High and variable dose MDMA (ecstasy) tablets – orange spade-shaped, often with an ‘Ace of Spades’ logo
Warning: high dose MDMA tablets have been found in NSW. The MDMA dose in these tablets averaged 146 mg, but some tablets contained up to 168 mg. This is double the amount usually contained in MDMA tablets circulating in NSW.
Please note: images are representative only and tablets may vary in colour or logo
Know the risks
- You are at increased risk of harm if you:
- take multiple MDMA (ecstasy) tablets or capsules
- take a higher-dose MDMA (ecstasy) tablet or capsule
- use other stimulant drugs (e.g. methamphetamine, cocaine or caffeine) at the same time
- take MDMA in a hot environment like a music festival or indoor dance party
- MDMA (ecstasy) is often poorly manufactured and the amount of MDMA in a tablet or capsule can vary a lot, even within the same batch.
- The time from taking the drug to feeling any effect can vary significantly depending on the drug as well as the individual person.
- High dose MDMA (ecstasy) use has been linked to death and other serious harms, including recent ICU admissions.
Effects to look out for
Feeling really hot and sweaty, light headedness, rigid muscles (e.g. difficulty walking), confusion or agitation, racing pulse/heart, feeling aggressive, uncontrolled repetitive movements, vomiting, seizures, difficult to rouse / unconscious.
If you experience these symptoms after taking MDMA, get help immediately.
If you or your friends see the warning signs of overdose:
- Seek help immediately from your nearest emergency department or call Triple Zero (000). You won’t get into trouble for seeking medical care.
- Start CPR if someone is not breathing.
Support and advice
For free and confidential advice:
- Call Alcohol and Drug Information Service(ADIS) on 1800 250 015 at any time 24/7. Start a Web Chat with an ADIS counsellor Mon-Fri, 8.30am-5pm.
- Call NUAA on 1800 644 413 (Mon-Fri 9am-5pm) to speak to a peer or visit NUAA for a range of resources.
- Call the NSW Poisons Information Centre on 13 11 26 for information on adverse effects from drugs.
- Visit Your Room for fact sheets and other resources.
Reproduced by permission, NSW Health © 2023.