What is ecstasy?

Ecstasy (also known by its chemical name, MDMA) is often seen as the original designer drug because of its high profile links to dance music culture in the late 80s and early 90s. Clubbers took ecstasy to feel energised, happy, to stay awake and to dance for hours. The effects take about half an hour to kick in and tend to last between 3 to 6 hours, followed by a gradual comedown.

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The main effects and risks of ecstasy include:

  • An energy buzz that makes people feel alert, alive, in tune with their surroundings, and with sounds and colours often experienced as more intense.
  • Users often develop temporary feelings of love and affection for the people they’re with and for the strangers around them.
  • Short-term risks of ecstasy can include feeling anxious or getting panic attacks, and developing confused episodes, paranoia or even psychosis.
  • Some people have been known to take another ‘E’ when they haven’t yet felt the expected ‘high’ of their first ‘E’. The danger then is that both Es kick in at once and you’ve got a double dose of effects to deal with.

A big problem with ecstasy is that it’s rarely pure. Sometimes, there is no MDMA at all. Sometimes, it contains other drugs, like PMA, which can be fatal. Regardless of what it looks like and what it is called, you can’t be sure what’s in a pill or a powder and you can’t predict how you’ll react.

Ecstasy makes users feel energised, alert and alive – and on its own, it’s not a drug that makes people violent.

It can also have other effects:

  • Ecstasy makes people feel ‘in tune’ with their surroundings, and can make music and colours more intense
  • Users often have temporary feelings of love and affection for the people they’re with and for the strangers around them.
  • Short-term effects of use can include anxiety, panic attacks, confused episodes, paranoia and even psychosis.
  • Lots of people feel really chatty on E., (although these chats don’t always make sense to people who aren’t on an E!).
  • Physical side effects can include dilated pupils, a tingling feeling, tightening of the jaw muscles, raised body temperature and the heart beating faster.

What are the health risks of ecstasy?

Taking ecstasy involves some risks. Here’s what it could do to you:

  • There’s no way of telling what’s in ecstasy until you’ve swallowed it. There may be negative side effects from other drugs and ingredients added to the E.
  • The comedown from ecstasy can make people feel lethargic and depressed.
  • Evidence suggests long-term users can suffer memory problems and may develop depression and anxiety.
  • Using Ecstasy has been linked to liver, kidney and heart problems. Some users report getting colds and sore throats more often, which may be partly caused by staying awake for 24 hours, which can itself affect your immune system.
  • Anyone with a heart condition, blood pressure problems, epilepsy or asthma can have a very dangerous reaction to the drug.
  • There have been many deaths involving Ecstasy. Between 1996 and 2014 in England & Wales there were 670 deaths in which ecstasy/MDMA was recorded on the death certificate.
  • Ecstasy affects the body’s temperature control. Dancing for long periods in a hot atmosphere, like a club, increases the chances of overheating and dehydration. Users should take regular breaks from the dance floor to cool down and watch out for any mates who are on it – they mightn’t realise they’re in danger of overheating or getting dehydrated.
  • However, drinking too much can also be dangerous. Ecstasy can cause the body to release a hormone which stops it making urine. Drink too quickly and it affects your body’s salt balance, which can be as deadly as not drinking enough water. Users should sip no more than a pint of water or non-alcoholic drink every hour.

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