Treatment FAQ

mdma treatment what does it stand for?

by Javonte Kilback IV Published 3 years ago Updated 2 years ago
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3,4-methylenedioxy-methamphetamine (MDMA) is a synthetic drug that alters mood and perception (awareness of surrounding objects and conditions).Jun 15, 2020

What are the differences between MDMA and MDA?

Main Differences Between MDA and MDMA

  • The common name of MDA is Sally and of MDMA is Molly.
  • MDA is more commonly has psychedelic effects, whereas MDMA has empathogenic effects.
  • The scientific name of MDA is 3,4-methylenedioxyamphetamine, and the scientific name of MDMA is 3,4-methylenedioxymethamphetamine.
  • The duration of the effects of MDA is up to 6 hours, and of MDMA is 3 to 4 hours.

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What is MDMA is more commonly known as?

Points to Remember

  • 3,4-methylenedioxy-methamphetamine (MDMA) is a synthetic drug that alters mood and perception. ...
  • MDMA is commonly called Ecstasy or Molly.
  • People who use MDMA typically take it as a capsule or tablet. ...
  • MDMA acts by increasing the activity of three brain chemicals: dopamine, norepinephrine, and serotonin.

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What does the name MDMA mean?

MDMA (C11H15NO2) (methylenedioxy-n-methylamphetamine) DESCRIPTION MDMA, or 'ecstasy' is a 'psychedelic amphetamine' that has gained popularity over the past 20 years because of its ability to produce strong feelings of comfort, empathy, and connection to others. It most frequently comes in tablet form, although it is occasionally sold in capsules or as powder.

What class of drug is MDMA?

MDMA acts primarily by increasing the activity of the neurotransmitters serotonin, dopamine and noradrenaline in parts of the brain. It belongs to the substituted amphetamine classes of drugs and has stimulant and hallucinogenic effects. MDMA is illegal in most countries and, as of 2018, has no approved medical uses.

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What is MDMA therapy called?

MDMA itself is not approved for legal use because of its history as a recreational drug with the potential for harm, abuse, and addiction. But since 2017, the FDA has deemed the drug's beneficial effects on PTSD symptoms to be “breakthrough therapy.”

When was MDMA used in therapy?

MDMA was first synthesized and patented by the German pharmaceutical company Merck in 1912, but it wasn't until the 1970s and 1980s that psychiatrists began using it in therapy to enhance communication and introspection.

What is the new treatment for PTSD?

Several effective treatment options exist for people suffering from post-traumatic stress disorder (PTSD). A medical treatment called stellate ganglion block (SGB) is one of the newest options. SGB is an injection administered by a doctor or other healthcare professional into the neck.

Which psychedelic is best for PTSD?

Why Psychedelic Drugs May Become a Key Treatment for PTSD and DepressionPsilocybin, the active ingredient in magic mushrooms (pictured here), has been designated by the FDA as a breakthrough therapy for treatment resistant depression. ... MDMA, or Ecstasy, has shown some success in treating PTSD.More items...•

Does PTSD ever go away completely?

So, does PTSD ever go away? No, but with effective evidence-based treatment, symptoms can be managed well and can remain dormant for years, even decades. But because the trauma that evokes the symptoms will never go away, there is a possibility for those symptoms to be “triggered” again in the future.

What are 3 treatments for PTSD?

What Are the Treatments for PTSD?Therapy.Cognitive Processing Therapy.Prolonged Exposure Therapy.Eye Movement Desensitization and Reprocessing.Stress Inoculation Training.Medications.

Why is MDMA not legal?

MDMA itself is not approved for legal use because of its history as a recreational drug with the potential for harm, abuse, and addiction.

What is the effect of MDMA on the brain?

The effects can include feelings of: Empathy.

How long does it take to get MDMA?

MDMA-assisted therapy sessions can take some time. You may need two or three sessions over 12 weeks to see the benefits. Your therapist will tell you more about what to expect and how to prepare yourself. At each session, you’ll get a tablet or capsule with a 125-gram dose of the drug to swallow.

Does MDMA help with PTSD?

Scientists are still looking into MDMA’s benefits for people with PTSD in clinical trials. But the results have been promising. The researchers say MDMA-assisted therapy may have more benefits than any other psychotherapy or medication that’s now used to treat severe PTSD. In fact, they say PTSD symptoms can be controlled or reduced ...

Can MDMA be given to people with PTSD?

These findings have led the FDA to grant MDMA-assisted therapy “expanded access status.”. This means mental health professionals can give the drug to certain people who have very severe forms of PTSD that may be life-threatening, without a clinical trial.

Is ecstasy illegal?

In fact, researchers say ecstasy that’s bought illegally may have other ingredients, like methamphetamine, ketamine (a type of anesthetic), caffeine, or ephedrine. The combination can be dangerous for your health. MDMA-assisted therapy isn’t right for everyone. You must be physically cleared before you can take it.

Is MDMA cheaper than other meds?

MDMA is also proving to be cheaper than other alternative therapies for severe PTSD that may take longer and need more drugs and professional assistance. Continued. What to Know About MDMA Use for PTSD.

How does MDMA therapy work?

MDMA therapy seems to work by helping you trust yourself and helping you accept parts of yourself. MDMA provides a feeling of safety, peacefulness, and love, that allows you to revisit both past experiences and parts of yourself that you don’t fully accept.

How long do you sit with a patient on MDMA?

We sit with them for eight hours, encouraging them to go inside, processing when they’re not, helping them through difficult points and helping integrate the experience.

What happens after MDMA prep?

After the three prep sessions, people are screened to make sure they don’t have high blood pressure, heart disease, or any number of problems . People have to wean off most, if not all psychiatric medications. On the MDMA day, people come in, and we test them to make sure they’re not pregnant or taking other substances.

What are the phases of FDA approval?

The primary phases that a drug must go through to get FDA approval are Phase 1, Phase 2, and Phase 3. If you’re interested in learning about the FDA approval process, we recommend reading the book “New Drugs: An Insider’s Guide to the FDA’s New Drug Approval Process for Scientists, Investors and Patients.”.

Is there a legal MDMA center?

Unfortunately, there aren’t any legal MDMA therapy centers that we’re aware of. We’ve been told by multiple people that it might be legal for someone to set up a legal MDMA center in a place that isn’t a regular country: possibly Antarctica, the Isle of Man (or similar ), or perhaps in international waters.

Is MDMA approved for PTSD?

MDMA has passed Phase 1 and Phase 2 studies, and is now in Phase 3 studies with the FDA to treat PTSD. If approved, MDMA would be legally prescribable by doctors for medical conditions.

Can you take MDMA home?

That said, patients are unlikely to be able to take the MDMA home. It’s more likely that it’ll be prescribed for in-clinic use only, and the MDMA will be sent directly to a therapist who will then give the MDMA to the patient, and then sit with them for the next 8 hours during their MDMA therapy.

What is MDMA mixed with?

It may be mixed with other substances such as ephedrine, amphetamine, and methamphetamine. In 2016, about 21 million people between the ages of 15 and 64 used ecstasy (0.3% of the world population).

How long does MDMA last?

When taken by mouth, effects begin in 30 to 45 minutes and last 3 to 6 hours. MDMA was first developed in 1912 by Merck. It was used to enhance psychotherapy beginning in the 1970s and became popular as a street drug in the 1980s. MDMA is commonly associated with dance parties, raves, and electronic dance music.

How is MDMA synthesized?

Most illicit MDMA is synthesized using MDP2P (3,4-methylenedioxyphenyl-2-propanone) as a precursor. MDP2P in turn is generally synthesized from piperonal, safrole or isosafrole. One method is to isomerize safrole to isosafrole in the presence of a strong base, and then oxidize isosafrole to MDP2P. Another method uses the Wacker process to oxidize safrole directly to the MDP2P intermediate with a palladium catalyst. Once the MDP2P intermediate has been prepared, a reductive amination leads to racemic MDMA (an equal parts mixture of ( R )-MDMA and ( S )-MDMA). Relatively small quantities of essential oil are required to make large amounts of MDMA. The essential oil of Ocotea cymbarum, for example, typically contains between 80 and 94% safrole. This allows 500 ml of the oil to produce between 150 and 340 grams of MDMA.

How long does it take for MDMA to work?

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. The desired short-term psychoactive effects of MDMA have been reported to include:

What is the precursor to MDMA?

Most illicit MDMA is synthesized using MDP2P (3,4-methylenedioxyphenyl-2-propanone) as a precursor. MDP2P in turn is generally synthesized from piperonal, safrole or isosafrole. One method is to isomerize safrole to isosafrole in the presence of a strong base, and then oxidize isosafrole to MDP2P.

When was MDMA banned?

In an early media report on MDMA published in 1982, a Drug Enforcement Administration (DEA) spokesman stated the agency would ban the drug if enough evidence for abuse could be found. By mid-1984, MDMA use was becoming more noticed. Bill Mandel reported on "Adam" in a 10 June San Francisco Chronicle article, but misidentified the drug as methyloxymethylenedioxyamphetamine (MMDA). In the next month, the World Health Organization identified MDMA as the only substance out of twenty phenethylamines to be seized a significant number of times.

Where was MDMA used in the 1980s?

By the early 1980s MDMA was being used in Boston and New York City nightclubs such as Studio 54 and Paradise Garage. Into the early 1980s, as the recreational market slowly expanded, production of MDMA was dominated by a small group of therapeutically minded Boston chemists.

The Basics of MDMA

Traditionally, the forms of MDMA labeled as Molly and ecstasy differ. Molly is most often available in capsules, and ecstasy is most often available as a tablet.

Other Effects of Taking Molly

NIDA reports on some of the other short-term and long-term effects of MDMA use. These include:

Addiction to Molly

The American Psychiatric Association (APA) and other professional organizations still use the terms addiction and abuse in their discussions of addictive behaviors; however, in terms of the formal diagnosis of addictive behaviors to drugs, the term substance use disorder has replaced these terms.

Treating MDMA Abuse

The group at the greatest risk to abuse MDMA includes those 16-24 years old. Treating adolescents and young adults with substance use disorders is a delicate matter, and it is suggested that treatment providers for these individuals have special training in dealing with the issues that occur in this group.

Drug Class

MDMA is an amphetamine derivative classified as an empathogen or an entactogen due to the effects users experience. While not a classical psychedelic, MDMA (C₁₁H₁₅NO₂) is a member of the larger group of ring-substituted phenethylamines which includes mescaline.

What is MDMA?

MDMA is a small organic compound known as a monoamine alkaloid, structurally and chemically related to amphetamines. Its amine group is methylated, which makes it closely related to methamphetamine, although its pharmacology and effects are quite different.

From the Streets to MDMA-Assisted Therapy Offices

For decades now following MDMA’s scheduling as a controlled substance and its subsequent illegality, it has been relegated to the streets and recreational use. However, this is rapidly changing thanks to the work of the Multidisciplinary Association for Psychedelic Studies (​ MAPS ).

What is MDMA-Assisted Therapy?

MDMA-assisted therapy involves ‘talk-therapy’ alongside the ingestion of MDMA. Researchers and clinicians often describe three distinct therapy phases: preparation, the acute MDMA experience, and integration. The non-psychedelic elements of this approach are essential for both effectiveness and safety.

Summary of Trial Findings

Across six Phase 2 trials (105 participants), following MDMA-assisted psychotherapy 54% of participants did not meet criteria for PTSD, compared to 23% in the control group. At long-term follow-up, this increased to 67.0%.

What Does MDMA Do to My Brain (Pharmacology)?

MDMA (3,4-methylenedioxymethamphetamine) is a small organic compound known as a monoamine alkaloid, related chemically to amphetamine, that stimulates the brain to release neurotransmitters and hormones.

MDMA-Assisted Therapy Positive Effects

As noted above, MDMA stimulates the activity of happy brain chemicals and hormones like serotonin, dopamine, norepinephrine, oxytocin, and vasopressin. In addition to this MDMA also temporarily alters the physiology of the brain.

The History of MDMA

The general public became aware of MDMA during the late 1980s when it was labeled a party drug. However, various applications have been tested and evaluated by the medical community since 1912.

Other Names for MDMA

MDMA is sometimes known as Adam, Molly, Scooby snacks, Snowball, X, XTC, E, ecstasy, MD, Lovedrug, and Hug.

The MDMA Comedown

When the drug wears off, the user may experience sadness, anxiety, and trouble sleeping that may last for up to a week, depending on the frequency of usage and dosage.

How to Reduce (and Prevent) Side Effects – Harm Reduction and MDMA

Supplements like Vitamin C, antioxidants, and magnesium can limit side effects like jaw clenching and muscle spasms.

MDMA Tolerance

Repeated or high-dose MDMA use can lead to tolerance, depressive symptoms, and cognitive deficits (including memory loss). Repeated binging may lead to dependence and increased withdrawal symptoms due to repeated increases and decreases of serotonin.

Is MDMA Dangerous?

Pure MDMA can impact body temperature regulation. Vigorous dancing in a humid venue can cause body temperate to rise to dangerous levels, which may cause more severe health conditions, including respiratory collapse.

How Long Does MDMA Stay in Your System?

MDMA can be detected in your blood for two days after usage, in urine for up to four days, and your hair for up to 30 days. MDMA is generally not tested for in the five-panel drug test used by employers, but it will show up in the results.

The Long, Strange History of MDMA

MDMA—the chemical name is 3,4-Methyl​enedioxy​methamphetamine—was first synthesized in Germany in 1912 by Merck as it was looking into blood-clotting medication. The company didn’t pursue clinical research or pharmacological applications, and the first studies in animals didn’t take place until 1927.

The Extent of MDMA Use in the U.S

According to NIDA, MDMA is predominantly used in the U.S. by males between the ages of 18 and 25. LGBT men and women are more likely to have reported ecstasy use in the past 30 days. Overall, according to the 2020 National Survey of Drug Use and Health:

How MDMA Works

MDMA primarily functions by releasing the neurotransmitters serotonin, dopamine and norepinephrine and/or blocking their reuptake. The effects begin about 30 to 60 minutes after taking a dose and typically last for three to six hours. Many recreational users will take additional doses to extend the effects.

Dangers of MDMA

Strict overdoses—that is, someone dying after taking more than a “normal” amount of MDMA—are rare, but they do happen. For instance, in 2017 a law student in the U.K. attending a music festival died after taking 2.3 grams of MDMA—some 20 times the “normal” recreational dose of 75 to 125 mg.

Common Adverse Effects of MDMA

The most common cause of MDMA-related emergencies and deaths is hyperthermia, or heatstroke. A normal dose of MDMA raises body temperature by about one degree and inhibits the body’s ability to regulate temperature.

Is It Even MDMA?

A considerable danger in MDMA use is that pills or powder sold as MDMA, ecstasy or Molly are often cut with other substances unknown to the user or contain something else entirely. In addition, the amount of MDMA in a single pill can vary widely. Last year a tablet circulating in the U.K.

Addiction and Long-Term Effects

Research isn’t conclusive as to whether MDMA is addictive, though it does influence some of the same brain mechanisms associated with addiction in other drugs.

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