Mesial -
Since you haven't read enough of my posts to know:
My lifetime exposure to MDMA was only 30 tabs, but these were consumed within a year and a half.
Although most people have a much heavier use during their first year, mine occurred at the age of 28, after 9 years of being a regular cannabis user. This is a significant risk factor according to many papers.
It was my first 'mini-binge' that set me up for SS...I took 2.5 tabs two weekends in a row, plus another half the next day.
The last half probably did more damage than any of the others.
But it wasn't until I took a high dose of DPH (100mg) that I was pushed over the line.
In high doses benedryl inhibits the re-uptake of serotonin...and the combination of any two serotonergic substances is a risk factor for SS.
I do not believe I have an 'overly sensitive' system, but I do believe that this combination was particularly foolish.
Years of cannabis use, followed by MDMA use that goes WELL beyond recommended standards, and finally a euphoric dose of DPH.
I have done extensive research and I have NO doubt that I experienced Serotonin Syndrome, or serotonin toxicity, within 10 minutes of waking up the day after the DPH. This was 72 hours post-roll. While SS normally occurs very quickly after taking the offending drugs, acute reactions to MDMA have occurred 2-3 days after exposure - it is not so uncommon.
For the record, I visited two different ERs that week.
The first one treated me very poorly, literally acting annoyed at my 'anxiety' and only testing liver enzymes before sending me home. The second ER, a private hospital, took much better care of me - but still seemed to have little experience with MDMA patients. They gave me a sonogram to rule out liver damage, but sent me home with medication for ulcers. Hmm.
As my research continued, I discovered that patients with ailments of the GI combined with anxiety are remarkably difficult to treat. There are few medications to treat the serious cases and the connection between the gut and the brain is poorly understood. Even gastro-enterologists are amazed at the complexity - they refer to the intestines as a 'brain' itself.
As for strokes, treatment for TIAs is simple - low dose aspirin is thought to prevent further events. Since TIAs are a risk factor for more serious strokes later on, it is the only treatment. A smart doctor would also recommend changes in diet and exercise, as well as herbal anti-inflammatory options like turmeric.
More serious ischemic strokes can be treated if the patient arrives at the hospital quickly enough - as long as a clot hasn't completely shut off blood supply. Blood thinners can be given and sometimes surgery on neck arteries is required. More serious hemorrhagic strokes are difficult to treat.
In these more serious cases too often there is little that can be done.
By the time the patient has called 911, brain cells are already dying.
If the patient arrives with complete bilateral paralysis or blindness, there is little hope.
My knowledge on strokes comes not just from research.
My father-in-law has been an RN for over 20 years, with most of this time spent in ERs.
RNs are the front line in medicine, and he has been the leading RN for years.
He also consulted with actual doctors for me, if you care to know.
When I told him about my sudden loss of sensation in my arm and the other symptoms - he agreed that I probably had a stroke.
Then he agreed with my decision not to go to the hospital.
He explained what limited treatment options there were, and his final judgement was that - "As long as you have regained sensation and motor control, there is no need to go in and waste your money. If you want to see what REAL stroke patients look like, go to a rehabilitation hospital. They are packed with 'em."
He agreed that a TIA is likely what occurred and that they are not normally debilitating - but they can be scary as hell.
29 year old do NOT typically have strokes, but once you approach 40 it is fairly common - esp. for smokers/drinkers.
By old age, the risk for stroke goes up every year you are alive.
He pointed out that back around 2000, when MDMA use was exploding and ERs were getting a LOT more visits - he saw several patients 'expire' due to stroke after MDMA use. There is a long list of complications that occur first, hyponatremia being the most significant as it puts pressure on the brain!
He also said that methamphetamine users have them more frequently - even during RECOVERY.
So he agreed that
abstinence from a stimulant can also bring on changes in cerebrovasculature.
Both METH and Coke users are known to experience stroke, both during use and during withdrawal.
For MDMA it is less common, but not impossible.
I never said that cannabis use increases risk of stroke, but it does increase glutamate to very unpleasant levels upon discontinuation in heavy users. Weed-withdrawal can be quite unpleasant for the habitual smoker, and the onset of symptoms are so delayed (10-14 days) that the person is typically unaware of the cause. Also, cannabis can cause changes in the morphology (shape) of the PFC and it is suspected that the brain recruits other neural circuits to compensate. This is one of the possible causes of increased psychopathology among heavy cannabis users that take MDMA.
But rest assured, Mesial, cannabis does alter the brain. The longer you smoke it for, the longer it will take to regain short-term memory and executive function. While the changes are normally well-tolerated, the lasting effect is easy to detect during abstinence. After 10 years of use, it takes over a year for cognitive function to return to baseline.
After 30 years, it never returns. Of course, by then these people are in their 50s and have spent a lifetime being high. It should be no surprise that they have permanently altered their brains.
BigSherm -
I have spent nearly a year contributing to this site.
Nearly all of my posts are very long and detailed, not single line entries like your own.
While some of my posts repeat what others have said, the 'basics' that I provide are pretty damn solid.
I have had hundreds of emails going back and forth that are not visible on the boards.
At least 20-30 different people suffering consequences from MDMA use have found their way to my inbox.
Some of the have stayed with me nearly all year, while others have had brief conversations.
But they are all VERY thankful for the information I provide, because all they get from other BLers is useless statements like - "Your serotonin is too low." or "Your pills were cut with something."
The attitude about the toxicity that is WELL documented in research is pretty astounding on BL.
The 'basic' findings in research may be difficult to understand, but there is no excuse for users of MDMA to reference example of HEAVY repeat MDMA users that suffered
no consequences.
This type of attitude is dangerous to the community and especially to the thousands, and eventually millions, of young users that will read what is written here.
The 'arrogance' of youth needs to be tempered - but too many of those that have suffered serious consequences from MDMA are simply incapable of doing what I do. They are either too busy recovering or they are uninterested in trying to convince people that the most amazing drug in the world is also dangerous.
So here I am - determined to help those who need it, and perhaps to prevent a few people from needing help.
"Paranoid wreck" is a pretty weak statement, as is "Fuck off".
I have only been opposed a few times on BL and ALL of them did a better job than that.
I assure you - you do NOT want to get in an ongoing conflict with me.
Others have been exhausted by me, including a former mod (socalthizzn), who only recently showed his face again.
Actually, I don't know why he left - but he seems to think I went away for a similar reason.
This is my attempt to set the record straight...he had
nothing to do with my temporary withdrawal from the site and I welcome debate from him ANY day of the week. He never even really opposed me, but he took a ridiculous and partial stance in the last and only major argument I was drawn into.
It is important to note that this conflict was resolved and both parties (chitownrollin and mastersplinter) seem to get along just fine with me. No longer are they bothered by my presence or my strongly worded posts. You should join the club, BigSherm.
Here you are, reading a thread about 'head pressure' from smoking weed after the FIRST roll.
And you just couldn't help yourself...
While the OP is most certainly NOT experiencing a stroke, my bringing it up is somehow threatening and irritating to other MDMA users.
This thread reveals a rather remarkable incident - one that indicates that a SINGLE use of MDMA can result in alterations to blood flow in the brain!
I am not 'paranoid', but you most certainly are
arrogant.
Maybe ignorant is the better term - perhaps you don't mean to enter threads like this to belittle the effects the OP is experiencing. Perhaps you simply fail to pick up on their significance.
News flash:
Head pressure from smoking weed after ONE use of MDMA is a BIG deal.
While contaminants MAY be the cause, we do NOT know that for sure.
We DO know that MDMA causes this problem in OTHER people.
And there is a LOT more information on MDMA and cannabis.
Have some of it:
Cerebral Vascular Accident in a young male taking MDMA.
http://www.springerlink.com/content/52xw70x2q127027h/
Cannabidiol, a non-psychoactive component of cannabis, has a modest affinity for the 5-HT1a receptor and possibly 5-HT2a.
http://www.springerlink.com/content/y132n82436n8086v/
Self-reported psychological problems are closely correlated to the combination of MDMA and regular cannabis use.
Here's another -
http://www.springerlink.com/content/vr8cc8rh2m1pd8j4/
Marijuana results in lowered serotonin and nor-epinephrine levels in teenagers.
http://www.sciencedaily.com/releases/2009/12/091217115834.htm
Low doses of marijuana increases serotonin, while large doses cause it to 'plummet'.
http://www.wired.com/wiredscience/2007/10/a-little-mariju/
I already posted these on another thread, but there are plenty of others.
Scholar.google.com and search for MDMA +cannabis +psychopathology.
Spend a few hours reading, then come back to have an intelligent debate.
Many papers call cannabis a 'confounding factor' while others say it is more than this.
Some researchers find that long-term use of cannabis is associated with greater problems from MDMA.
There are always opposing points of view and other research papers that provide seemingly contradictory data.
Only a determined reader can really understand the real trends seen in research - and it wouldn't be that hard to see that heavy/long-term use of cannabis + MDMA is a bad combination.
This thread suggests that a single dose of MDMA
might cause problems in certain heavy cannabis users.
Accept it for what it is.
