MDMA: History and lessons learned Part 2
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According to 2021 data, tablets and powders/crystals share the EU MDMA market equally, with some variability among countries in terms of preference for either ecstasy tablets or MDMA powders/crystals (see Figure 6.1. Distribution of usual MDMA forms across countries). In the Netherlands, in 2022, the price of 1 kilogram of (locally produced) MDMA crystals was reported at EUR 2 300, whereas 1 litre of MDMA oil (which can be converted into crystals or powder, and subsequently ecstasy tablets) was reported at EUR per litre. For the six countries that reported data for 2022, prices for tablets varied from EUR 733 to EUR 7 228.

MDMA use can lead to dangerous levels of hyperthermia and dehydration – often exacerbated by the environments in which it is commonly consumed, such as crowded nightclubs or music festivals. While the population of Brussels is larger than that of Stockholm, the amount of MDMA consumed is almost 30 % higher in Stockholm. Estimates based on wastewater data for MDMA were noted to be more than double the amount estimated by the demand-based estimate. In a study commissioned for this analysis, wastewater estimates were found to give different results, either higher or lower, than demand-based estimates, depending on the drug concerned.

While individual tablet weight cannot be a direct predictor of how much MDMA is present in each tablet, at population level this trend is consistent when comparing larger ecstasy tablets (almost always containing more MDMA) with smaller tablets (almost always containing less MDMA). This means that consumers buying ecstasy tablets in Europe in 2019 would obtain a product containing up to almost double the highest amount of MDMA recorded in ecstasy tablets in 2011. In Australia, in January 2024, potent opioids of the nitazene family were found in brightly coloured tablets with logos reminiscent of ecstasy tablets. In tablets, adulterants typically include stimulants and MDMA-type substances – other phenethylamines with comparable subjective effects, such as MDA (3). Caffeine is the adulterant most commonly found in ecstasy tablets as well as in MDMA powders and crystals. Adulteration appears to be more frequent in ecstasy tablets than in MDMA crystals.
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Given the option, it is clear that people who use MDMA and other drugs will embrace harm reduction approaches, and support their development. Harm reduction is not a principle that policy makers will need to force upon people who use MDMA or other drugs in nightlife and party settings. Significant numbers of people not only like MDMA’s effects and are willing to take known risks (health and legal) to enjoy them, but they seem to prefer it to most available substitutes. Perhaps most obviously it demonstrates, yet again, the futility of putting enforcement, targeting either people who use or supply, at the forefront of the policy response to drugs. The EMCDDA also reported in 2019 that ‘transactions involving quantities of MDMA tablets buy mdma indicative of the middle level of the market account for more than double the revenue of sales of retail-level quantities’.
MDMA rarely cited as a reason for entering drug treatment in Europe
Consumers in the Netherlands will typically pay EUR 4.50 per tablet but, as stated above, prices may reach as high as EUR 19 buy mdma per tablet in some European countries, and more in other regions of the world. According to Dutch Police, these tablets are sold to distributors at EUR 0.59 per unit (2022 values), who in turn re-sell them at EUR 1.78 each (for quantities above 99 tablets). The subsequent drop in MDMA content in tablets since 2019 does not appear to have been accompanied by a significant drop in price. In 2021, adult respondents to the EWSD reported paying a median of EUR 7.20 per ecstasy tablet and a median of EUR 37.40 per gram for MDMA powder. (a) In clinical trials, doses of MDMA capable of producing subjective effects vary from 1.5 to 1.7 mg/kg of body weight, or approximately 105 to 119 milligrams for a 70-kilogram individua


That said, with repeated use, it becomes difficult, if not impossible for users to experience the same effects they did when they first started. MDMA also known by the street name of "ecstasy" is a synthetic drug with both stimulant and hallucinogenic properties. In the worst cases, a fake pill may contain drugs or chemicals that could harm you. This organization verifies Internet drugstores throughout the United States and most Canadian provinces. (2) Data reported to the Trans-European Drug Information project (TEDI) by drug-checking services in Austria, Belgium, France, Italy, Luxembourg, Portugal, Slovenia and Spain.
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Surrey Young People’s Substance Use Service
Smaller numbers of respondents buy mdma also reported using the darknet (13 %) and social media (7 %). The products had a net weight of approximately 20 grams each and contained between 130 and 176 milligrams of MDMA, evenly distributed inside the lollipops. In recent years, the appearance of alternative (non-tablet) edible consumer products containing MDMA has also been reported, including candies, jellies, gummies and lollipops (see Box 6.1. Lollipops containing MDMA seized in Belgium). More rarely, almost pure MDMA base in liquid form has been sold to consumers, which represents a serious health risk (Drugs Information Monitoring System [DIMS], 2022). Additional data were shared with the EUDA by the Drug information and Monitoring System (DIMS) in the Netherlands.
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