Molecular Classification
Empathogen-entactogen, Stimulant, Psychedelic
Other Names
Ecstasy, Molly, Adam, XTC, N-methyl-3,4-methylenedioxyamphetamine, Methylenedioxymethamphetamine, (RS)-3,4-(Methylenedioxy)methamphetamine
Disease Roles
Post-traumatic stress disorder (PTSD)Social anxiety associated with autism spectrum disorder

3,4-Methylenedioxy-N-methylamphetamine Overview

3,4-Methylenedioxy-N-methylamphetamine (MDMA) is a psychoactive drug primarily known for its empathogenic effects. It acts by increasing the activity of serotonin, dopamine, and norepinephrine in the brain, leading to altered mood, perception, and cognition. While recreationally used, it has also been studied for therapeutic applications, particularly in the treatment of PTSD and social anxiety.

Mechanism of Action

MDMA acts as a substrate and inhibitor of monoamine transporters (SERT, DAT, NET), leading to increased levels of serotonin, dopamine, and norepinephrine in the synapse.

Biological Functions

Monoamine neurotransmitter release
Inhibition of monoamine reuptake

Disease Associations

Post-traumatic stress disorder (PTSD)
Social anxiety associated with autism spectrum disorder

Safety Considerations

  • Neurotoxicity
  • Hyperthermia
  • Serotonin syndrome
  • Hyponatremia
  • Cardiovascular complications
  • Psychiatric effects

Interacting Drugs

Serotonin releasers
Dopamine releasers
Norepinephrine releasers