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What is ecstasy pills?

3,4-methylenedioxy-methamphetamine (ecstasy pills) is a synthetic drug that alters mood and perception (awareness of surrounding objects and conditions). It is chemically similar to both stimulants and hallucinogens, producing feelings of increased energy, pleasure, emotional warmth, and distorted sensory and time perception.

MDMA was initially popular in the nightclub scene and at all-night dance parties (“raves”), but the drug now affects a broader range of people who more commonly call the drug Ecstasy or Molly.

How do people use ecstasy pills?

People who use ecstasy pills usually take it as a capsule or tablet, though some swallow it in liquid form or snort the powder. The popular nickname Molly (slang for “molecular”) often refers to the supposedly “pure” crystalline powder form of MDMA, usually sold in capsules. However, people who purchase powder or capsules sold as Molly often actually get other drugs such as synthetic cathinones (“bath salts”) instead

How is Ecstasy Pills used?

• Ecstasy Pills are  usually available in tablet or capsule form and is taken by mouth or crushed and snorted. It is also available as a powder and snorted, taken as a liquid, and it is occasionally smoked but rarely injected. The drug’s effects generally last from 3 to 6 hours.
• Ecstasy dealers consistently use brand names, bright colors and logos as marketing tools and to distinguish their product. Among the more popular logos are butterflies, lightning bolts, and four-leaf clovers.
• Several tablets may be taken at one time or in succession over a period of time. Abusers may also use in conjunction with other psychoactive drugs like LSD. As with many other “party drugs”, ecstasy is rarely used alone. It is common for users to mix it with alcohol and marijuana.

Types of Ecstasy Pills

Ecstasy Pills is usually taken in tablet or capsule form, but it can also be swallowed as a liquid or snorted as a powder.

Tablets: Ecstasy typically comes in a tablet form that’s often imprinted with graphic designs or commercial logos.

Powder: Ecstasy known by the popular nickname Molly (which is slang for “molecular”) is often used for the supposedly “pure” crystalline powder form of MDMA. However, Molly is often combined with other substances like synthetic cathinone (bath salts), according to the National Institute on Drug Abuse.

Unlike other recreational drugs such as cocaine and nicotine, which are derived from plants, ecstasy is synthesized by altering the structure of the amphetamine molecule.Because of the way it’s made, its purity can vary substantially, and other compounds can be easily combined into the same tablet. Ecstasy additives and contaminants often include methamphetamine, caffeine, ephedrine, and ketamine.

Medical uses for Ecstasy Pills (MDMA)

Ecstasy  pills (MDMA) is designated as Schedule I substance by the DEA. There are no approved medical uses for MDMA in the U.S.

Completed and ongoing MDMA studies can be found on clinicaltrials.gov. Researchers are looking at MDMA use as a possible treatment for:

• Post-traumatic stress disorder (PTSD)
• Anxiety in terminally ill patients
• Social anxiety disorder
• Eating disorders (anorexia nervosa, binge-eating disorder)
• Alcohol Use Disorder

Post Traumatic Stress Disorder (PTSD) and Opioid Use Disorder (OUD): co-occurring
The FDA has designated MDMA-assisted psychotherapy for PTSD as a Breakthrough Therapy.

A small study published in The Lancet Psychiatry looked at the use of MDMA in patients suffering from post-traumatic stress disorder (PTSD).

• Researchers gave three different doses of MDMA to 22 veterans, three firefighters and one police officer with PTSD. Among the participants, 23% had used ecstasy before. MDMA use was also combined with psychotherapy sessions.
• A month after the second session, a greater percentage in the high-dose groups no longer met diagnostic criteria for PTSD, compared with the low-dose group.
• After one year, 16 of the 26 participants (62%) no longer suffered from PTSD, but two had received a new diagnosis of PTSD. In addition, 12 patients were also taking additional psychiatric medications.

Side effects occurred with all doses, and included: anxiety, headache, fatigue, muscle tension, difficulty sleeping (insomnia), and suicidal thoughts.

However, not all experts were convinced. Long-term safety could not be guaranteed with this small group, and there is a risk of addiction and suicide in a population already at risk for these serious outcomes. Researchers note larger phase 3 studies should be completed, but those with PSTD should NOT use MDMA on their own to try to replicate these results.