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Cohen RS. 
“Adverse symptomatology and suicide associated with the use of methylenedioxymethamphetamine (MDMA; 'Ecstasy')”. 
Biol Psychiatry. 1996 May 1;39(9):819-20.
Numerous complications have been commonly reported to occur following MDMA consumption. Tachycardia, hypertension, elevated body temperature, nausea, vomiting (Downing 1986), and pupillary dilation are sympathomimetic symptoms that occur soon after ingestion. There are idiosyncratic psychiatric and psychological disturbances that manifest as a consequence of MDMA intake including anxiety, panic attacks, paranoia, flashbacks, hallucinations, depersonalization, rage, depression, and suicidal ideation (Hayner and McKinney 1986). MDMA has also been associated with several fatalities within the past decade. Lethal organic complications that have accompanied MDMA ingestion include acute renal failure, disseminated intravascular coagulation, rhabdomyolysis, heart failure, convulsions, and hemorrhage (Henry et al 1992). The following cases report adverse psychiatric and organic consequences following MDMA ingestion.
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