PMID- 10030068 OWN - NLM STAT- MEDLINE DCOM- 19990504 LR - 20190516 IS - 0034-8910 (Print) IS - 0034-8910 (Linking) VI - 32 IP - 5 DP - 1998 Oct TI - [Ecstasy: a pharmacological review]. PG - 487-95 AB - A literature review on 3,4 methylenedioxymethanphetaneine (MDMA), known as ecstasy, a drug with increased use among youngsters is presented. The history from its synthesis, up to its use as an adjunct to psychotherapy and, more recently, as a drug of abuse, is described. The possible pattern of abuse in several countries is reviewed with the objective of predicting what might happen in Brazil, where some reports of abuse have already appeared. The pharmacokinetics of MDMA is also reviewed to explain the consequences for pharmacological activity, toxicology and adverse effects. The clinical outcome of both short and middle-term intoxication is summarized and the clinical symptoms of severe intoxication with ecstasy, are described. The studies undertaken on its mechanism of action are detailed to explain its toxic psychiatric and physical side effects, to explain the mechanism of self-administration of the drug and to propose a therapeutic possibility of treating intoxication. FAU - Ferigolo, M AU - Ferigolo M AD - Laboratorio de Farmacologia da Fundacao Faculdade Federal de Ciencias Medicas de Porto Alegre, RS, Brasil. FAU - Medeiros, F B AU - Medeiros FB FAU - Barros, H M AU - Barros HM LA - por PT - English Abstract PT - Journal Article PT - Review TT - "Extase": revisao farmacologica. PL - Brazil TA - Rev Saude Publica JT - Revista de saude publica JID - 0135043 RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Hallucinogens/*pharmacology MH - Humans MH - N-Methyl-3,4-methylenedioxyamphetamine/*pharmacology MH - Substance-Related Disorders RF - 49 EDAT- 1999/02/25 00:00 MHDA- 1999/02/25 00:01 CRDT- 1999/02/25 00:00 PHST- 1999/02/25 00:00 [pubmed] PHST- 1999/02/25 00:01 [medline] PHST- 1999/02/25 00:00 [entrez] AID - 10.1590/s0034-89101998000500014 [doi] PST - ppublish SO - Rev Saude Publica. 1998 Oct;32(5):487-95. doi: 10.1590/s0034-89101998000500014.