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High dose MDMA (ecstasy) tablets have been found in NSW – purple-grey ‘Punisher’ tablets

Source: NSW Health
Drug sold as: MDMA

Reason for concern: High dose

Warning

The purple -grey ‘Punisher’ skull design tablets contain 197mg of MDMA.
This is around twice the average amount usually contained in MDMA tablets circulating in NSW.

Please note: Tablet appearance is not a reliable indicator of drug contents

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. amphetamines or cocaine) 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. If it’s not working, don’t re-dose.
  • High dose MDMA (ecstasy) use has been linked to death and other serious harms.

Effects to look out for

  • Feeling really hot and sweaty
  • Racing heart/pulse or light-headedness
  • Rigid muscles (e.g. difficulty walking), uncontrolled repetitive movements, seizures
  • Confusion or agitation, feeling aggressive, difficult to rouse or unconscious
  • Vomiting

If you or others experience these symptoms after taking MDMA, get help immediately.

Getting help

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:

Reproduced by permission, NSW Health © 2024