Woman concerned about ecstasy withdrawals

Did you know that experts have been looking into psychedelics to treat post-traumatic stress disorder? 

However, in early 2024, the FDA decided not to approve MDMA therapy. It remains a Schedule I substance with no accepted medical use and a high potential for misuse. Still, some people view MDMA, or ecstasy, favorably, undermining the potential risks involved. 

Ecstasy carries significant risks, as it exacerbates underlying trauma and mental health disorders, depletes neurotransmitters, and affects sleep. It’s even more dangerous when mixed with other substances like alcohol or cannabis. Also, it’s important to point out that since ecstasy is not regulated, it can contain MDMA, plus a mix of amphetamines, ketamine, cocaine, opioids, and caffeine.  

According to SAMHSA’s 2021 National Survey on Drug Use and Health, 2.2 million people over the age of 12 used ecstasy in the past year. The percentage of ecstasy use is highest among young people between the ages of 18 and 25. Here in Arizona, 2.3% of high schoolers had used ecstasy at some point in their lifetime, which reflects national numbers. 

If ecstasy use has become a problem for yourself or a loved one, reach out for support. It is possible to develop psychological dependence and require medical intervention to safely withdraw from ecstasy. Once you are through this process, you can begin building back your life and seeking pleasure from healthier activities. Let’s learn more about what ecstasy withdrawals are, the timeline of these symptoms, and what you can expect from detox and treatment. 

What Is Ecstasy Withdrawal?

Ecstasy, also known as MDMA, is a psychoactive substance that enhances mood, energy, and sensory perception. While many people associate it with recreational use, withdrawal symptoms can occur in individuals who frequently use the substance and then suddenly stop. 

Ecstasy affects the brain by increasing levels of serotonin, dopamine, and norepinephrine, neurotransmitters responsible for regulating mood, energy, and pleasure. When use stops, the brain struggles to restore the natural balance of neurotransmitters, leading to withdrawal symptoms. Understanding the signs, causes, and ways to manage ecstasy withdrawal is essential, as the symptoms can be uncomfortable. 

Ecstasy Comedown Vs Withdrawal

While both an ecstasy comedown and ecstasy withdrawal involve negative symptoms after using the substance, they are distinct phases with different durations, intensity, and causes. 

A comedown refers to the immediate effects a person experiences after the euphoric high from ecstasy begins to wear off. It typically happens within hours after using the substance and includes symptoms like fatigue, depressed mood, muscle soreness, and feelings of emptiness. This comedown period is the result of MDMA depleting neurotransmitters like serotonin and dopamine. 

Ecstasy withdrawals, on the other hand, happen when someone with repeated or heavy ecstasy use stops taking the substance. Withdrawal symptoms tend to appear a few days from the last use and can last for days or weeks. This is the result of the brain struggling to regain normal levels of neurotransmitters after extended or repeated use has disrupted serotonin and dopamine regulation. Some people even develop PAWS (post-acute withdrawal syndrome), where symptoms persist for weeks or months. 

Ecstasy Withdrawal Symptoms

Common ecstasy withdrawal symptoms include:

  • Persistent feelings of sadness and hopelessness 
  • Emotional numbness or trouble experiencing pleasure 
  • Feelings of unease or restlessness 
  • Low tolerance for frustration and frequent mood swings 
  • Loss of interest in daily activities 
  • Trouble falling asleep and fatigue, even after rest
  • Jaw pain, muscle aches, and headaches 
  • Feeling mentally sluggish 
  • Poor concentration and memory problems 
  • Cravings for ecstasy 

Man in suit with hand over his face thinking

Ecstasy Withdrawals Timeline

Withdrawal from ecstasy can vary in duration and intensity based on factors like the frequency and quantity of use, individual health, and emotional state. Typically, the withdrawal timeline begins with the Initial Phase, starting 1-3 days from the last dose. During this initial period, fatigue, mood swings, and irritability are common. The Peak Phase involves days 3-10, and this is when emotional symptoms peak. Cravings for ecstasy can be especially powerful during this phase. 

The Late Phase refers to the 2-4 weeks from the last use, and it often involves lingering symptoms like poor concentration, emotional flatness, and disrupted sleep. People often report having difficulty experiencing pleasure on their own. This can be discouraging, but remember, it is a sign that your brain is healing. In some cases, symptoms like depression and cognitive impairment can persist for months, which is why ongoing support is crucial. 

Factors Affecting Withdrawal

The severity and duration of ecstasy withdrawal vary from person to person. Multiple psychological, physical, and lifestyle factors can influence how withdrawal symptoms unfold. For instance, individuals who use ecstasy frequently or in high doses tend to experience more severe withdrawal symptoms. 

Individuals who have pre-existing mental health conditions may also get hit harder with withdrawal symptoms, as ecstasy can exacerbate underlying emotional trauma. Also, having a mental health condition can impact how quickly the neurotransmitters are restored. Other factors that can affect withdrawal symptoms include poor physical health, lack of support, and using ecstasy with other substances, such as alcohol, cannabis, or stimulants. 

Dangers and Long-Term Effects of Ecstasy Use

While ecstasy is often associated with recreational use and euphoric experiences, it carries significant risks. Both the short-term dangers and long-term effects of using ecstasy can impact your mental, physical, and emotional well-being. Some of the main dangers and long-term effects of ecstasy use include: 

  • Overdose and toxicity. Ecstasy increases body temperature, which can lead to heatstroke. Excessive sweating and dehydration can also cause dehydration and electrolyte imbalances. 
  • Serotonin syndrome. The overuse of ecstasy, especially with other substances, can result in dangerously high levels of serotonin, causing confusion, muscle rigidity, and seizures. 
  • Heart complications. MDMA raises heart rate and blood pressure, increasing the risk of cardiac arrest. This can be dangerous in vulnerable individuals. 
  • Psychological risks and behavioral issues. People who use ecstasy may engage in risky behaviors, such as driving under the influence. While the substance is not as physically addictive as other substances, it’s still possible to develop psychological dependence and cravings. 
  • Mental health issues. Long-term ecstasy use depletes serotonin, leading to chronic depression and emotional instability. Some people may also develop anxiety and panic disorders, memory problems, and cognitive decline. 
  • Physical health problems. Chronic use of ecstasy takes a toll on the body, causing cardiovascular issues, kidney and liver damage, and immune system suppression, especially when combined with other substances. 

When to Seek Professional Help for Ecstasy Addiction

Ecstasy can lead to psychological dependence, causing severe impacts on mental health and overall well-being. It’s important to recognize the signs and symptoms that your ecstasy use is causing problems in your life, as early intervention can change the trajectory. Some of the signs that indicate it may be time to seek professional intervention include cravings and inability to stop using ecstasy, severe mental health problems, physical and cognitive symptoms, increased risky behavior, and social and relationship issues. 

If you’ve tried to quit using ecstasy before and were unsuccessful, this is another sign that you should seek professional support. Quitting ecstasy on your own can be difficult, especially with the intense cravings, depression, and anxiety that can occur. When you seek medical intervention, you can go through this process in a much more comfortable manner so that you can be successful. 

Recovery support group

Ecstasy Withdrawal Detox and Treatment in Prescott, AZ 

Ecstasy addiction treatment requires a combination of detox, psychological support, and lifestyle changes. Though withdrawal from ecstasy is typically not life-threatening, it can involve severe emotional and cognitive challenges, such as depression, anxiety, cravings, and fatigue. A structured detox and treatment plan can help you manage your symptoms and prepare you for success in recovery. 

Detox clears ecstasy from the body and manages withdrawal symptoms. The goal is to restore normal neurotransmitter balance, which is often depleted after chronic use. While there are no medications approved by the FDA to treat ecstasy withdrawal specifically, certain medications may be prescribed to alleviate symptoms—antidepressants, anti-anxiety medications, sleep aids, and supplements. 

After detox, it’s important to continue treatment to address the psychological components of substance use. Treatment for ecstasy dependence includes therapy and counseling, peer support programs, lifestyle changes, and relapse prevention strategies. Professional treatment programs provide the structure and support needed to manage withdrawal symptoms, while ongoing care prevents return to use. It’s also important to develop healthy hobbies to replace the time spent at clubs, festivals, and other social events using ecstasy. 

Wolf Creek Recovery provides the ideal setting to work on your recovery and rebuild your life. We provide various evidence-based therapies, such as cognitive behavioral therapy and dialectical behavior therapy, as well as holistic therapies like art therapy, music therapy, meditation, and yoga. Recreation therapy is another component of our program, allowing clients to spend time outdoors learning important life skills. To learn more about our program and how it can support your journey to healing, contact us today at 833-732-8202. Build a life you love.