Abstract

Ecstasy or 3, 4- methylenedioxymethamphetamine also called a club drug because of its use in “rave” parties has both stimulant and psychedelic effects. Stimulant effect which precedes psychedelic effect causes euphoria. In addition through release of oxytocin prosocial and empathic behavior as well as sense of intimacy is experienced. The psychedelic effect causes distortion of sensory perceptions. This drug is popular with adolescents and young adults and often associated with prolonged weekend “rave” parties. Its use causes depletion of serotonin which may cause depression and suicidal behavior. Depression may also be caused by “crash” from stimulant effect. With intoxication of ecstasy patient often experiences autonomic effects like elevated blood pressure, elevated temperature, cardiac arrhythmia, and panic attacks. In addition patient may experience headaches, vertigo, seizure and loss of consciousness. For intoxication treatment is supportive and symptomatic. There are no specific medications for its treatment. Psychosocial interventions like cognitive behavioral therapy, social and coping skills training and treatment of comorbid psychiatric disorder are very valuable options.