg; 1.5mg/kg). In addition, because animal studies indicate that prior MDMA exposure produces lasting reductions in behavioral responses to the drug [2], we also examined effects of cumulative lifetime ecstasy use on acute MDMA effects.
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