MDMA is a chemically produced substance related to amphetamine. The substance can be found in colorful ecstasy tablets with a printed design – also called parts or pills – or in crystal form. More rarely, MDMA is also sold as a powder or in capsules. Recently, highly concentrated liquids and pills have begun to appear, and their consumption has been linked to numerous overdoses, including cases of death.

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The MDMA content in illegally manufactured drugs varies widely.This makes accurate dosing impossible and increases the likelihood of unexpected effects. Ecstasy tablets available on the (black) market are often very high in dosage exceeding 2 to 3 times an effective dose of MDMA. However, ecstasy tablets do not necessarily always contain MDMA.

It may contain other substances besides MDMA, such as extenders and the substances amphetamine, methamphetamine, mephedrone, ketamine, methylone, PMA, PMMA, and others whose interactions with each other are poorly known. Even pills that look the same can have completely different contents.

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MDMA is also used to support psychotherapies, such as the treatment of post-traumatic stress disorder (PTSD).

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How is it taken?

MDMA is mostly swallowed: tablets are portioned (as eighths, quarters or halves) or swallowed whole. Crystals are drunk dissolved in the drink, swallowed filled in paper or capsules (“bomb”) or “dipped” directly from the package with a moistened finger. Dipping can lead to unintentional overdoses more quickly, as you may misjudge the amount taken.

Less commonly, MDMA is also snorted.

When swallowed, the onset of action of MDMA can last 30 minutes or longer; the duration of action is 4 to 6 hours. An effective dose is about 1 mg of MDMA per kilogram of body weight. The maximum dose of 1.3 mg of pure MDMA per kg of body weight should not be exceeded. Partial oral consumption can take up to 90 minutes before the effect is noticed.