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Contrary to common belief, Ecstasy and MDMA are not identical drugs. While both are forms of the same synthetic drug (MDMA), there are a couple of important differences between the two substances. Put in simple terms, one is a pressed tablet of MDMA and the other is “pure” MDMA that doesn’t need additional ingredients to get pressed into a pill. No matter the differences, both ecstasy and MDMA can be highly addictive and deadly. Here are all the important details you need to know, as well as the steps that can be undertaken to break MDMA dependence.
Are Molly, Ecstasy, and MDMA the Same Thing?
You may have heard of Molly, Ecstasy, and MDMA, but do you know what they are and why people use them? Molly is a slang term for the crystalline powder form 3-Methylenedioxymethamphetamine (MDMA). Ecstasy is a street name for tablets made with MDMA or other psychoactive drugs such as mescaline, methamphetamine, or LSD. Lastly, MDMA is an illegal stimulant that produces both hallucinogenic and energising effects. People take it to experience euphoria and increased levels of sociability.
What Is Molly?
Molly is a synthetic psychoactive drug with stimulant and hallucinogenic properties. It’s commonly referred to as Ecstasy or simply ‘Molly’ on the streets. Molly is a powder or crystalline form of pure MDMA. It can have serious side effects including dehydration, increased heart rate and blood pressure, insomnia, confusion, paranoia, depression, and anxiety. Taking it in its purest form can lead to an overdose of serotonin – causing death in extreme cases.
What Is Ecstasy?
Ecstasy, often referred to as ‘E’ or ‘X’ is an amphetamine-based stimulant with mild hallucinogenic properties. Ecstasy affects the body in many ways, including increased bodily temperature, distorting perceptions of time and distance, and intense physical pleasure. Although it has been popularised as a party drug due to its euphoric effects, Ecstasy can also have serious side effects such as anxiety attacks and paranoia. Long-term use can lead to permanent brain damage and even death.
What Is MDMA?
MDMA is a synthetic drug with stimulant and hallucinogenic properties. It was initially synthesised in 1912 for pharmaceutical purposes but has since become a popular recreational substance. MDMA causes increased feelings of pleasure and stimulation, heightened senses, enhanced sensory perception, altered moods, and a sense of euphoria.
It can be taken in various forms, such as:
- Pill form: Taken orally by swallowing the pill whole or crushing it into powder
- Liquid form: Dissolved into liquid and then consumed
- Crystalline form: Also referred to as “Molly”, it is ingested through snorting or smoking
- Smoking: Can involve using cigarettes or pipes to smoke the crystalline form
Why Do People Use Them?
People use MDMA and Ecstasy for their stimulant and hallucinogenic effects. Some users may find the ability to dance for long periods of time under the influence enjoyable. Others may find the experience spiritually enlightening. While these drugs can provide pleasurable experiences, they still carry potential risks that may be severe in some instances. Always do your research before taking any substance, and never mix drugs without consulting an expert first.
When Did Ecstasy and Molly Become Popular?
Since the 1980s, ecstasy and molly have become increasingly popular recreational drugs. MDMA was used recreationally for the first time in the 1970s. Ecstasy was initially used in psychotherapy sessions before making its way into nightclubs. In the mid-1980s, Ecstasy became a popular party drug used by ravers and clubgoers. Molly the crystal powder form of MDMA, gained widespread popularity in the early 2000s among electronic music fans. Both drugs cause feelings of euphoria, increased energy levels, and altered sensory perceptions when taken in moderate doses. They can, however, lead to dangerous consequences, including dehydration and overheating as well as seizures and other health risks.
What Are MDMA and Ecstasy Cut with?
MDMA and Ecstasy can be cut with other substance like:
- Caffeine, ketamine, methamphetamines, cocaine or other stimulants
- Painkillers like aspirin or acetaminophen
- Fillers including starch powder or talcum powder
Some of these fillers may contain contaminants or toxins that may be harmful if taken in large enough quantities.
Negative Effects of Ecstasy & MDMA on the Body & Brain
Consuming Ecstasy and MDMA can have serious adverse effects on your body and brain. Short-term risks include dehydration, dizziness, confusion, anxiety, sleep problems, and loss of appetite. There may also be an increased risk of seizures or other cardiovascular issues due to the drug’s stimulant properties. Long-term use can lead to depression, paranoia, memory loss and difficulty concentrating. Ecstasy has been known to be cut with other substances, such as bath salts, which can further increase these risks.
Addiction Treatment by The Providence Projects
At The Providence Projects, we provide specialised treatments for those struggling with addiction. Over our 25 years of experience treating people struggling with addiction, we have developed an array of therapeutic approaches that allow for comprehensive and holistic recovery programme development:
- Comprehensive assessments to identify underlying causes of addiction
- Cognitive Behavioural Therapy to help individuals learn healthy coping strategies for managing their cravings and triggers
- Support groups that foster community connection and mutual understanding among people who have gone through similar struggles
- Professional follow-up care to ensure long-term success in maintaining sobriety and quality of life going forward
The Providence Projects is dedicated to helping those affected by drug addiction find a healthier, more satisfying life path free from drug use. We offer hope and guidance through our compassionate, evidence-based methods that provide the tools needed to implement lasting change.

Paul Spanjar
Paul is passionate about high-quality addiction treatment and truly believes that, with the right treatment, anyone can recover.
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