MDMA De-Hydration & Over Hydration Effects

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Water Issues with MDMA use
Dehydration, Over-Hydration & Heat Stroke
by Erowid

Overview of problem:
One of the persistant problems with MDMA use is that of the hyperthermia (heat-stroke / over-heating). Several factors add to this effect, including MDMA's pharmacological effect of increasing body temperature, the strong physical stimulation experienced by most users, and the euphoria and comfort of the experience which can cause users to overlook their level of exertion. Many Ecstasy users have been told that they need to make sure they are drinking enough water to stay on the safe side of this problem, but as a result, some users encounter the somewhat less recognized problem of over-hydration which causes hyponatremia (literally "low salt") also called "water intoxication".

The human body (as with other animals) maintains an equilibrium of electrolytes including salt in the bloodstream as part of its normal operation. Sweating causes the body to lose salt, but the primary cause of hyponatremia in Ecstasy users is drinking enormous amounts of water, which dilutes the salt in the body to a dangerous level. Unfortunately as the electrolytes get out of balance, body systems start to fail and (because of the blood brain barrier), the sufferer starts to exhibit signs of crisis such as diarrhea, over salivation, stupor, vomiting, muscle tremors, confusion, frequent urination, and other general symptoms of illness, and their brain begins to swell. This swelling is called a 'brain edema' or 'cerebral edema' and can (and does) lead to brain damage, paralysis, and death.

According to C. Haller, MD from the California Poison Control Center in San Francisco, hyponatremia (although actually rare among users) is one of the most common causes of ecstasy deaths or serious injuries. In England, perhaps the most notorious death associated with Ecstasy in the mid 90's was Leah Betts. Sadly, Leah died after taking Ecstasy for her birthday with friends and then drinking enough water to cause her death.

The dangers of drinking water obsessively while high are real. If you're drinking a lot of water, in any context, mixing in some salty snacks or drinking sport drinks will keep your salt and electrolyte levels healthier and can prevent hyponatremia. People on E very often do not want to eat anything, so salty snacks tend to be a ineffective option. While some people find these sugary/salty drinks are unappealing, others find that they quench the thirst better than water...and they can definitely help prevent both hyperthermia and hyponatremia

INFORMATION
Yet-Another MDMA FAQ Water Section

Some Reports of Water Intoxication

OTHER RESOURCES
Jeremy Laurance's Article from the London Times, Nov 22 1995
E-Medicine's Hyponatremia Page
Urban 75 page on Leah Betts

Last Modified - Thu, Apr 6, 2006

Created 6/26/00 by Erowid

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