Journal of Emergency Medicine
June 2012
Abhijeet Ghatol, Amir Kazory
Ecstasy, or 3,4-methylenedioxymethamphetamine (MDMA), is a drug of abuse with a wide range of toxicity affecting the brain, heart, and liver. Renal toxicity of MDMA is due either to acute kidney injury (e.g., non-traumatic rhabdomyolysis) or to water and electrolyte imbalance (i.e., hyponatremia). Although syndrome of inappropriate secretion of antidiuretic hormone has been recognized as a...
Journal of Emergency Medicine
June 2012
Herve Vanden Eede, Leon J Montenij, Daan J Touw et al.
Ecstasy is a popular drug among young adults. It is often thought to be safe. The dose of methylenedioxymethamphetamine (MDMA) in a tablet of Ecstasy varies greatly, and there is also a difference in individual response to a dose of MDMA. To increase the awareness of potential mortality in MDMA use. We report the case of a patient with a lethal intoxication after pure MDMA intoxication. The...
British Journal of Pharmacology
June 1, 2012
Natacha Vanattou‐saïfoudine, Ruth Mcnamara, Andrew Harkin
60 citations
Concomitant consumption of caffeine with recreational psychostimulant drugs of abuse can provoke severe acute adverse reactions in addition to longer term consequences. The mechanisms by which caffeine increases the toxicity of psychostimulants include changes in body temperature regulation, cardiotoxicity and lowering of the seizure threshold. Caffeine also influences the stimulatory,...
Journal of Intensive Care Medicine
May 28, 2012
Patil Armenian, Tanya M. Mamantov, Ben Tsutaoka et al.
81 citations
Twelve patients with 3,4-methylenedioxymethamphetamine (MDMA) toxicity from a single rave event presented to multiple San Francisco Bay area hospitals with various life-threatening complications including seizures and hyperthermia. Eight required emergent endotracheal intubation and six had hypotension. Hyperkalemia, acute kidney injury, and rhabdomyolysis were present in most of the patients....
PLoS One
May 4, 2012
Cédric M. Hysek, Linda D. Simmler, V.g. Nicola et al.
158 citations
UNLABELLED: This study assessed the effects of the serotonin (5-HT) and norepinephrine (NE) transporter inhibitor duloxetine on the effects of 3,4-methylenedioxy-methamphetamine (MDMA, ecstasy) in vitro and in 16 healthy subjects. The clinical study used a double-blind, randomized, placebo-controlled, four-session, crossover design. In vitro, duloxetine blocked the release of both 5-HT and NE...
Journal of Epidemiology & Community Health
April 19, 2012
Frédéric N. Brière, Jean‐sébastien Fallu, Michel Janosz et al.
8 citations
Background Research has raised significant concern regarding the affective consequences of synthetic drug use. However, little evidence from well-controlled longitudinal studies exists on these consequences. The aim of this study was to determine whether use of meth/amphetamine (speed) and ±3,4-methylenedioxymethamphetamine (MDMA, ecstasy) is independently predictive of subsequent depressive...
Psychopharmacology
April 2012
Con Stough, Rebecca King, Katherine Papafotiou et al.
This study investigated the acute (3-h) and 24-h post-dose cognitive effects of oral 3,4-methylenedioxymethamphetamine (MDMA), d-methamphetamine, and placebo in a within-subject double-blind laboratory-based study in order to compare the effect of these two commonly used illicit drugs on a large number of recreational drug users. Sixty-one abstinent recreational users of illicit drugs comprised...
Psychopharmacology
April 2012
Rowan P Ogeil, David J Kennaway, Mark D Salkeld et al.
±3,4-Methylenedioxymethamphetamine (MDMA, 'ecstasy') is a psychoactive drug that has marked effects on the serotonergic system. Serotonergic agonists are known to interact with the circadian pacemaker located in the suprachiasmatic nuclei (SCN). Given changes reported in the behavioral activity rhythm following MDMA treatment, the effects of MDMA on core clock gene (Per1, Per2) and c-fos...
Psychopharmacology
April 2012
Tibor M Brunt, Maarten W Koeter, Raymond J.m. Niesink et al.
Most studies on the subjective effects of ecstasy are based on the assumption that the substance that was taken is 3,4-methylenedioxymethamphetamine (MDMA). However, many tablets sold as ecstasy contain other substances and MDMA in varying doses. So far, few attempts have been made to take this into account while assessing subjective effects. This study aims to link the pharmacological content...
The FASEB Journal
April 1, 2012
Pai-Kai Huang, Shawn. M. Aarde, Tobin J. Dickerson et al.
A recent DEA report and ongoing media accounts show increasing recreational use of 4‐methylmethcathinone (4‐MMC, mephedrone) and 3,4‐methylenedioxypyrovalerone (MDPV). Some severe sympathomimetic symptoms, hallucinations, psychoses, and even deaths have been reported. Recent studies showed that 4‐MMC and MDPV enhanced DA neurotransmission, while 4‐MMC also increased 5‐HT neurotransmission, much...