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  • EADD Moderators: Pissed_and_messed | Shinji Ikari

MDMA Urinary Retention & How to Avoid It

Sprout

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Oct 13, 2009
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Finding new lows.
Whilst the notion of MDMA making it almost impossible to urinate while under the influence will come as no shock to many, it seems there is a lack of any actual information within the community.
MDMA induces the relatively severe retention mainly due to its impact on a specific hormone, though a multitude of factors contribute, and as such it is possible to counteract the effect by reversing the induced changes.

The hormone affected is Anti-Diuretic-Hormone, which as the name suggests plays a large part in the physiological regulation of water levels and urine excretion. MDMA causes ADH levels to spike in the bloodstream, reducing the amount of water passing through the kidneys and excreted.
MDMA also induces a major increase in body temperature, dry mouth and extreme sweating - water is being lost from the body through the sweat, helping to reduce the hyperthermia. However, many users insist on drinking as much pure water as possible, in a misguided attempt to cool off and reduce toxicity.
This addition of large amount of fluid to what is, as a result of retention, now in effect a closed biological system results in the dilution of blood plasma, reducing the concentration of the ions which which are crucial for our survival to maintain. Namely, Sodium (Na+), Chloride (Cl-), Calcium (Ca2+) and Magnesium (Mg2+) control and regulate intracellular functions, neurosynaptic impulses responsible for conscious and unconscious control, not to mention the very capacity of muscle tissue to relax and contract (Rigor Mortis is a result of this).

The sweat pouring off the brow of the average raver also contains those valuable salts, every drop adds up, and the wiping away of it only causes the body to produce more, losing more fluid and salts.

Eventually, the body can no longer function, the simple maintenance of salt concentration has been altered, the muscles cannot be used, confusion, seizure, coma... death. This is what occurs in supposed cases of MDMA overdose and toxicity. Literal exhaustion of something as simple as a few charged particles.

Consuming an inhibitor of ADH alongside your MDMA is one of the simplest ways to avoid becoming tomorrow's front page due to sweating yourself into an embarrassing death on the sticky floor of a rave.

Alcohol is a potent inhibitor of ADH, which is what causes the absolutely relentless desire to urinate when drinking. It is difficult to give advice on dose/units for a multitude of reasons, but for most people 3 or 4 units of Alcohol is sufficient to have an impact on hormone levels without being too psychoactive/intoxicating. Unfortunately, many in the rave scene wrongly believe Alcohol to be the worst thing to combine with MDMA, alongside simply not wanting to detract from the empathogen. This misinformation kills people.

It shouldn't come as a surprise that adding an anxiolytic intoxicant like Alcohol to MDMA can lead to even more questionable behaviour than either alone, this can be highly dangerous such as deciding to operate two tons of speeding metal. It can lead to less immediately lethal but still dangerous choices such as engaging in reckless/unprotected sexual conduct or police/medical attention for your own safety.


Stay safe
<3
 
drinking yer piss the next day contains a v high % of the active metabolites in MDMA - a free buzz...... if you can stomache it
 
I have never taken MDMA with out a few glasses of assorted booze before hand - to steady the ship. This, I think, is a British approach to lots of things!
 
This is a very useful tip! However, the problem I find is that I seem to go off drink (or any type of liquid for that matter) when on stims. However, on my last outing with 6-APB, I had no problems urinating on 150mg after a few beers.

I think a big part of this is keeping the dose reasonable too. Giving some new Canadian MD a whirl next Friday....going with 150mg initial with 100mg re-dose a couple of hours later and no more. Bought myself some milligramme scales too so I can at least measure out a limit.
 
I've usually had a bit to drink before taking MD and I can't say it helps me piss. I kinda think being hyper and not being able to relax has as much to do with it as any anti-diuretic chemicals. I find it more of an issue when out and on MD than at home. I've actually taken MD at home before and had to piss like an incontinent mouse every 15 mins or so, and had no problems with starting.
 
Of course one should opt for non-psychoactive means if urination is simply difficult.
It's more the downing of water than the effect of alcohol that is important to illuminate - only one of them makes the problem worse and unfortunately it's easy to see why people choose it.

<3
 
Gonna bump this given the sheer number of people who use MDMA at NYE celebrations.
There is also a questionable batch of pills floating around, see the Regional Pills Discussion for pics and information.

Stay safe guys.
<3
 
I wonder why I missed this when you first posted since I practically glued to BL n imusually don't miss q thing. It's interesting what you mention aboit alcohol containing a hormone that does oposite to what MDMA does in that instead of making urinatiom difficult it makes urination more likely as well as the need.

Althoiugh I've never taken MDMA (Treacle, please don't be annoyed at me for posting as I just wish to help :) ) I have been told that people get dehydrated while on it, not sure whethet this is due the drug aiding dancing or prorrties of the drug. In any case alcohol is known to cause dehydration so thus surely not a goof idea to take togethet? One also previoisly been used therapeutically as an antidepressant, alcohol a deressant?

Of course I may be talking utter nonsense n if I am please tell me as I don't wish to spread misinformation. But, on reading this I'm playing devil's advocate n askinh what I assume others will ask for clarification more than anything.

Evey
 
I find that having some of those isotonic sport drinks to be a great help if you have been dancing/sweating for a long time - I know not all clubs sell these but some of the bigger events do.

Getting cramps can be an early indicator that your salt levels are getting messed up so could be a time for a break and taking on fluids.

Great post Sprout :)
 
I find that having some of those isotonic sport drinks to be a great help if you have been dancing/sweating for a long time - I know not all clubs sell these but some of the bigger events do.

Yup, always made sure to have some handy in my flat for, or after sessions if I was going out.

Although the mainstream isotonic sports drinks really don't have enough electrolytes in them. Still, much better than plain water in such circumstances.
 
I find my system to be odd. As Sham can attest I'm weird with chems that shouldn't be hard. Also, with MDMA I never did get thirsty. I come from a hot climate so I naturally drink a lot of fluid but when I used to take MDMA I didn't drink much at all. Less so than normal anyway. Mibbe I just drink a lot of water/fluid naturally.....
 
its a good point to be made. i think maybe magnesium powder and chamomile tea help to ease the vasoconstrictive properties of mdma. i think adding some to water could help to replenish some of the minerals being lost. ginger root is supposed to be good to reduce vasoconstriction as well i think, would help with stomach nausea as well.
 
hm
i think theres a discussion to be had here, or at least some clearing up of terms.
urinary retention means the inability to pass urine from the bladder. that assumes the urine is formed and stored in the bladder... so diuresis (urine production) is less relevant in this scenario...

i need to look some things up but i believe the urinary retention that people feel - the need to strain to pee - has more to do with muscle tone, similar to bruxism (jaw clenching). a lot of muscles in the pelvic floor need to relax for one to pee...

consequently, the advice for alcohol consumption might also stand, as it is also a vasodilatior and so a bit of a muscle relaxant
 
I find squatting like a girl, somewhere other than a boring toilet, helps ..... Sitting on a toilet seat, not so much.

Oh, God, how I'd love to refit my outside privy with a French-style squatting toilet ..... you know, the type they have in the motorway service stations and on the cheap campsites ..... maybe that should be my New Year's DIY project ..... One of them .....
 
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