Description
Ecstasy is an amphetamine and takes effect 30 minutes after oral intake. Symptoms include anxiety and increased heart rate, followed by euphoria and relaxation. Users report increased sensory tactile enhancements and mild visual distortions. Symptoms usually resolve after 3-4 hours. Ecstasy toxicity has been associated with seizures, abnormalities of heart rhythm, heart failure, stroke, and kidney failure and/or liver failure.
Symptoms
Anxiety, increased heart rate, jaw clenching, blurry vision, euphoria, increased communication, sensory tactile enhancement, seeing halos, seizures, confusion.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Tests may be performed to rule out other causes of the symptoms, including urine and blood toxicology tests.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electrocardiogram (EKG), Troponin, Urinalysis (UA), X-ray
Other Specific Tests: Urine and serum toxicology screen
Specialists:
Pediatric and Adolescent Psychiatry, Addiction Psychiatry, Medical Toxicology, Addiction Medicine
Workup:
A history and physical exam will be performed. Tests may be performed to rule out other causes of the symptoms, including urine and blood toxicology tests.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electrocardiogram (EKG), Troponin, Urinalysis (UA), X-ray
Other Specific Tests: Urine and serum toxicology screen
Specialists:
Pediatric and Adolescent Psychiatry, Addiction Psychiatry, Medical Toxicology, Addiction Medicine
Treatment
Only supportive therapy is needed unless there is a serious toxicity. Treatment with intravenous fluids and sedatives (called benzodiazepines) may be necessary. Reversal of any organ damage may be needed. An addiction specialist can help the patient stop using the drug.