PMID- 16816548 OWN - NLM STAT- MEDLINE DCOM- 20060929 LR - 20180614 IS - 1648-9144 (Electronic) IS - 1010-660X (Linking) VI - 42 IP - 6 DP - 2006 TI - [Ecstasy toxicity]. PG - 519-23 AB - The substance, 3,4-methylenedioxymethamphetamine (MDMA) or ecstasy, is an amphetamine derivate. A mistaken belief that it is a safe drug of low toxicity and a long duration of action has led to its widespread popularity among teenagers and young adults in recent years. Unfortunately, ecstasy use has increased to epidemic proportions. In this review article pharmacokinetics and pathophysiology of MDMA, general medical adverse effects, cardiovascular effects, serotonin syndrome, hyponatremia, neurologic effects, hepatotoxicity, and long-term neuropsychiatric effects, clinical features of toxicity, prehospital and emergency department care problems, and mortality/morbidity, prophylactic advices are discussed. FAU - Reingardiene, Dagmara AU - Reingardiene D AD - Clinic of Intensive Care, Kaunas University of Medicine, Eiveniu 2, 50009 Kaunas, Lithuania. LA - lit PT - English Abstract PT - Journal Article PT - Review TT - Ekstazio toksiskumas. PL - Switzerland TA - Medicina (Kaunas) JT - Medicina (Kaunas, Lithuania) JID - 9425208 RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Cardiovascular Diseases/chemically induced MH - Emergencies MH - Hallucinogens/*adverse effects/pharmacokinetics MH - Hospitalization MH - Humans MH - Hyponatremia/chemically induced MH - Liver/drug effects MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects/pharmacokinetics MH - Neurotoxicity Syndromes/etiology/physiopathology MH - Psychoses, Substance-Induced/etiology MH - Serotonin Syndrome/chemically induced MH - *Substance-Related Disorders/drug therapy/epidemiology/mortality/physiopathology/prevention & control MH - Time Factors RF - 26 EDAT- 2006/07/04 09:00 MHDA- 2006/09/30 09:00 CRDT- 2006/07/04 09:00 PHST- 2006/07/04 09:00 [pubmed] PHST- 2006/09/30 09:00 [medline] PHST- 2006/07/04 09:00 [entrez] AID - 0606-12l [pii] PST - ppublish SO - Medicina (Kaunas). 2006;42(6):519-23.