PMID- 28693371 OWN - NLM STAT- MEDLINE DCOM- 20180420 LR - 20181021 IS - 1461-7285 (Electronic) IS - 0269-8811 (Linking) VI - 31 IP - 8 DP - 2017 Aug TI - Who is 'Molly'? MDMA adulterants by product name and the impact of harm-reduction services at raves. PG - 1056-1060 LID - 10.1177/0269881117715596 [doi] AB - Methylenedioxymethamphetamine (MDMA), often sold as 'Ecstasy' or 'Molly', is commonly used at music festivals and reported to be responsible for an increase in deaths over the last decade. Ecstasy is often adulterated and contains compounds that increase morbidity and mortality. While users and clinicians commonly assume that products sold as Molly are less-adulterated MDMA products, this has not been tested. Additionally, while pill-testing services are sometimes available at raves, the assumption that these services decrease risky drug use has not been studied. This study analyzed data collected by the pill-testing organization, DanceSafe, from events across the United States from 2010 to 2015. Colorimetric reagent assays identified MDMA in only 60% of the 529 samples collected. No significant difference in the percentage of samples testing positive for MDMA was determined between Ecstasy and Molly. Individuals were significantly less likely to report intent to use a product if testing did not identify MDMA (relative risk (RR) = 0.56, p = 0.01). Results suggest that Molly is not a less-adulterated substance, and that pill-testing services are a legitimate harm-reduction service that decreases intent to consume potentially dangerous substances and may warrant consideration by legislators for legal protection. Future research should further examine the direct effects of pill-testing services and include more extensive pill-testing methods. FAU - Saleemi, Sarah AU - Saleemi S AD - 1 Johns Hopkins University School of Medicine, Baltimore, USA. FAU - Pennybaker, Steven J AU - Pennybaker SJ AD - 1 Johns Hopkins University School of Medicine, Baltimore, USA. FAU - Wooldridge, Missi AU - Wooldridge M AD - 2 Healthy Nightlife, LLC, Denver, USA. FAU - Johnson, Matthew W AU - Johnson MW AD - 3 Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, USA. LA - eng PT - Journal Article DEP - 20170710 PL - United States TA - J Psychopharmacol JT - Journal of psychopharmacology (Oxford, England) JID - 8907828 RN - 0 (Pharmaceutical Preparations) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - *Drug Contamination MH - *Harm Reduction MH - Humans MH - N-Methyl-3,4-methylenedioxyamphetamine/*analysis MH - Pharmaceutical Preparations/*chemistry OTO - NOTNLM OT - Ecstasy OT - MDMA OT - Molly OT - harm reduction OT - pill testing EDAT- 2017/07/12 06:00 MHDA- 2018/04/21 06:00 CRDT- 2017/07/12 06:00 PHST- 2017/07/12 06:00 [pubmed] PHST- 2018/04/21 06:00 [medline] PHST- 2017/07/12 06:00 [entrez] AID - 10.1177/0269881117715596 [doi] PST - ppublish SO - J Psychopharmacol. 2017 Aug;31(8):1056-1060. doi: 10.1177/0269881117715596. Epub 2017 Jul 10.