TY - JOUR PY - 2011// TI - Morbidity associated with MDMA (ecstasy) abuse - A survey of emergency department admissions JO - Human and experimental toxicology A1 - Halpern, Pinchas A1 - Moskovich, Jenny A1 - Avrahami, Beni A1 - Bentur, Yedidia A1 - Soffer, Dror A1 - Peleg, Kobi SP - 259 EP - 266 VL - 30 IS - 4 N2 - Methods: We conducted a prospective, representative-sample nationwide study on morbidity related to 3,4, methylenedioxymethamphetamine (MDMA; 'ecstasy') as determined from admissions to 5 geographically representative emergency departments (EDs) and from data from the poison information center (PIC). MDMA-related ED admissions were analyzed over a 7-month period and the records of all PIC calls were reviewed. Results: There were 52 (age 15-44 years, 32 males) ecstasy-related ED admissions during the study period. Most (68%) admissions presented to the ED at night, 52% on weekends and 44% consumed the drug at clubs and parties. Forty-six percent of the patients took between 1/2 to 3 tablets and 29 patients (56%) had taken ecstasy before. Twenty-two subjects (42%) reported poly-drug use. Fifteen subjects (29%) required hospitalization, six of them (11%) to the intensive care unit. The most common manifestations were restlessness, agitation, disorientation, shaking, high blood pressure, headache and loss of consciousness. More serious complications were hyperthermia, hyponatremia, rhabdomyolysis, brain edema and coma. Conclusion: The image of ecstasy as a safe party drug is spurious. The results of this study confirm that the drug bears real danger of physical harm and of behavioral, psychological and psychiatric disturbances.

Language: en

LA - en SN - 0960-3271 UR - http://dx.doi.org/10.1177/0960327110370984 ID - ref1 ER -