High dose MDMA tablets – pink irregular shape with Audi logo

Source: NSW Health
Drug sold as: MDMA

Reason for concern: High potency

Warning: High dose MDMA tablets have been found in NSW, average dose 196mg.

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
  • use alcohol, certain medicines, or illicit drugs at the same time
    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 dose of MDMA tablets recently circulating in NSW varied by up to six-fold.
  • The time from taking the drug to feeling any effect can vary significantly depending on the drug as well as the individual person.
  • MDMA (ecstasy) has been linked to death, serious harm and life-long complications.

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

Getting help

  • Seek help immediately from your nearest emergency department or call Triple Zero (000).
  • 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.