Ecstasy (Mdma) Abuse

Description
Ecstasy is an amphetamine and takes effect 30 minutes after oral intake. Symptoms include anxiety and increased heart rate, followed by euphoria and relaxation. Users report increased sensory tactile enhancements and mild visual distortions. Symptoms resolve after 3-4 hours. Ecstasy toxicity has been associated with seizures, arrhythmias, heart failure, stroke, and renal failure and/or liver failure.

Symptoms
Anxiety, increased heart rate, jaw clenching, blurry vision, euphoria, increased communication, increased sensory tactile enhancement, seeing halos, seizures, confusion.

Tests
A history and physical exam will be performed. Tests may be done to rule out other causes of the symptoms.
- CBC
- Chem 12
- Troponin
- BHCG
- UA
- X-Ray
- CT Scan
- EKG
Treatment
Only supportive therapy is needed unless there is a serious toxicity. Treatment with intravenous fluids and benzodiazepines may be necessary. Reversal of any organ damage may be needed. Addiction specialist can help the patient stop using the drug. For more information and help call your local poison center at 1-800-222-1222.

Research

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- Substance Abuse Clinic
- Addiction Medicine
- Addiction Psychiatry
- Medical Toxicology
- Pediatric and Adolescent Psychiatry




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