MDMA has a tendency to induce euphoria, a sense of intimacy with others, and diminished anxiety and depression.
* Psychological
o Disorientation and/or confusion
o Anxiety, paranoia, and/or panic attacks
o Hypervigilance or increased sensitivity to perceptual stimuli, accompanied by significantly increased threat detection
o Hypomania or
full-blown mania o
Derealization and/or depersonalization
o Hallucinations and/or delusions
o Thought disorder or disorganized thinking
o Cognitive and memory impairment potentially to the point of retrograde or anterograde amnesia
o Acute delirium and/or
insanity * Physiological
o Myoclonus or involuntary and intense muscle twitching
o Hyperreflexia or overresponsive or overreactive reflexes
o Tachypnoea or rapid breathing and/or dyspnea or shortness of breath
o Palpitations or abnormal awareness of the beating of the heart
o Angina pectoris or severe chest pain, as well as pulmonary hypertension (PH)
o Cardiac arrhythmia or abnormal electrical activity of the heart
o Circulatory shock or cardiogenic shock
o Vasculitis or destruction of blood vessels
o Cardiotoxicity or
damage to the heart o Cardiac arrest, myocardial infarction, and/or heart failure
o
Hemorrhage and/or stroke o
Severe hyperthermia, potentially resulting in organ failure
* Miscellaneous
o Syncope or fainting or loss of consciousness
o
Organ failure (as mentioned above)
o possible brain damage
o
Coma and/or death