{"id":3325,"date":"2023-07-26T09:34:47","date_gmt":"2023-07-26T09:34:47","guid":{"rendered":"https:\/\/www.floridarehab.com\/?page_id=3325"},"modified":"2025-02-07T12:35:01","modified_gmt":"2025-02-07T12:35:01","slug":"addiction","status":"publish","type":"blog","link":"https:\/\/www.floridarehab.com\/drugs\/ecstasy\/addiction\/","title":{"rendered":"MDMA (Ecstasy\/Molly): Addiction Signs &amp; Symptoms"},"content":{"rendered":"\n<p class=\"eplus-wrapper wp-block-paragraph\">The party drug MDMA is more addictive than many realize. It increases levels of dopamine, which causes drug-seeking behavior.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><a href=\"https:\/\/www.floridarehab.com\/drugs\/ecstasy\/\">MDMA<\/a>\u00a0is short for 3,4-methylenedioxymethamphetamine, a drug popular at clubs and rave parties. <a href=\"https:\/\/www.floridarehab.com\/resources\/drug-slang\/\">Slang terms for the drug<\/a> include ecstasy, Molly, X, XTC and E. People use\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538482\/\" target=\"_blank\" rel=\"noreferrer noopener\">MDMA<\/a>\u00a0because it produces feelings of both a\u00a0<a href=\"https:\/\/www.floridarehab.com\/drugs\/stimulants\/addiction\/\">stimulant<\/a>\u00a0and a\u00a0<a href=\"https:\/\/www.floridarehab.com\/drugs\/hallucinogens\/addiction\/\">hallucinogen<\/a>\u00a0(psychedelic). Stimulants increase energy and make people feel euphoria.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Hallucinogens change how a person senses things by changing the experience of sights and sounds. For example, colors may be brighter, and music may be more vivid. MDMA is also known to increase extroversion and feelings of empathy and closeness to others.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The effects of MDMA last between three and six hours for most people and portions of the drug take between one and two days to fully metabolize in the body.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Is Ecstasy (Molly) Addictive?<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Yes, MDMA is addictive. It is classified as a Schedule I controlled substance in the United States. Schedule I substances are federally illegal and have no recognized medical use. They also have a high potential for abuse and addiction.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">MDMA (or Molly) addiction stems from the changes it makes to chemistry in the brain. MDMA increases the effects of many neurotransmitters, which are chemical signals that brain cells use to communicate with each other.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">One of the neurotransmitters that MDMA increases is dopamine. In the brain, dopamine signals to other brain cells that a behavior is good and we should continue partaking in it. MDMA increases dopamine to levels beyond what we naturally experience, reinforcing its use. We perceive the feeling of high levels of dopamine as euphoria.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Another property of MDMA that increases its addiction potential is the \u201cMDMA comedown.\u201d MDMA is well known to cause&nbsp;<a href=\"https:\/\/www.floridarehab.com\/co-occurring-disorders\/anxiety-disorders\/\">anxiety<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.floridarehab.com\/co-occurring-disorders\/depression\/\">depression<\/a>&nbsp;symptoms for a few days after using it.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Dopamine and other neurotransmitters deplete, creating these feelings of depression. Some people may try to alleviate symptoms of the crash by retaking MDMA, capturing them in a cycle of euphoria, crash, and craving.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Symptoms of MDMA Use<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Since MDMA is both a stimulant and a hallucinogen, it can produce a wide range of&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538482\/\" target=\"_blank\" rel=\"noreferrer noopener\">side effects<\/a>. Side effects can include those that impact the body (physical) and those that impact the mind (psychological).<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Physical Effects<\/h3>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\">Dehydration<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Dilated pupils<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Dry mouth<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Excessive sweating<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Headache<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Low appetite<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Muscle tension<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Nausea and vomiting<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Sweating<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Teeth or jaw clenching<\/li>\n<\/ul>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Psychological Effects<\/h3>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\">Desire to be touched<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Emotional warmth<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Enhanced sense of well-being<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Euphoria<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Increased empathy<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Increased extroversion<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Mild confusion<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Reduced fatigue and increased energy<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Restlessness<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Talkativeness<\/li>\n<\/ul>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Signs of MDMA Abuse<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">To spot MDMA abuse, a person should look for the physical and psychological symptoms of MDMA. A person may exhibit these signs outside of club and party situations, indicating that drug use may be occurring on a regular basis.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">People developing an addiction may become more secretive, and their hygiene habits may change. They may start eating and sleeping at odd times and not keep a regular schedule.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Ecstasy Abuse Statistics<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The&nbsp;<a href=\"https:\/\/www.drugabuse.gov\/drugs-abuse\/mdma-ecstasymolly\" target=\"_blank\" rel=\"noreferrer noopener\">National Survey on Drug Use and Health (NSDUH) 2017<\/a>&nbsp;reports information about general drug abuse, including ecstasy statistics. About 7% of people aged twelve and older have used MDMA in their lifetime. The group with the highest reported lifetime use of MDMA is 18\u201325 at 12%, with 3.5% of this age group reporting that they used MDMA in the last year.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Is MDMA Dangerous?<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Yes, MDMA use can be very dangerous. By itself, MDMA affects both physical and mental health. MDMA often includes a mixture of several drugs, not just MDMA. In fact, a recent study showed that among drugs sold as Molly and tested,&nbsp;<a href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0269881117715596?journalCode=jopa\" target=\"_blank\" rel=\"noreferrer noopener\">only about 60%<\/a>&nbsp;even contained MDMA.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Other drugs commonly found in Molly and ecstasy include&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/cocaine\/addiction\/\">cocaine<\/a>,&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/ketamine\/addiction\/\">ketamine<\/a>,&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/meth\/addiction\/\">methamphetamine<\/a>&nbsp;and synthetic cathinones (<a href=\"https:\/\/www.floridarehab.com\/drugs\/bath-salts\/\">bath salts<\/a>).<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">MDMA by itself can cause both long and short-term effects:<\/p>\n\n\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Common Adulterants in Molly<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">People selling Molly may mix in other drugs for a variety of reasons. This practice makes using the drug more dangerous. Examples of other substances that may be mixed into Molly include:<\/p>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\">3,4-Methylenedioxyamphetamine (MDA)<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Caffeine<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Cocaine<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Dibutylone (bk-DMBDB)<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Dextromethorphan (an over-the-counter cough suppressant)<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Ketamine<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Methamphetamine<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Methylone (MDMC)<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Synthetic cathinones (\u201cbath salts\u201d)<\/li>\n<\/ul>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Ecstasy Brain Damage<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">MDMA causes brain damage because of something called excitotoxicity. The drug works by making brain cells to release excessive amounts of serotonin, dopamine, and norepinephrine. High levels of neurotransmitters like these can stimulate brain cells so much they get stuck in an \u201con position.\u201d This is called excitotoxicity.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><a href=\"https:\/\/www.drugabuse.gov\/publications\/research-reports\/mdma-ecstasy-abuse\/what-are-mdmas-effects-on-brain\" target=\"_blank\" rel=\"noreferrer noopener\">Research in animals<\/a>&nbsp;has shown that MDMA can cause temporary and sometimes permanent damage to brain cells because of this effect. The effects on animals impacted brain systems that are involved in memory and mood, and the findings are consistent with studies in humans that show regular MDMA use causes confusion, depression, paranoia and problems with attention.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">MDMA Overdose Symptoms &amp; Treatment<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Symptoms of MDMA can include any of the above-listed side effects of MDMA. At increasing doses of MDMA, it begins to impact organ systems like the heart, brain, and kidneys.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Notable symptoms of ecstasy overdose&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/ecstasy\/mdma-overdose\/\" target=\"_blank\" rel=\"noreferrer noopener\">include<\/a>:<\/p>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\">Apnea, or stoppage of breathing<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Convulsions and seizures<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Hyperthermia, or dangerously high body temperature<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Muscle pain and tension<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Unconsciousness<\/li>\n<\/ul>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Signs of Molly Addiction<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Clinicians use&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5525418\/\" target=\"_blank\" rel=\"noreferrer noopener\">eleven different criteria<\/a>&nbsp;to diagnose substance use disorder (SUD). The criteria are:<\/p>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\">Giving up important activities to use MDMA instead<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Inability to manage commitments like work and school because of MDMA use<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Increased tolerance<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Spending a lot of time obtaining, using or recovering from MDMA use<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Using MDMA even when it causes problems with friends and relationships<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Using MDMA even when it makes physical or psychological problems worse<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Using MDMA even when it puts one in danger<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Using MDMA more than or longer than intended<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Wanting to stop or cut down but being unable to<\/li>\n\n\n\n<li class=\" eplus-wrapper\"><a href=\"https:\/\/www.floridarehab.com\/drugs\/ecstasy\/withdrawal-detox\/\">Withdrawal symptoms<\/a><\/li>\n<\/ul>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Am I Addicted to MDMA (Ecstasy\/Molly)?<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Someone with two or more of the above symptoms may be developing a mild SUD involving MDMA. A person with four or more symptoms is classified as having moderate SUD. People with six or more symptoms have substance use disorders that are classified as severe. If you find yourself exhibiting two or more of the symptoms in the section above, you may be at risk of MDMA addiction.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The party drug MDMA is more addictive than many realize. It increases levels of dopamine, which causes drug-seeking behavior. MDMA\u00a0is short for 3,4-methylenedioxymethamphetamine, a drug popular at clubs and rave parties. Slang terms for the drug include ecstasy, Molly, X, XTC and E. People use\u00a0MDMA\u00a0because it produces feelings of both a\u00a0stimulant\u00a0and a\u00a0hallucinogen\u00a0(psychedelic). Stimulants increase energy [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":3312,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false},"categories":[89],"tags":[54],"class_list":["post-3325","blog","type-blog","status-publish","hentry","category-mdma","tag-hallucinogens"],"acf":{"written_by":307,"enable_medically_and_up":["Yes"],"medically_reviewed_by":269,"medically_reviewed_content":"This article was reviewed by a medical professional to guarantee the delivery of accurate and up-to- date information. <a href=\"\/research\/\">View our research policy.<\/a>","up_to_date":"<i>Last Updated<\/i> - <b>12\/29\/2022<\/b>","page_first_published_date":"20221229","page_last_edit_date":"20221229","highlighted_description":"If you or a loved one is struggling with addiction, help is available. Speak with a Recovery Advocate by calling <a href=\"tel:8886480738\"><b>888-648-0738<\/b><\/a> now.","key_takeaways":"<strong>Key Takeaways<\/strong>\r\n<ul>\r\n \t<li>MDMA is an addictive substance with a high potential for abuse<\/li>\r\n \t<li>MDMA can produce a wide range of physical and psychological side effects<\/li>\r\n \t<li>People who start abusing MDMA will devote a greater and greater portion of their time to drug use<\/li>\r\n \t<li>MDMA is dangerous by itself, but it may be mixed with more dangerous substances like methamphetamine<\/li>\r\n \t<li>MDMA addiction is treatable, and if you suspect addiction in yourself or a loved one, treating it early may help an addiction from becoming severe or life-threatening<\/li>\r\n<\/ul>","source":{"source_label":"View Sources","source_content":"<span style=\"font-weight: 400;\">Figurasin, Rick, and Nicole J Maguire. <\/span><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538482\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">\u201c3,4-Methylenedioxy-Methamphetamine (MDMA, Ecstasy, Molly) Toxicity.\u201d<\/span><\/a><span style=\"font-weight: 400;\"> 2019. Accessed Aug 14, 2019.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">McLellan, A Thomas. <\/span><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5525418\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">\u201cSubstance Misuse and Substance Use Disorders: Why Do They Matter in Healthcare?\u201d<\/span><\/a><span style=\"font-weight: 400;\"> Transactions of the American Clinical and Climatological Association, 2017. Accessed Aug 14, 2019.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">National Institute on Drug Abuse.<\/span> <a href=\"http:\/\/www.drugabuse.gov\/drugs-abuse\/mdma-ecstasymolly\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">\u201cMDMA (Ecstasy\/Molly).\u201d<\/span><\/a><span style=\"font-weight: 400;\"> 2019. Accessed Aug 14, 2019.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">National Institute on Drug Abuse.<\/span> <a href=\"http:\/\/www.drugabuse.gov\/publications\/research-reports\/mdma-ecstasy-abuse\/what-are-mdmas-effects-on-brain\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">\u201cWhat Are MDMA\u2019s Effects on the Brain?\u201d<\/span><\/a><span style=\"font-weight: 400;\">, 2019. Accessed Aug 14, 2019.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Saleemi, Sarah, et. al. <\/span><a href=\"http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0269881117715596?journalCode=jopa\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">\u201cWho Is \u2018Molly\u2019? MDMA Adulterants by Product Name and the Impact of Harm-Reduction Services at Raves\u201d<\/span><\/a><span style=\"font-weight: 400;\"> Journal of Psychopharmacology, 2017. Accessed Aug 14, 2019.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">\u200cRamcharan, S, et al. <\/span><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9865243\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">\u201cSurvival after Massive Ecstasy Overdose.\u201d<\/span><\/a><span style=\"font-weight: 400;\"> Journal of Toxicology. Clinical Toxicology, 1998, pp. 727\u201331. Accessed Aug 14, 2019.<\/span>"},"staff_member_heading":"Authorship","staff_member":[{"staff_member_title":"Editor","select_staff_member":307},{"staff_member_title":"Medical Reviewer","select_staff_member":269}],"insurance_label":""},"_links":{"self":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/3325","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog"}],"about":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/types\/blog"}],"author":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/comments?post=3325"}],"version-history":[{"count":0,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/3325\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/3312"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/staff\/269"},{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/staff\/307"}],"wp:attachment":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/media?parent=3325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/categories?post=3325"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/tags?post=3325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}