MDMA is an extremely damaging drug. When used irresponsibly...
Just like every other drug in existence
MDMA is an extremely damaging drug. When used irresponsibly...
I believe that it is to be expected that any drug which directly affects any part(s) of the brain may cause varying degrees of short and long term changes to those areas as well as indirect changes to other parts, functions or organs in the body and mdma is not exempt from that.
As an example:
Neuroleptics - tardive dyskinesia, neuroleptic malignant syndrome, type 2 diabetes
Antidepressants - sexual dysfunction, tardive dysphoria, akathisia
Benzodiazepines - memory impairment, depression, altered sleep cycles
Amphetamines - dopamine neuron damage, psychosis, possible cardiac damage
MDMA - memory impairment, depression
The bullshit that I'm noticing more and more however is that the term "brain damage" is conveniently tossed around, particularly when it comes to drugs with an abuse liability. And it seems that the opposite is the case when discussing antipsychotics, SSRIs, TCAs, MAOIs, etc.
Maybe it's just me.
Then, by all means, share the studies that made this brain damage clear. Lets make sure we specifically define "brain damage", as well. It would be best if the studies that you share used "moderate doses", as you said, and that they made at least a token effort to control for the countless other variables and to remove the "correlation/causation" question.
Repeated administration of MDMA causes transient down-regulation of serotonin 5-HT2 receptors.
The Acute and Chronic Effects of MDMA (“Ecstasy”) on Cortical 5-HT2A Receptors in Rat and Human Brain
Decreased social behaviour following 3,4-methylenedioxymethamphetamine (MDMA) is accompanied by changes in 5-HT2A receptor responsivity
Increased anxiety in rats after 3,4-methylenedioxymethamphetamine: association with serotonin depletion
You're welcome.
I get the feeling you just did a quick search and picked 4 articles at random. Did you even bother to read the abstracts? They very clearly don't say what you think they're saying, and even more so don't fit the category of "moderate doses" and "controlled for variables."
2) It says that this is a species-specific thing, and that rats and guinea pigs suffer, but mice are not effected by it.Pretreatment with the selective 5-HT uptake blocker, citalopram, prior to each injection of MDMA prevented the neurotoxic effocts of MDMA on the 5-HT parameters described
Although there is good evidence for a neurotoxic potential of MDMA in animals, there is a lack of studies investigating the potential neurotoxic effects of MDMA in humans (Boot et al. 2000).
MDMA users showed decreased global and regional brain 5-HT transporter binding compared with controls. Decreases in 5-HT transporter binding positively correlated with the extent of previous MDMA use.
But you are CONSTANTLY going around preaching from a moral high-horse about how dangerous MDMA is in any dose, peddling half-assed evidence to "prove" it.
That paper says that with a 5mg/kg dose, the change wasn't statistically significant, but for a 10mg/kg dose, it was a pretty big drop. They measured the levels 7 days after the dose. To relate the dosing to dosing for yourself, take your weight in pounds, divide by 2.2 to get your weight in kg, then multiply by the mg/kg dose to get the human dose in mg. For me, at 140 lbs, that would be 140/2.2 = 63.63kg * (5mg/kg or 10mg/kg) = 318mg or 636mg. So, the 5mg/kg is a big, but all that uncommon dose, and the 10mg/kg is a dose that would have most people laying in a puddle if their stuff was pure.There is this article, which shows that one single dose of MDMA results in a depletion of 5-HT (serotonin) and 5-HIA in the cortex and hippocampus one week later.
Q: Is this a type of "brain damage"? It seems to be considered equivalent, but I need more info. (Again, we need a definition of "brain damage").
Q: Was the dose very large? I can't tell.
If a lot of MDMA really messes with your brain, maybe a little just messes with it a little, as they found in this paper:
^ seemed rushed, but
anywho
notice how the priest got very effected by it, maybe alcohol abstinence?
id say the ex-sas guy probably drinks loads. "You know what i mean"
lol
Good to understand. Thank you.So, the 5mg/kg is a big, but all that uncommon dose, and the 10mg/kg is a dose that would have most people laying in a puddle if their stuff was pure.
But their stats seem to say that the sample size is sufficient, don't they?The levels of the "control" group are all over the chart - some are higher than the users, others are lower than the users. With data that variable, a much, much larger sample size is needed to draw any meaningful conclusions.
Our data do not allow conclusions about reversibility or permanence of MDMA-induced changes in brain 5-HT transporter. Although we found no correlation between the duration of abstinence and the extent of decrease in [11C]McN-5652 binding, MDMA-induced changes may be reversible. Sample sizes and various other factors could have contributed to the apparent absence of recovery.
Effects of Ecstasy and clinical MDMA
SIR – I was staggered to hear that Professor Andy C Parrott (Letters, October 8th) felt he was not given adequate airtime to express his opinions on Channel Four’s Drugs Live programme. I believe he was given too much exposure.
I am planning Britain’s first clinical study looking at using MDMA-assisted psychotherapy to treat Post Traumatic Stress Disorder. I was in the audience at Drugs Live, invited on the show to discuss my project. But I was never spoken to as the presenters repeatedly went back to Prof Parrott for his opinion about “the dangers of Ecstasy”. Perhaps Channel 4 was anxious about appearing soft on drugs.
Prof Parrott looks at recreational Ecstasy users and describes minute, sub-clinical neurocognitive changes in his subjects. Those of us who work with patients know that despite 25 years of Ecstasy use in Britain, with some 30 million doses of Ecstasy taken recreationally every year, the levels of mortality and morbidity from this drug remain very low indeed. The massive epidemic of casualties we were promised back in 1988 simply has not happened.
Prof Parrott demonises the medicine MDMA because he sees – quite rightly – that the illegal drug Ecstasy has its risks. But recreational Ecstasy is not the same thing as clinical MDMA. Clinical MDMA, carefully prescribed under supervised conditions, could alter the course of Post Traumatic Stress Disorder – a disorder that is desperately in need of novel and creative approaches to treatment.
Dr Ben Sessa
Consultant Psychiatrist
Bristol