MDMA (Ecstasy) - advice for staying safe

If you or someone you know has questions about MDMA (Ecstasy), we're here to help.

This page will give you information about MDMA, its effects, and how to stay safe if you or someone you know is using it.

Understanding MDMA (Ecstasy)

MDMA is a drug that alters your mood and increases your energy. It is sometimes referred to as MD, Mandy, or Molly. It is a popular party drug because it can make your surroundings and music feel more intense. It can also make you feel more affectionate towards other people.

MDMA usually comes as a white/grey powder or crystal that people swallow or dab onto their gums. The effects can take 20 minutes to an hour to occur, depending on the amount taken. It can last for several hours.

MDMA can also come in the form of Ecstasy. This is usually a colourful pill.

The comedown from using MDMA/ecstasy can make you feel depressed for several days.

MDMA/ecstasy is sometimes mixed with other things that can affect how strong it is. This means you can never be sure you’re taking what you think you are.

MDMA is a Class A drug. This means it’s illegal for you to have it, or to give it to someone else.

You can be arrested and charged for having MDMA in your possession. You could get an unlimited fine, or up to 7 years in prison, or both. If you give MDMA to someone else, you could get up to life in prison, an unlimited fine, or both.

There are also laws against drug driving like there are for drink driving.

MDMA side effects and risks

It's easy to take too much. The strength of MDMA can vary, and it's often mixed with other substances. Taking too much can cause side effects including overheating, panic attacks, and even seizures.

It can affect your mood. After using MDMA, you might feel tired or down for a few days. It can also contribute to feelings of depression, anxiety, or mood swings.

It can cause heatstroke and dehydration. MDMA can make you feel thirsty, and if you don't drink enough water, it can lead to dehydration. It can also make it challenging to regulate your body temperature.

It can be tough on your heart. MDMA can increase your heart rate and blood pressure, and using it frequently can have long-term effects on your heart.

It's risky to mix with other substances. Combining MDMA with alcohol or other drugs can be dangerous and increase the risk of harmful reactions. This includes medicine you have been prescribed.

It can be harmful if you have certain health conditions. People with certain health issues, like heart problems or epilepsy, may be at greater risk when using MDMA.

Keeping yourself safe

There are ways to reduce the risks of using MDMA:

Stay low and go slow. With any substance, it’s a good idea to take a small amount first and wait to see how it affects you.

With MDMA, start by taking either a small amount of powder (the size of a matchstick tip) or a quarter of a pill and wait an hour to let it kick in before you take any more.

Stay hydrated. Drink enough water to prevent dehydration but avoid drinking too much water too quickly. Sip no more than 1 pint of water over an hour.

Take breaks. MDMA raises your body temperature. If you're dancing or being active, take breaks to cool down and rest.

Avoid mixing with other substances. Combining MDMA with alcohol or other drugs can be dangerous. This includes medication you have been prescribed. Mixing substances can cause bad reactions and have unexpected effects.

You can find out more about how MDMA interacts with other substances on the website Drugs and Me by following the link below:

Drugs and Me: learn how MDMA interacts with other substances

Use with trusted friends. If you're with people you know and trust, they can help if you're not feeling well or if you've taken too much.

Know how to manage a comedown. If you’re planning a night involving drugs, it’s a good idea to know some tips on how to manage the morning after.

Read our advice for managing a comedown.

Know the signs of overheating. Be aware of symptoms like feeling too hot, dizzy, or nauseous, and take steps to cool down.

Don't be afraid to call for help. If someone might be having problems because of MDMA, call for help.

If someone is unconscious or having difficulty breathing, always call 999. Don't worry; the ambulance won't bring the police unless it's a very specific situation.

Place the person in the recovery position. Here’s a quick guide to the recovery position. If you don’t remember, get them on their side.

Naloxone, the drug that reverses the effects of an opioid overdose, does not work on MDMA.

Here’s a quick guide to the recovery position.

Getting support with MDMA

If you want to take steps to address your drug use, don’t be afraid to reach out for help. You’re not alone and there's nothing to be ashamed of. There is lots of help and support available. Speak to your doctor about how you’re feeling and speak to supportive family and friends if you can.

Advice and support is always available from your local Change Grow Live Service. If you’re struggling with drugs or alcohol, we’re here to help.