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Are You Considering Getting Off MDMA?

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MDMA, also known as ecstasy or molly, is a popular recreational drug known for its euphoric and energizing effects. However, the long-term use of MDMA can sometimes lead to addiction resulting in negative consequences on one’s physical and mental health. 

If you or someone you know is considering getting off MDMA, it’s important to understand the potential risks and benefits of doing so. This article will explore the potential dangers of continued use, as well as the benefits of quitting and the resources available for those looking to quit.

What is MDMA?

MDMA (3,4-methylenedioxy-methamphetamine) is a synthetic drug that is classified as a stimulant and a hallucinogen. It is commonly known by its street names, ecstasy or molly. It produces feelings of euphoria, increased energy, and emotional warmth, as well as distortions in time and perception. 

It was first synthesized in 1912 by a German pharmaceutical company but it wasn’t until the 1970s and 1980s that it began to be used recreationally. MDMA is often taken in a pill or capsule form, but it can also be crushed and snorted, or even injected. It is often used at parties, music festivals, and other social events. 

It is considered a Schedule I controlled substance in the US, meaning it has a high potential for abuse and no currently accepted medical use.

How to quit using MDMA safely?

Although MDMA is a highly addictive substance, there are a few steps you can take to safely quit MDMA. Obviously, the first and most crucial step is to visit a drug addiction treatment facility to discuss your treatment options. Here are a few things you can do yourself to ease the process of MDMA withdrawal.

Quitting MDMA Cold Turkey

It is generally not recommended to quit using MDMA cold turkey, as it can be a challenging and potentially dangerous process. Cold turkey refers to stopping the use of a substance abruptly and without medical supervision. 

When someone quits MDMA cold turkey, they may experience withdrawal symptoms such as depression, anxiety, fatigue, insomnia, and irritability. These symptoms can be severe and can last for several days to a few weeks. In some cases, they can be dangerous and even life-threatening.

Additionally, quitting cold turkey increases the risk of relapse. The temptation to use again can be difficult to resist, especially in the early stages of withdrawal. Relapse can also lead to a return of withdrawal symptoms and maybe even more difficult to manage.

It’s important to remember that quitting cold turkey is not the only option and that it’s possible to seek professional help to quit using MDMA. Medically assisted treatment, therapy, and support groups can be effective in helping people quit and recover from substance use disorder. 

These options can provide you with the resources and support you need to help you through the quitting process, and they can also help to mitigate the risks and consequences associated with quitting cold turkey.

Steps involved in getting off MDMA

But quitting MDMA doesn’t have to be so excruciating and dreadful if you are seeking professional help along the way. Here are several steps involved in getting off MDMA, including:

Taper Schedule 

Gradually reducing the amount of MDMA you use over time can help to minimize withdrawal symptoms. This makes the entire withdrawal process a bit easier as the body is slowly adjusting to the absence of the drug. 

A healthcare professional can help you to develop a tapering schedule that is tailored to your individual needs. The most important thing is to always consult an addiction specialist while developing your tapering schedule based on the severity of your addiction, your overall mental health, and your medical history.


Regular physical activity can help to improve your overall health and well-being, and can also help to reduce withdrawal symptoms. Exercise can also help to improve sleep, mood, and energy levels. Plus exercise helps to develop healthier coping mechanisms for stress and anxiety.

Diet and Appetite

Eating a healthy diet that is high in fruits, vegetables, and whole grains can help to support overall health and well-being. It is also important to stay hydrated and to eat regular meals to keep energy levels stable.

Sleep Schedule 

Maintaining a regular sleep schedule can help to reduce withdrawal symptoms, such as insomnia. It is also important to create a relaxing bedtime routine and to make sure that your sleep environment is comfortable and conducive to sleep.

Common symptoms of MDMA withdrawal and how to deal with them

MDMA withdrawal refers to the physical and psychological symptoms that occur when an individual who has been using the drug regularly stops or reduces their use of the drug.

Symptoms of MDMA withdrawal can vary depending on the individual, but common symptoms include depression, anxiety, insomnia, fatigue, irritability, loss of appetite, and difficulty concentrating. These symptoms can last for several days to a few weeks, and in some cases, they can be severe and difficult to manage.

Tips for coping with MDMA crash

An MDMA crash refers to the physical and psychological symptoms that occur after the effects of the drug have worn off. These symptoms can include fatigue, depression, anxiety, insomnia, and irritability. 

It is often described as a “come down” from the high of the drug. The severity of the crash can depend on the dose taken, the frequency of use, and the individual’s physical and psychological health.

Here are some tips to cope with an MDMA crash,

  • It’s important to stay hydrated while using MDMA, as the drug can cause dehydration. Drinking water, sports drinks, and other fluids can help to replenish fluids lost during the crash.
  • Getting enough sleep can help to reduce fatigue and improve overall well-being. It’s important to maintain a regular sleep schedule and to create a relaxing bedtime routine.
  • Find new and healthier distractions such as mindfulness practices e.g. meditation, yoga, going out for a walk, hanging out in nature like a nearby lake, etc.
  • Talking to friends or family members as they can offer help and support during this difficult time. Plus, they can also help keep your motivation up!
  • Lastly, go to therapy if it can help you manage symptoms like depression and anxiety.

It’s important to remember that everyone’s experience with an MDMA crash will be different and it’s important to be prepared for the potential effects. 

Common causes of MDMA rebound

MDMA rebound refers to the return of symptoms that were present before an individual began using the drug. It can occur after an individual stops using MDMA or reduces their use of the drug. The common causes of MDMA rebound include:

    • Unresolved psychological issues: People who use MDMA to cope with underlying emotional or psychological issues, such as anxiety or depression, may experience a return of these symptoms once they stop using the drug.
    • Withdrawal symptoms: The symptoms of withdrawal can trigger a rebound of symptoms, as the body and brain adjust to the absence of the drug.
    • Impaired neuroplasticity: MDMA use can alter the neuroplasticity of the brain, leading to changes in neurotransmitters and neural connections. These changes can persist after an individual stops using the drug, leading to a rebound of symptoms.
    • Lack of support: People who stop using MDMA without the support of family, friends, or healthcare professionals may be more likely to experience a rebound of symptoms.
  • Continued use of other illicit drugs: People who continue using stimulants or depressants like  Adderall or Heroin to cope with the withdrawal symptoms. As it hinders the brain’s ability to re-adjust.

Professional treatment for getting off MDMA:

One thing you must remember is that the process of getting off MDMA can be challenging, but with the right support, treatment, and resources, it is possible to quit and overcome substance use disorder.

Therapy and Support Groups

Therapy can help you to address the underlying emotional and psychological issues that may be contributing to your MDMA use. Support groups can provide a safe and supportive environment where you can share your experiences and receive support and advice from others who are going through similar challenges.

Medically Assisted Treatment

Medically assisted treatment (MAT) can help to reduce withdrawal symptoms, cravings, and the risk of relapse. Medications such as antidepressants, anti-anxiety drugs, and other medications can be used to help people manage withdrawal symptoms, and help them quit MDMA. 

Cognitive-Behavioral Therapy (CBT)

Behavioral therapy is a type of therapy that focuses on changing an individual’s thoughts, feelings, and behaviors related to their substance use. This can include individual counseling, group therapy, or family therapy.

CBT is a type of behavioral therapy that aims to help individuals identify and change negative thought patterns and behaviors related to their substance use.

Holistic Therapies

Holistic therapies such as yoga, meditation, acupuncture, and art therapy can help individuals to manage stress, improve their physical and mental well-being, and promote overall healing.

It’s important to note that professional treatment for getting off MDMA will be tailored to the individual’s needs and may involve a combination of the above therapies. It’s important to consult with a healthcare professional to determine the best treatment plan for your individual situation.

Final thoughts on getting off MDMA:

Getting off MDMA, also known as ecstasy or molly, can be a challenging and difficult process. It’s important to understand that everyone’s experience with getting off MDMA will be different, and it helps to be prepared for the potential effects. However, with the right support and resources, it is possible to break free from your dependence on MDMA. 

Remember that quitting is not easy and it may take time, but the benefits of quitting can include improved physical and mental health, improved relationships, and overall quality of life. It’s important to reach out for help and support, and consult with a healthcare professional before making any decision to quit using MDMA.


Warren Phillips

Warren is a Licensed Master Social Worker, who specializes in substance abuse and mental health treatment. Clinically, Warren has developed a therapeutic skillset that utilizes a strengths-based perspective, Twelve Step philosophies, Cognitive Behavioral Therapy and Motivational Interviewing.

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Located on the historic peninsula of Charleston, South Carolina, Lantana Recovery takes a modern approach to Substance Use Disorder treatment, offering intensive clinical care while also immersing our clients in local Charleston culture.