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Multiple high dose MDMA (ecstasy) tablets circulating in NSW

Source: NSW Health

Tablet appearance is not a reliable indicator of drug contents. Dose is reported as MDMA free base.

An image with several pills. A red rectangular pill with "Red Bull" logo and text on reverse is labelled with "220mg mdma". A pink triangular scored pill is labelled with "199mg MDMA". A blue, irregular pill with Audi logo is labelled with 184mg MDMA. A grey, shield-shaped pill with "Black Ops" marking is labelled with 161mg MDMA. A blue, irregular pill with skull markings is labelled with 145mg MDMA.

K​n​​ow the risks

​You are at increased risk of harm if you:

  • Take multiple MDMA (ecstasy) tablets or capsules
  • Take a higher-dose MDMA 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 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 responsive.

Support and advice

For free and confidential advice: