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These metabolites are chemicals produced as the body processes MDMA, which linger in the system, offering a window into recent drug use. For MDMA, this involves identifying traces of the drug’s metabolites. Drug tests aim to detect the presence of specific substances in the body. It typically appears on drug tests as MDMA or buy ecstasy sometimes under its street names, Ecstasy or Molly. Ecstasy adulteration is responsive to market pressures
According to 2021 data, tablets and powders/crystals share the EU MDMA market equally, with some variability among countries in terms of preference for either ecstasy tablets or MDMA powders/crystals buy ecstasy (see Figure 6.1. Distribution of usual MDMA forms across countries). Analysis of drugs sold as MDMA/ecstasy in Australia shows that these contain a wide range of substances, and some contain no MDMA at all. Vendors in the Netherlands appear to be developing a fairly successful international trade of ecstasy-type drugs and stimulants from cryptomarkets, but it appears that most countries are selling illicit drugs within domestic borders. Three quarters of all Dutch revenues from illicit drugs sold on cryptomarkets were from two drug categories — ecstasy-type drugs and stimulants. In the Netherlands, in 2022, the price of 1 kilogram of (locally produced) MDMA crystals was reported at EUR 2 300, whereas 1 litre of MDMA oil (which can be converted into crystals or powder, and subsequently ecstasy tablets) was reported at EUR per litr
Importantly, reported use of the drug declined temporarily during periods of social distancing during the early phases of the COVID-19 pandemic, coinciding with the closure of nightlife and the cancellation of events where MDMA is typically consumed. Of the 13 EU countries that undertook surveys since 2021 and provided confidence intervals, four reported higher estimates than their previous comparable survey, nine reported stable estimates and one reported a decrease. General population surveys in many countries showed that MDMA prevalence was declining from peak levels attained in the early to mid-2000s. Data on prevalence of use provide an indication of the structure, location and approximate size of retail MDMA markets in the European Unio
Tuci or tucibi (also spelled tusi and buy ecstasy tusibi) are phonetic transliterations of ‘2C’ (a series of psychoactive phenethylamines) or ‘2C-B’ (one of the most well-known derivatives of that series of substances). The detection of mixtures of MDMA and ketamine combined with other substances including cocaine have also increased in some regions of Europe, and are sold as ‘pink cocaine’, ‘tuci’ or ‘tucibi’ (see Box 6.3. What is tucibi?). These signals were reported to the EU Early Warning System from 2022 onwards, based on identifications occurring in Spain, the Netherlands and Austria, and there are similar indications for the United Kingdom (Pascoe et al., 2022). Interestingly, synthesis by-products were also commonly reported, about which little is known and which may pose additional risks to consumers. A number of substances can also be sold as MDMA, in what is sometimes called mis-selling or adulteration by substitution – whereby another substance is passed off as MDMA to the consumer. Da
This may not reflect use patterns, but rather differences in the offer, legal requirement and access to drug treatment between countries. Almost two thirds (503) of all new treatment entrants were reported from three countries, Germany (213); France (169) and Hungary (121). At EU and country level, people seeking drug treatment for MDMA-related problems represent a very small proportion of all clients entering drug treatment – typically less than 0.5 % of all new entrants into drug treatment in any given yea
General / Short-Term Effects MDMA is reported in small numbers of drug-induced deaths, and in most countries less than 1 in 20 cases involve the drug. While affected by limitations and uncertainties, this type of data analysis shows great promise as a complementary information source to monitor the size and changes in drug markets (Quireyns et al., 2023). It was possible to construct estimates of city-level MDMA market sizes by combining wastewater data with country-level data for average retail purity and price. By combining these data, the estimated annual value of the buy ecstasy retail market for MDMA in Europe is at least EUR 594 million, around 90 % of which can be attributed to frequent user
The amount of MDMA used annually by these two different user groups was estimated using data from the EWSD. Cannabis, alcohol and to a lesser extent cocaine, amphetamine, methamphetamine, ketamine and GHB are consumed in combination with MDMA. Graphics showing the most recent data for a country are based on studies carried out between 2013 and 2023. Prevalence data presented here are based on general population surveys submitted to the EMCDDA by national focal points. You can access data by country by clicking on the map or selecting a country from the dropdown men
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