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Ecstacy

Ecstasy (MDMA) Information

What is Ecstasy and what are it's effects?

The chemical abbreviation for the so-called "designer" drug Ecstasy is "MDMA."
Users of MDMA (Ecstasy) may encounter problems similar to those experienced by amphetamine and cocaine users, including addiction.

In addition to its rewarding effects, MDMA's psychological effects can include confusion, depression, sleep problems, anxiety, and paranoia during, and sometimes weeks after, taking the drug. Physical effects can include muscle tension, involuntary teeth clenching, nausea, blurred vision, faintness, and chills or sweating. Increases in heart rate and blood pressure are a special risk for people with circulatory or heart disease.

MDMA-related fatalities at "raves" (large, all-night dance parties) have been reported. NIDA's epidemiologic studies indicate that MDMA (Ecstasy) use has escalated in recent years among college students and young adults who attend these social gatherings. The stimulant effects of Ecstasy, which enable the user to dance for extended periods, combined with the hot, crowded conditions usually found at raves can lead to dehydration, hyperthermia, and heart or kidney failure.

MDMA (3,4-methylenedioxymethamphetamine) damages brain serotonin neurons. Serotonin is thought to play a role in regulating mood, memory, sleep, and appetite. Recent research indicates heavy MDMA use causes persistent memory problems in humans.

Long-term brain injury from use of MDMA (Ecstasy) MDMA (Ecstasy) causes long-lasting damage to brain areas that are critical for thought and memory, according to new research findings in The Journal of Neuroscience.

In an experiment with red squirrel monkeys, researchers at The Johns Hopkins University demonstrated that four days of exposure to the drug caused damage that persisted six to seven years later. These findings help to validate previous research by the Hopkins team in humans, showing that people who had taken MDMA scored lower on memory tests.

"The serotonin system, which is compromised by MDMA, is fundamental to the brain's integration of information and emotion," says Dr. Alan I. Leshner, director of the National Institute on Drug Abuse (NIDA), National Institutes of Health, which funded the research. "At the very least, people who take MDMA, even just a few times, are risking long-term, perhaps permanent, problems with learning and memory."

The researchers found that the nerve cells (neurons) damaged by MDMA are those that use the chemical serotonin to communicate with other neurons. The Hopkins team had also previously conducted brain imaging research in human MDMA users, in collaboration with the National Institute of Mental Health, which showed extensive damage to serotonin neurons.

MDMA (Ecstasy) tests reveal brain damage

MDMA (Ecstasy) has a stimulant effect, causing similar euphoria and increased alertness as cocaine and amphetamine. It also causes mescaline-like psychedelic effects. First used in the 1980s, it has become the drug of choice of young people attending raves.

In this new study, the Hopkins researchers administered either MDMA or salt water to the monkeys twice a day for four days. After two weeks, the scientists examined the brains of half of the monkeys. Then, after six to seven years, the brains of the remaining monkeys were examined, along with age-matched controls.

In the brains of the monkeys examined soon after the two-week period, Dr. George Ricaurte and his colleagues found that MDMA caused more damage to serotonin neurons in some parts of the brain than in others. Areas particularly affected were the neocortex (the outer part of the brain where conscious thought occurs) and the hippocampus (which plays a key role in forming long-term memories).

This damage was also apparent, although to a lesser extent, in the brains of monkeys who had received MDMA during the same two-week period but who had received no MDMA for six to seven years. In contrast, no damage was noticeable in the brains of those who had received salt water.

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