The Dangers of Mixing Alcohol and Ecstasy

Mixing the popular club drug ecstasy with alcohol can cause serious adverse reactions in users, including brain damage, organ failure and death. 

Alcohol

In small to moderate does, alcohol alone can be enjoyed safely by recreational users who are not predisposed to addiction.  A sense of euphoria, confidence and reduced inhibitions are the effects that many people find most desirable about alcohol. 

Long-term abuse of alcohol and frequent bouts of heavy drinking can have many negative effects on the user including:
  • Liver damage
  • Sleep disorder
  • Mood Changes
  • Death 

The Centers for Disease Control and Prevention (CDC) reported that there were nearly 26,000 alcohol-induced deaths in 2010, excluding accidents and homicides.  These staggering numbers suggest that alcohol use alone can have disastrous consequences. 

Ecstasy

Infrequent, recreational use of ecstasy by itself has a stimulant effect on the user and can enhance mood, reduce sensitivity to pain and create a sense of euphoria.  The drug is widely used in dance clubs and raves as a means to enhance the positive social and musical experience. 
Frequent abuse of ecstasy and ingestion of tainted ecstasy can cause severe consequences in users including:

·         Mood disturbances
·         Seizures
·         Dehydration
·         Death

The Substance Abuse and Mental Health Services Administration (SAMHSA) reported that there were over 2,000 ecstasy-related emergency room visits in the second half of 2003 in the United States.  Since then, the Drug Enforcement Agency (DEA) has indicated that there has been a steady increase in ecstasy use in the U.S., partly as a result of new versions of the drug marketed to club and party-goers. 

Ecstasy and Alcohol Overdose

Using ecstasy and alcohol simultaneously can be a deadly combination.  Alcohol acts as a central nervous system depressant and negatively impacts every organ in the human body when consumed in large quantities.  Alcohol overdose can occur when a user consumes more alcohol than the body can metabolize in a given period of time.  Alcohol overdose can result in:
  •  Coma
  •  Brain Damage
  •  Death 

The nature of ecstasy is such that users may not perceive how intoxicated they are or may underestimate the effect that alcohol is having on their body.  When under the influence of ecstasy the risk of overdosing on alcohol is elevated.  The relatively short-term stimulant effect of ecstasy can temporarily counteract the depressant characteristics of alcohol.  This can result in a rapid drop in blood pressure, heart rate and respiration when the stimulant effect of ecstasy wears off.  This can cause loss of consciousness, coma or death. 

Severe Dehydration

Ecstasy increases body temperature and rate of perspiration in users.  Because physical activity such as dancing usually accompanies ecstasy use, dehydration can occur due to excessive sweating.  An elevated body temperature increases the need for water intake, which is often limited when using ecstasy.   

Alcohol has a noticeable diuretic effect that causes users to sweat and urinate frequently.  The alcoholic impact on hydration levels alone are enough to cause dehydration.  Alcohol also causes a disruption in the regulation of body temperature.  This can result in fluctuations in body temperature during and after a drinking session.

Alcohol enhances the level of perspiration experienced during ecstasy use and increases the likelihood of severe dehydration and hyperthermia resulting from a disruption in regulation of body temperature.  These impacts of severe dehydration and hyperthermia caused by mixing ecstasy and alcohol include:
  •  Stroke
  • Organ Failure
  • Coma
  •  Death 

Severe Mood Disturbances and Suicide

Both ecstasy and alcohol abuse can have adverse effects on brain chemistry which can result in mood disturbances, depression and suicidal thoughts and actions.  Mixing ecstasy and alcohol can have such a profound impact on the regulation of neurotransmitters that users may experience severe mood swings and frequent bouts of depression and anxiety, which can ultimately lead to suicidal ideation.

Prevention of Health Consequences

The only way to completely prevent the consequences associated with mixing ecstasy and alcohol is total abstinence from both drugs.  This can be especially difficult for users who have developed a psychological or physical dependence.  Often the best course of action for those who wish to prevent the health consequences associated with ecstasy and alcohol use is inpatient drug treatment.


Inpatient drug treatment can help users safely detox in a drug and alcohol-free environment.  With the appropriate guidance and support that can be provided during inpatient treatment, users can commit to sobriety and gain the tools needed to live a healthy, drug-free lifestyle. 

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