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3,4-Methyl​enedioxy​methamphetamine (MDMA),[note 1] commonly known as ecstasy (E) or molly, is a psychoactive drug primarily used for recreational purposes.[13] The desired effects include altered sensations, increased energy, empathy, as well as pleasure.[13][14] When taken by mouth, effects begin in 30 to 45 minutes and last 3 to 6 hours.[11][15]

MDMA was first developed in 1912 by Merck.[16] It is to enhance psychotherapy beginning in the 70s becomes popular as a street drug .[14][15] MDMA is commonly with dance parties, raves, and electronic dance music.[17] It may be mixe with other substances such as ephedrine, amphetamine, and methamphetamine.[14] In 2016, about 21 million people between the ages of 15 and 64 used ecstasy (0.3% of the world population).[18] This was broadly similar to the percentage of people who use cocaine or amphetamines, but lower than for cannabis or opioids.[18] In the United States, as of 2017, about 7% of people have used MDMA at some point in their lives and 0.9% have used it in the last year

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Short-term adverse effects include grinding of the teeth, blurred vision, sweating and a rapid heartbeat,[14] and extended use can also lead to addiction, memory problems, paranoia and difficulty sleeping. Deaths is been report due to increase body temperature and dehydration. Following use, people often feel depressed and tired.[14] MDMA acts primarily by increasing the activity of the neurotransmitters serotonin, dopamine and noradrenaline in parts of the brain.[14][15] It belongs to the substituted amphetamine classes of drugs and has stimulant and hallucinogenic effects.[8][20]

MDMA is illegal in most countries[14][21] and, as of 2018, has no approved medical uses.

In general, MDMA users report feeling the onset of subjective effects within 30 to 60 minutes of oral consumption and reaching peak effect at 75 to 120 minutes, which then plateaus for about 3.5 hours.[23]

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