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Ecstasy (MDMA) abuse

Description Ecstasy is an amphe...


Description

Ecstasy is an amphetamine and takes effect 30 minutes after oral intake. Symptoms include anxiety and increased heart rate, followed by euphoria and relaxation. Users report increased sensory tactile enhancements and mild visual distortions. Symptoms usually resolve after 3-4 hours. Ecstasy toxicity has been associated with seizures, abnormalities of heart rhythm, heart failure, stroke, and kidney failure and/or liver failure.

Symptoms

Anxiety, increased heart rate, jaw clenching, blurry vision, euphoria, increased communication, sensory tactile enhancement, seeing halos, seizures, confusion.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Tests may be performed to rule out other causes of the symptoms, including urine and blood toxicology tests.

Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electrocardiogram (EKG), Troponin, Urinalysis (UA), X-ray

Other Specific Tests: Urine and serum toxicology screen

Specialists:
Pediatric and Adolescent Psychiatry, Addiction Psychiatry, Medical Toxicology, Addiction Medicine

Treatment

Only supportive therapy is needed unless there is a serious toxicity. Treatment with intravenous fluids and sedatives (called benzodiazepines) may be necessary. Reversal of any organ damage may be needed. An addiction specialist can help the patient stop using the drug. 
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Mediref: Ecstasy (MDMA) abuse
Ecstasy (MDMA) abuse
Mediref
https://mediref.blogspot.com/2020/05/ecstasy-mdma-abuse.html
https://mediref.blogspot.com/
https://mediref.blogspot.com/
https://mediref.blogspot.com/2020/05/ecstasy-mdma-abuse.html
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