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MDMA is a synthetic drug that acts as both a stimulant and a hallucinogen. It produces an energizing effect, alters time and perception, and enhances sensory experiences. The term “Molly”—short for “molecular”—refers to the crystalline powder form of MDMA, typically sold as a powder or in capsules. While some believe Molly is free of the contaminants often found in ecstasy, this is a misconception. Chemical analyses have shown that substances sold as Molly frequently contain other chemicals. For example, in 2013, epidemiologists in Washington and Florida reported that Molly was often methylone, a synthetic stimulant found in “bath salts.” By 2015, ethylone had largely replaced methylone as the primary substitute. When taken in tablet or capsule form, the effects generally begin after about 45 minutes. A typical dose ranges from one to two tablets, with each containing between 50 and 150 milligrams of MDMA.

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Commonly known as ecstasy, MDMA has played a central role in the British acid house, rave, and dance club scenes over the past two decades. However, data from the annual British Crime Survey suggests that ecstasy use has declined since 2001. This decline has unfortunately coincided with a significant reduction in the harm reduction services, information, and support that were pioneered by the Safer Dancing model in the mid-1990s.

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As a drug that acts as both a stimulant and a psychedelic, MDMA alters mood and perception. It produces feelings of increased energy, pleasure, emotional warmth, and distorted sensory and time perception. Typically consumed in a tablet or capsule, its effects last approximately three to six hours. The average reported dose is one to two tablets, containing between 60 and 120 milligrams of MDMA. It is relatively common for users to take a second dose as the effects of the first begin to fade. Chemically, 3,4-methylenedioxy-methamphetamine (MDMA) shares similarities with both stimulants and hallucinogens.

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MDMA seized in the United States is primarily synthesized in Canada and, to a lesser extent, the Netherlands. Additionally, a small number of illegal laboratories operate within the United States to produce the substance.