The hallucinogenic effects of MDMA have been theorized to be mediated by serotonin 5-HT2A receptor activation analogously to the case of classical psychedelics. Serotonin 5-HT2B receptor signaling appears to be required for MDMA-induced serotonin release and effects. Activation of serotonin 5-HT1B and 5-HT2A receptors is also thought to be involved in the stimulant and euphoriant effects of MDMA, while serotonin 5-HT2C receptor activation is thought to constrain these effects and limit MDMA’s reinforcing potential. Induction of dopamine release is thought to be importantly involved in the stimulant and euphoriant effects of MDMA, while induction of norepinephrine release and serotonin 5-HT2A receptor stimulation are believed to mediate its sympathomimetic effects. The entactogenic effects of MDMA, including increased sociability, empathy, feelings of closeness, and reduced aggression, are thought to be mainly due to induction of serotonin release. The drug is specifically a well-balanced serotonin–norepinephrine–dopamine releasing agent (SNDRA).
In an emergency? Need treatment?
Once inside a monoamine neuron, MDMA acts as a VMAT2 inhibitor and a TAAR1 agonist. MDMA inhibits both vesicular monoamine transporters (VMATs), the second of which (VMAT2) is highly expressed within monoamine neurons vesicular membranes. By acting as a monoamine transporter substrate, MDMA produces competitive reuptake inhibition at the neuronal membrane transporters, competing for endogenous monoamines for reuptake. Despite this, the director of the DEA overruled this recommendation and classified MDMA as a Schedule I controlled substance.
Most commercial amphetamine immunoassay screening tests cross-react significantly with MDMA or its major metabolites, but chromatographic techniques can easily distinguish and separately measure each of these substances. Some drug abuse screening programs rely on hair, saliva, or sweat as specimens. MDMA and MDA may be quantitated in blood, plasma or urine to monitor for use, confirm a diagnosis of poisoning or assist in the forensic investigation of a traffic or other criminal violation or a sudden death. One method is to isomerize safrole to isosafrole in the presence of a strong base, and then oxidize isosafrole to MDP2P. MDP2P in turn is generally synthesized from piperonal, safrole or isosafrole. However, because MDMA excretion and metabolism have nonlinear kinetics, the half-lives would be higher at more typical doses (100 mg is sometimes considered a typical dose).
However, in most cases, pure molly is white or yellow and looks similar to sugar. “Pure molly” is a way to refer to the powder form of MDMA. People most often take molly as a tablet or capsule. It’s thought to be a pure “crystalline” or “molecular” powder form of MDMA by people who use it.
Harry Potter
CBT also teaches people coping skills so they can better manage the stress that contributes to substance use. Another significant danger is the fact that people taking ecstasy don’t know what they are actually ingesting. As a hallucinogenic drug, it distorts a person’s sense of time and perception. Ongoing clinical trials also suggest that ecstasy may help treat chronic post-traumatic stress disorder (PTSD). This use was interrupted by ecstasy being classified as a Schedule I drug in 1985.
More on Substance Abuse and Addiction
In Australia, MDMA was rescheduled on 1 July 2023 as a schedule 8 substance (available on prescription) when used in the treatment of PTSD, while remaining a schedule 9 substance (prohibited) for all other uses. After MDMA was criminalized, most medical use stopped, although some therapists continued to prescribe the drug illegally. The use of MDMA in Texas clubs declined rapidly after criminalization, but by 1991, the drug became popular among young middle-class whites and in nightclubs. Committee chairman Paul Grof dissented, believing international control was not warranted at the time and a recommendation should await further therapeutic data. While intrigued by reports of psychotherapeutic uses for the drug, the committee viewed the studies as lacking appropriate methodological design and encouraged further research. As a result of several expert witnesses testifying that MDMA had an accepted medical usage, the administrative law judge presiding over the hearings recommended that MDMA be classified as a Schedule III substance.
The lethal risk from one dose of MDMA is estimated to be from 1 death in 20,000 instances to 1 death in 50,000 instances. In the United States, as of 2017, about 7% of people have used MDMA at some point in their lives and 0.9% have used it in the last year. It was used to enhance psychotherapy beginning in the 1970s and became popular as a street drug in the 1980s.
How to Get Help for MDA Use
These differences can cause a person to react differently to the effects of ecstasy when on the drug and coming down from it. Your health, weight, the amount you’ve taken, and other drugs used with ecstasy can all play a role. In addition to the high you get from ecstasy, the drug also causes many unpleasant and potentially dangerous side effects that affect your mind and your body. Lasting all night, these events feature dancing to techno (a type of electronic music) amidst laser light shows and often involve illicit drug use, especially ecstasy. Sometimes, the drugs are taken at different times throughout the evening as a way of modifying the high.
Lupin helped Molly get rid of a boggart that took the form of her family and Harry Potter dead; confessing to him that she was afraid of what would happen to her children and husband. Sometime after the Second Wizarding War, Harry married Ginny, becoming Molly’s son-in-law and officially joining the Weasley family. Molly would occasionally forget she wasn’t Harry’s mother and tended to be as protective of him as if he was one of her own children, a sentiment Harry himself shared. Molly had a strong desire for her children to work at the Ministry of Magic like their father, causing her to scold Fred and George on numerous occasions for their dream of managing a joke shop.
Using alcohol or other drugs along with ecstasy makes it more likely to harm yourself and end up in the hospital. Before and during your time on ecstasy, drink one 16-ounce bottle of water for every hour that passes while on the drug. Research shows drugs such as cocaine are more likely to cause addiction than ecstasy.
Actively recruiting MDMA clinical studies
When she read about the Death Eaters’ attack on the World Cup grounds, Molly became worried for her family. When she entered the family’s kitchen, Molly caught Arthur in the middle of scolding Fred and George for something. Molly’s children, Harry Potter, and Hermione Granger in the garden of The Burrow Unsure of how much postage to include, she completely covered the envelope with stamps, leaving only a square inch on the front in which she managed to squeeze the Dursleys’ address. The following June, she arrived at King’s Cross to pick her family up.
Can You Get Addicted to Ecstasy?
Reaching out for help from friends and family can be a great way to gain support. Behavioral therapy teaches you skills to better manage the situations that trigger your need to use ecstasy. You may worry about getting in trouble with the police for using ecstasy. What to do if you or someone you’re with overdoses on ecstasy Taking too much ecstasy can lead to a potentially fatal overdose. This can cause heart, liver, or kidney failure or even death.
- Molly enhances the activity of the neurotransmitters norepinephrine, dopamine, and serotonin.
- However, there is consistent evidence of structural and functional deficits in MDMA users with high lifetime exposure.
- Sometimes it specifically refers to the powder form of MDMA, but it’s often used as slang for any type of MDMA.
- If you’re going to take ecstasy, try to take it in mini doses.
MDMA was also found to have effects on blood sugar levels comparable to high doses of ephedrine. In relation to the preceding, the psychoactive effects of MDA were discovered well before those of MDMA. Gordon A. Alles, the discoverer of the psychoactive effects of amphetamine, also discovered the psychoactive effects of MDA in 1930 in a self-experiment in which he administered a high dose (126 mg) to himself. MDMA (called methylsafrylamin, safrylmethylamin or N-Methyl-a-Methylhomopiperonylamin in Merck laboratory reports) was an intermediate compound in the synthesis of methylhydrastinine. The concentrations of MDA in the blood or urine of a person who has taken only MDMA are, in general, less than 10% those of the parent drug.
Fleur Delacour
Statistics from emergency room visits or reports of deaths attributed to Ecstasy are troubling, but they often involve users who may be simultaneously drinking alcohol and ingesting other illicit drugs. MDMA, also known as ecstasy or “molly,” is a synthetic drug known primarily for its hallucinogenic and stimulant effects. As the effects begin to fade, people often take another dose of ecstasy to double the time it lasts. This involves either taking three or more tablets of ecstasy at the same time or taking ecstasy with LSD, marijuana, cocaine, alcohol, or other drugs. MDMA likely emerged as a substitute for MDA, a drug at the time popular among users of psychedelics which was made a Schedule 1 controlled substance in the United States in 1970. Several forms of memory are impaired by chronic ecstasy use; however, the effects for memory impairments in ecstasy users are generally small overall.
MDMA-assisted psychotherapy
How long does ecstasy take to kick in? Ecstasy has several effects during the hours it’s active in your system. Popular with young people since the 1980s, raves are parties often held in locations such as warehouses, nightclubs, and fields. Almost double that number of 10th and 12th graders reported using ecstasy in the previous year. In 2023, an estimated 0.4% of eighth graders (13 years old) said they used ecstasy in the last year.
- It is usually recommended to wait for one to three months between each use to give the brain adequate time to restore serotonin levels and avoid toxicity.
- Please consult your healthcare provider if you think that using ecstasy or “molly” is right for you.
- She didn’t blame Harry, but threw her sons nasty looks the whole time she made breakfast.
- After dropping the children off at King’s Cross Station on 1 September, Molly and Arthur were outraged when they found their car gone.
- While intrigued by reports of psychotherapeutic uses for the drug, the committee viewed the studies as lacking appropriate methodological design and encouraged further research.
MDMA (Ecstasy/Molly)
Other effects include feeling greater empathy toward others and enhanced sensory perception. The immediate impact of ecstasy begins within about 45 minutes of taking a dose. However, it may increase the speed at which the drug gains approval and becomes available to treat certain conditions. This does not mean that ecstasy is available as a treatment. This status helps expedite the development and review of substances for the treatment of serious molly wiki conditions. This classification means that the substance has a high potential for abuse and is not approved by law to treat medical conditions.

