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MDMA has a variety of street names, the most famous is ‘ecstasy’. In pill form it is normally named by the stamp it has on the tablet. Popular names have included Doves, Mitsubishis and Apples. Sometimes they are referred to by colour. MDMA crystals can be brown or pink in colour. Since ecstasy is synthesised in laboratories, its purity can vary substantially from lab to lab, and other compounds are easily combined into the same tablet. The nerve pathway that is predominantly affected by MDMA is called the serotonin pathway. Serotonin is a neurotransmitter that is synthesised, stored, and released by specific neurons in this pathway. It is involved in the regulation of several processes within the brain, including mood, emotions, aggression, sleep, appetite, anxiety, memory, and perceptions.
Some studies have suggested that ecstasy has no long-term impact on the levels of the neurotransmitter serotonin in the brain, while others have suggested that it leaves clubbers feeling depressed and unable to concentrate. Studies on animals show damage to neurons but how it exactly does this is not fully explained.
Ecstasy is often used to refer to MDMA in the tablet or capsule form, which is the most common way people take the drug.
Many ecstasy tablets contain not only MDMA at different concentrations, but also a number of other drugs or drug combinations that can be harmful. Adulterants found in ecstasy tablets purchased on the street have included methamphetamine, the anesthetic ketamine, caffeine, the diet drug ephedrine, the over-the-counter cough suppressant dextromethorphan, heroin, phencyclidine (PCP), and cocaine.