I don't think it's advisable to use any form of recreational drug when one is on medication.
This FAQ is on MAOI's (Aurorix, a commonly used anti-d for ADHD in Australia)
I actually quit my Aurorix as it was a chocie of either them or eccies. (I have ADHD)
http://www.paihdelinkki.fi/english/faq/faq_aineet_11e.htm
What are the risks of combined use of ecstasy and antidepressants?
In drug user circles there are different views on how the effects of drugs could be enhanced. According to one of these views, boosters i.e. antidepressant medicines (especially the MAO (monoamine oxidase) enzyme inhibitor Aurorix) would strengthen the effect of ecstasy. However, the combination of the two has proven fatal, as it easily induces a state of poisoning known as serotonin syndrome which can lead to death.
In Finland, the deaths related to the use of ecstasy have been caused precisely by the combined use of ecstasy and antidepressants. The use of boosters in connection with ecstasy and other amphetamine derivatives is, in other words, a lethal combination and one you should not try.
The effects of ecstasy are caused by the body’s neural transmitters. Ecstasy releases monoamines from the nerve endings of the brain and inhibits their reuptake. A large amount of transmitters, especially serotonin, that is released into one’s system causes the desired effects in the user’s central nervous system, while at the same time depleting the monoamine stores of the body.
What happens when the amphetamine derivative ecstasy is combined with the antidepressant Aurorix?
The synaptic cleft is a place between two neurons where nerve impulses are transferred from one nerve cell to another via the transmitter. Ecstasy adds dopamine and serotonin into the cleft from the nerve endings of the brain while and at the same time blocking the exit pathway of the synaptic cleft. Simultaneously, the MAO inhibitor Aurorix prevents the functions of the enzymes that destroy both serotonin and amphetamines, eliminating the last possibility the body has to fight the serotonin flood.
In other words, when the two substances are used simultaneously a risk of death is present. As the amount of amphetamine increases in one’s system (“taps into the synaptic cleft opened”), the Aurorix prevents the functions of the MAO enzyme (set to destroy serotonin and amphetamines) and blocks the exit pathway of the synaptic cleft (“exit plugged”). Extreme caution should be taken with boosters.
The risks of ecstasy:
Ecstasy should not be used often because one’s transmitter stores require time to replenish. A constant depletion could lead to depression. The view that antidepressants that raise serotinin levels would protect the serotonin nerves against the destructive elements of ecstasy has not been supported in studies. Ecstasy is a neurotoxin. As little as 20 times its use has been shown to decrease the user’s ability to remember, learn, think logically and deduce. Other possible side effects or risks from occasional use are panic, nausea or a state of confusion. Using ecstasy more frequently and in larger amounts increases the risk of long-term, possibly irreversible changes to the brain.
The experts:
Pekka Laine
Doctor of Medical Science, specialist in psychiatry, addiction medicine doctor, University of Oulu
Erkki Vuori
Professor, Department of Forensic Medicine, University of Helsinki
Sources:
Markowitz JS, Patrick KS. Pharmacokinetic and pharmacodynamic drug interactions in the treatment of attention-deficit hyperactivity disorder. Clin Pharmacokinet. 2001;40(10):753-72.