Acute risks: Fake Molly, heat stroke, or drinking too much water
The main acute risks are:
- Consuming a substance that is not real MDMA. Many tablets and powders are fake and/or adulterated with other drugs.
- Heat stroke and/or serotonin syndrome. Like all serotonergic drugs, MDMA increases heat stroke risk due to its effects on the hypothalamus, the part of our brain that helps us regulate body temperature.
- Hyponatremia. Generally caused by drinking too much water. MDMA causes water retention. Dancing aerobically in hot environments causes dehydration. Overcompensating by drinking too much water can be fatal.