MDMA

Safer Use

• MDMA is usually contained in ecstasy pills. However, these do not always consist only of MDMA, but sometimes also of other substances such as mephedrone, methylone, m-CPP or other substances. The interactions – especially with MDMA – have hardly been researched.
• Ecstasy tablets are often very high doses. If no drugchecking is possible, you should therefore not take more than a third of the tablet as the first dose.
• Avoid mixed consumption. Alcohol and MDMA do not go together, speed interferes with the spectrum of MDMA!
• The combination of MDMA and MAO inhibitors/antidepressants extremely increases the serotonin concentration in your brain. This can lead to seizures (epileptic fits) and circulatory collapse. A mixed consumption of MDMA and MAO-inhibitors leads to a slower breakdown of MDMA in the body and thus also to a possibly life-threatening MDMA concentration.
• Do not use more often than every 6 weeks, otherwise your serotonin level will not be able to replenish itself and depression may occur.
• You should only consume MDMA with people you know well and trust. Only take MDMA if you are well
• When dancing, do not forget to ensure that you have a sufficient supply of liquid. Otherwise there is the danger of dehydration.
• Persons with the following physical complaints should not use ecstasy under any circumstances: asthma, diabetes, epilepsy, high blood pressure and cardiovascular disorders. Mentally unstable persons are urgently advised not to use ecstasy.
• Certain interactions with drugs represent a particularly high health risk. In general, any kind of drugs should be avoided when taking the necessary medication.
• You feel like you’re consuming too much? The drug counselling centre near you will be happy to help you!

Safer Sex

• MDMA can reduce inhibitions and increase the willingness to have risky sex. Not having safe sex increases the risk of HIV and other sexually transmitted infections.
• MDMA makes it more difficult to get / hold and/or spray off a stand. The combination with Viagra (“Sextasy”) solves this problem for some people – caution: the heart is doubly burdened. On the other hand, this can lead to a permanent erection (after a few hours this leads to damage to the tail – always seek medical help).
• Sex and drugs only work if there is mutual agreement and trust. Clarify in advance which sex practices you both want and which not.
• Consume only so much that you can defend yourself or still recognize the defensive signals of your partner.
• Before getting down to business, make sure you have enough safer sex paraphernalia (gloves, condoms, lubricant) ready.
• Watch your body! If you see anything unusual, see a doctor immediately. Have yourself tested for sexually transmitted infections and vaccinated against hepatitis A/B every 6 months with different sex partners.

HIV & MDMA

• Take drugs and HIV medication at staggered intervals. This may reduce interactions somewhat.
• Dose drugs while taking medication always low. Often the night will be long – take enough drugs with you and keep your dosing schedule.
• Talk to your doctor about the interaction of your HIV drugs with intoxicants! Taking protease inhibitors (especially Norvir) / NNRTIs and MDMA/Ecstasy can lead to life-threatening amounts of MDMA in your blood!
• You can find information on the interaction of substances and HIV drugs in German here.