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The effects of long-term MDMA use are just beginning to undergo
scientific analysis. In 1998, the National Institute of Mental Health
conducted a study of a small group of habitual MDMA users who were
abstaining from use. The study revealed that the abstinent users
suffered damage to the neurons in the brain that transmit serotonin,
an important biochemical involved in a variety of critical functions
including learning, sleep, and integration of emotion. The results
of the study indicate that recreational MDMA users may be at risk
of developing permanent brain damage that may manifest itself in
depression, anxiety, memory loss, and other neuropsychotic disorders.
MDMA stimulates the release of the neurotransmitter serotonin from
brain neurons, producing a high that lasts from several minutes
to an hour. The drug's rewarding effects vary with the individual
taking it, the dose and purity, and the environment in which it
is taken. MDMA can produce stimulant effects such as an enhanced
sense of pleasure and self-confidence and increased energy. Its
psychedelic effects include feelings of peacefulness, acceptance,
and empathy. Users claim they experience feelings of closeness with
others and a desire to touch them. Because MDMA engenders feelings
of closeness and trust and has a short duration of action, some
clinicians claim that the drug is potentially valuable as a psychotherapeutic
agent. However, MDMA is classified by Federal regulators as a drug
with no accepted medical use. 
Source: National Institute on Drug Abuse
NIDA Infofax 13547 and 13674
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