If you want to be sure that your pill really contains MDMA and know in which dose the substance is present, use drug checking. If this is not possible, use only one third of the pill at first, as there are a lot of very high dose pills in circulation at the moment.
Do not add more right away, but wait two hours for the full effect and then decide.
Avoid mixed use with other substances.
Refrain from alcohol and drink enough non-alcoholic beverages. About 3 dl per hour is ideal. Isotonic drinks are best to avoid hyponatremia ("water intoxication").
Take breaks from dancing at parties and get some fresh air.
Do not wear headgear, except in strong sun (danger of overheating!).
Do not take MDMA right after a meal, but also do not take it on an empty stomach. It is recommended to have a light meal a few hours before.
Accept when the effect runs out. "Re-spiking" increases the toxicity (poisonousness) of MDMA.
Give yourself time to recover and take regular breaks (at least 4-6 weeks) to restore serotonin levels.
If you snort MDMA, follow the safe sniffing rules. When using rectally, use lubricant to minimize the risk of irritation in the rectum.
If you are taking medication, ask your doctor about possible interactions. If you are taking psychotropic drugs, the use of MDMA is strongly discouraged (risk of serotonin syndrome)!
MDMA can cause asthma attacks in asthmatics and epileptic seizures in epileptics.
People with high blood pressure, heart problems, hyperthyroidism, liver and kidney diseases or circulatory problems should refrain from using MDMA.
