report drugs onlineEcstasy/MDMA (XTC)

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MDMA (3,4-Methylenedioxymethamphetamine) – colloquially known as ecstasy, often abbreviated "E" or "X" – is an entactogenic drug of the phenethylamine and amphetamine class of drugs. MDMA can induce euphoria, a sense of intimacy with others, and diminished anxiety.

MDMA is criminalized in most countries under a United Nations (U.N.) agreement, and its possession, manufacture, or sale may result in criminal prosecution, although some limited exceptions exist for scientific and medical research. MDMA is one of the most widely used recreational drugs in the world and is taken in a variety of contexts far removed from its roots in psychotherapeutic settings.

MDMA reaches maximal concentrations in the blood stream between 1.5 and 3 hours after ingestion. It is then slowly metabolized and excreted, with levels decreasing to half their peak concentration over approximately 8 hours. Thus, there are still high MDMA levels in the body when the experiential effects have mostly ended, indicating that acute tolerance has developed to the actions of MDMA. Taking additional supplements of MDMA at this point therefore produces higher concentrations of MDMA in the blood and brain than might be expected based on the perceived effects.

The primary effects attributable to MDMA consumption are predictable and fairly consistent amongst users. Generally, users report feeling effects within 30–60 minutes of consumption, hitting a peak at approximately 1–1.5 hours, reaching a plateau that lasts about 2–3 hours, followed by a comedown of a few hours which may be accompanied by fatigue and minor effects.

The most common effects reported by users include:

  • A general and subjective alteration in consciousness
  • A strong sense of inner peace and self-acceptance
  • Diminished aggression, hostility, and jealousy
  • Diminished fear, anxiety, and insecurity
  • Extreme mood lift with accompanying euphoria
  • Feelings of empathy, compassion, and forgiveness towards others
  • Feelings of intimacy and even love for others Improved self-confidence
  • The ability to discuss normally anxiety-provoking topics with marked ease
  • An intensification of all of the bodily senses (sound, touch, smell, vision, hearing)
  • Substantial enhancement of the appreciation for quality of music
  • Mild psychedelia, consisting of mental imagery and auditory and visual distortions
  • Stimulation, arousal, and hyperactivity (e.g., many users get an "uncontrollable urge to dance" while under the influence)
  • Increased energy and endurance Increased alertness, awareness, and wakefulness Increased desire, drive, and motivation
  • Analgesia or decreased pain sensitivity

Upon overdose, the potentially serious serotonin syndrome, stimulant psychosis, and/or hypertensive crisis, among other dangerous adverse reactions, may come to prominence, the symptoms of which can include the following:

  • Psychological
    • Disorientation and/or confusion
    • Anxiety, paranoia, and/or panic attacks
    • Hypervigilance or increased sensitivity to perceptual stimuli, accompanied by significantly increased threat detection
    • Hypomania or full-blown mania
    • Derealization and/or depersonalization
    • Hallucinations and/or delusions
    • Thought disorder or disorganized thinking
    • Cognitive and memory impairment potentially to the point of retrograde or anterograde amnesia
    • Acute delirium and/or insanity
  • Physiological
    • Myoclonus or involuntary and intense muscle twitching
    • Hyperreflexia or overresponsive or overreactive reflexes
    • Tachypnoea or rapid breathing and/or dyspnea or shortness of breath
    • Palpitations or abnormal awareness of the beating of the heart
    • Angina pectoris or severe chest pain, as well as pulmonary hypertension (PH)
    • Cardiac arrhythmia or abnormal electrical activity of the heart
    • Circulatory shock or cardiogenic shock
    • Vasculitis or destruction of blood vessels
    • Cardiotoxicity or damage to the heart
    • Cardiac dysfunction, arrest, myocardial infarction, and/or heart failure
    • Hemorrhage and/or stroke
    • Severe hyperthermia, potentially resulting in organ failure
    • Miscellaneous Syncope or fainting or loss of consciousness
    • Organ failure (as mentioned above)
    • Possible brain damage
    • Coma and/or death

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