Pharmacology of MDMA in Humans

Annals of the New York Academy of Sciences  – September 01, 2000

Source: OpenAlex

Summary

MDMA, at recreational doses of 50 to 150 mg, significantly increased heart rate by up to 30% and blood pressure by approximately 20 mmHg in healthy volunteers. The drug also caused mydriasis, with pupillary diameter expanding markedly. Notably, plasma cortisol and prolactin levels surged post-administration. Psychomotor performance showed a slight impairment, while oral temperature fluctuated biphasically. With an elimination half-life of 8-9 hours, peak effects were observed between 1 and 2 hours, returning to baseline within 4-6 hours.

Abstract

Abstract MDMA given at recreational doses (range tested 50 to 150 mg) to healthy volunteers, produced mydriasis and marked increases in systolic and diastolic blood pressure, heart rate, and pupillary diameter. MDMA induced changes on oral temperature. The time course of this observation was biphasic, as a slight decrease at 1 h and a slight increase at 2 and 4 h were observed. MDMA induced a slight dose‐dependent impairment on psychomotor performance. MDMA produced a marked rise in plasma cortisol and prolactin concentrations. The elimination half‐life of MDMA was about 8‐9 h. Drug concentrations increased, and a parallel increase in physiologic and hormonal measures was observed. Both peak concentrations and peak effects were obtained between 1 and 2 h and decreased to baseline values 4‐6 h after drug administration.

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