Use of the CytoSorb adsorption device in MDMA intoxication: a first-in-man application and in vitro study
Intensive Care Medicine Experimental June 21, 2020 Corinna N. Lang, Michaela J. Sommer, Merja A. Neukamm et al. 31 citations
A 21-year-old man with severe MDMA (ecstasy) overdose and multi-organ failure—including neurological impairment, hyperpyrexia, rhabdomyolysis, kidney and liver failure, and bleeding—was treated with a CytoSorb adsorber device. His serum MDMA concentration fell from 540 to 140 ng/ml within the first 24 hours, and levels of interleukin 6 and myoglobin also decreased, followed by clinical improvement and full recovery. In vitro, the device removed MDMA to undetectable levels. The authors suggest early use of the adsorber may help manage severe MDMA intoxication, though they cannot prove the clinical improvement was directly due to MDMA removal or to effects on rhabdomyolysis, hyperinflammation, or liver failure.