What could happen when you are high with ecstasy?
Ecstasy stimulates the release of the neurotransmitter serotonin from the brain neurons, producing a high that could last for several hours. The drug blocks the natural re-uptake of serotonin and forces the brain to flood itself with serotonin. The drug’s effects vary with the individual taking it, the dose and purity, and the environment in which it is taken. Ecstasy can produce stimulant effects such as an enhanced sense of pleasure and self-confidence and increased energy. Its psychedelic effects include feelings of peacefulness, acceptance, and empathy. Users claim they experience feelings of closeness with others and a desire to touch them. Taking a booster dose to maintain the high could increase the negative side effects of using the drug.
Ecstasy raises your body temperature and heart rate. Combine this with hot conditions, the physical activity of dancing in a party or club, and not drinking water, and the greatest immediate danger of MDMA is heatstroke. Heatstroke (or hyperthermia) is the primary cause of death from Ecstasy. Someone taking Ecstasy should make sure to drink about a pint of water every hour while on Ecstasy, sipping, rather than drinking it all at once. Also, taking breaks from dancing on a hot dance floor to cool off is an important way to reduce the risk of heatstroke. Ecstasy-related deaths are relatively rare (there were 27 nationwide from 1994 to 1999). However, emergency room hospital visits are on the rise.
Ecstasy causes the release of norepinephrine, which increases your heart rate dramatically and can be dangerous for people with cardiovascular disease or weakness. Dehydration can also lead to liver or kidney failure. Some people report bad emotional reactions to Ecstasy including confusion, depression, sleep problems, drug craving, severe anxiety, and paranoia, sometimes lasting long after taking the drug. Using Ecstasy with alcohol and/or other drugs can increase the risk of adverse effects. Alcohol is dehydrating, too, and its depressant effects can mask the stimulant properties of Ecstasy misleading the user about how intoxicated they really are.
Finally, some studies have shown that people who use Ecstasy are more likely to engage in other risky behaviors such as binge drinking, cigarette smoking, and having multiple sexual partners. The use of Ecstasy and other club drugs can also lead to unsafe sex, the spread of HIV and sexually transmitted diseases, and unwanted pregnancy.