Swallowing gel capsules (Molly), pills, tablets. Powder, Crystal, liquid. Crushed or snorted. Occasionally smoked.

Increased motor activity, alertness, heart rate, blood pressure, muscle tension, tremors, teeth clenching, nausea, sweating, euphoria, empathy, reduced inhibition, chills, blurred vision, confusion, anxiety, depression, paranoia, severe dehydration, sleep problems, and drug craving.

In high doses, MDMA can interfere with the body’s ability to regulate temperature. On occasions, this can lead to a sharp increase in body temperature (hyperthermia), resulting in liver, kidney, or cardiovascular system failure, swelling of the brain, and even death. Furthermore, repeated use of MDMA over a short period of time may lead to potentially harmful concentrations of MDMA within the body due to the complex metabolism of MDMA.