Literature DB >> 15007594

Is ecstasy MDMA? A review of the proportion of ecstasy tablets containing MDMA, their dosage levels, and the changing perceptions of purity.

A C Parrott1.   

Abstract

AIMS: Not every tablet sold as "ecstasy" contains MDMA (3,4-methylenedioxymethamphetamine). The historical origins and evolution of this mismatch will be reviewed, in order to estimate the proportions of ecstasy tablets containing MDMA at different periods over the past 30 years.
METHODS: Surveys into the pharmacological constituents of ecstasy tablets, dosage levels, and empirical reports of their perceived purity, provide the main data for this review.
RESULTS: During the 1980s and early 1990s there were few problems with the purity of ecstasy tablets, and the biochemical evidence shows that they nearly always contained MDMA. During the mid-1990s, the majority of ecstasy tablets continued to contain MDMA, while many others comprised MDA (3,4-methylenedioxyamphetamine), MDEA (3,4-methylenedioxyethylamphetamine), or amphetamine drug mixtures. However, a small proportion (4-20% according to survey, time and place), comprised non-amphetamine drugs such as caffeine, ephedrine, ketamine, paracetamol, or placebo. During the late 1990s, the proportion of ecstasy tablets containing MDMA increased to around 80-90%. The latest reports suggest that non-MDMA tablets are now very infrequent, with purity levels between 90% and 100%. Dosage levels of tablets are also highly variable, with low dose tablet often encountered during the mid-1990s, and high dose tablets now seen more frequently. The theoretical and practical implications of these findings will be debated.
CONCLUSIONS: The ecstasy purity problem was predominantly a phenomenon of the mid to late 1990s, when many tablets contained substances other than MDMA. Before and since then, the proportion of ecstasy tablets containing MDMA has been very high.

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Year:  2004        PMID: 15007594     DOI: 10.1007/s00213-003-1712-7

Source DB:  PubMed          Journal:  Psychopharmacology (Berl)        ISSN: 0033-3158            Impact factor:   4.530


  39 in total

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2.  Drugs and the dance music scene: a survey of current drug use patterns among a sample of dance music enthusiasts in the UK.

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3.  A new method to monitor drugs at dance venues.

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4.  'Weddings, parties, anythingellipsis', a qualitative analysis of ecstasy use in Perth, Western Australia.

Authors:  D Hansen; B Maycock; T Lower
Journal:  Int J Drug Policy       Date:  2001-07-01

5.  Psychobiological problems in heavy 'ecstasy' (MDMA) polydrug users.

Authors:  A C Parrott; E Sisk; J J Turner
Journal:  Drug Alcohol Depend       Date:  2000-07-01       Impact factor: 4.492

6.  Subjective effects of 3,4-methylenedioxymethamphetamine in recreational users.

Authors:  S J Peroutka; H Newman; H Harris
Journal:  Neuropsychopharmacology       Date:  1988-12       Impact factor: 7.853

7.  MDMA on the street: Analysis Anonymous.

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Review 8.  Human research on MDMA (3,4-methylene- dioxymethamphetamine) neurotoxicity: cognitive and behavioural indices of change.

Authors:  A C Parrott
Journal:  Neuropsychobiology       Date:  2000       Impact factor: 2.328

9.  MDMA ('ecstasy') enhances basal acetylcholine release in brain slices of the rat striatum.

Authors:  H S Fischer; G Zernig; D S Schatz; C Humpel; A Saria
Journal:  Eur J Neurosci       Date:  2000-04       Impact factor: 3.386

10.  The substituted amphetamines 3,4-methylenedioxymethamphetamine, methamphetamine, p-chloroamphetamine and fenfluramine induce 5-hydroxytryptamine release via a common mechanism blocked by fluoxetine and cocaine.

Authors:  U V Berger; X F Gu; E C Azmitia
Journal:  Eur J Pharmacol       Date:  1992-05-14       Impact factor: 4.432

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  55 in total

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Journal:  Psychopharmacology (Berl)       Date:  2014-11-14       Impact factor: 4.530

2.  [The early history of "Ecstasy"].

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Journal:  Nervenarzt       Date:  2006-01       Impact factor: 1.214

3.  The differential effects of ecstasy/polydrug use on executive components: shifting, inhibition, updating and access to semantic memory.

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Journal:  Psychopharmacology (Berl)       Date:  2005-10-19       Impact factor: 4.530

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Journal:  Neuroimage       Date:  2009-03-02       Impact factor: 6.556

5.  Basal functioning of the hypothalamic-pituitary-adrenal (HPA) axis and psychological distress in recreational ecstasy polydrug users.

Authors:  Mark A Wetherell; Catharine Montgomery
Journal:  Psychopharmacology (Berl)       Date:  2013-11-05       Impact factor: 4.530

6.  Caffeine Induces a Stimulant Effect and Increases Dopamine Release in the Nucleus Accumbens Shell Through the Pulmonary Inhalation Route of Administration in Rats.

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Journal:  Neurotox Res       Date:  2016-09-08       Impact factor: 3.911

7.  Prevalence of reagent test-kit use and perceptions of purity among ecstasy users in an electronic dance music scene in New York City.

Authors:  Joseph J Palamar; Monica J Barratt
Journal:  Drug Alcohol Rev       Date:  2018-12-21

Review 8.  Acute and long-term effects of MDMA on cerebral dopamine biochemistry and function.

Authors:  M Isabel Colado; Esther O'Shea; A Richard Green
Journal:  Psychopharmacology (Berl)       Date:  2004-04-09       Impact factor: 4.530

9.  Neuroimaging in human MDMA (Ecstasy) users.

Authors:  Ronald L Cowan; Deanne M Roberts; James M Joers
Journal:  Ann N Y Acad Sci       Date:  2008-10       Impact factor: 5.691

10.  Intracranial self-administration of MDMA into the ventral striatum of the rat: differential roles of the nucleus accumbens shell, core, and olfactory tubercle.

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Journal:  Psychopharmacology (Berl)       Date:  2008-04-05       Impact factor: 4.530

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