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Symptoms and correlates of emergency medical treatment following the use of MDMA

Symptoms and correlates of emergency medical treatment following the use of MDMA. Lx Addictions , October 24 th – 26 th 2017, Lisbon. Dr. Larissa J. Maier Monica J. Barratt , Jason A. Ferris , & Adam R. Winstock. Overview. Part I The Rationale for the Study

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Symptoms and correlates of emergency medical treatment following the use of MDMA

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  1. Symptoms and correlates of emergency medical treatment following the use of MDMA LxAddictions, October 24th – 26th 2017, Lisbon Dr. Larissa J. Maier Monica J. Barratt, Jason A. Ferris, & Adam R. Winstock

  2. Overview Part I The Rationale for the Study Part II The Global Drug Survey (GDS) Part III MDMA &Emergency Medical Treatment

  3. Global drugmarkettrends Results 21,600,000 UNODC (2017) UNODC (2017)

  4. Saferparty (2017) BACKGROUND High purityecstasypills in Europe

  5. Saferparty.ch (2017) BACKGROUND Fixed-site drugcheckingZurich2007 – 2016

  6. Weruntheworld‘slargestdrugsurvey Background GDS2012 15,500 GDS2013 22,000 GDS2014 77,000 GDS2015 95,000 GDS2016 100,000 GDS2017120,000 GDS2018 200,000+

  7. GDS aims to make drug use safer regardless of the legal status of the drugs by sharing information with individuals, communities, health and policy organisations and government.

  8. + Senior Academic Mentor Group + Scientific Advisory Group + International Network Background GDS Core Research Team

  9. Strengths and limitationsofthe GDS EVALUATION Acceptanceamongrecreationaldrugusers (≠ HH surveys) Profile newdrugsquickly (e.g., Mephedrone, DMT, 1P-LSD) Identifyregionaldifferences Real time research Independent Mostly well-educatedyoungadults Not representative

  10. MDMA useforthefirst time Results

  11. EMT MDMA gender & age Results

  12. 2.5% 1.2% Noremarquablecountrydifferences Results

  13. Symptoms relatedto EMT Results Anxiety Confusion Depressedmood Extreme agitation Palpitations Overheating Extreme sweating Paranoia

  14. Wereyouadmittedtohospital? (n=212) Results

  15. MDMA Emergency Medical Treatment Results

  16. Couldthe EMT havebeenavoided? Results Only55.6% (n=134) obtainedthe MDMA from a trustedsource Only29.0% (n=70) hadtriedthe MDMA beforethatnight Only26.6% (n=64) startedthenightwith a testdose Overall, 50.2% (n=121) tookthatnight a bigger dose thantheirusualdose

  17. Drug, set and setting Results 61.4% (n=148) werealreadydrunkwhenstarting MDMA use 5.6 alcoholicdrinksand 1.3l water 27.4%thinkthatthedrugtheyused was adulterated Only57.1%feltfinewithoutphysical (15.6%) or mental (13.7%) healthissuesorboth (13.7%)

  18. MOST EMergencies COULD PROBABLY HAVE BEEN AVOIdED!

  19. @maier_larissa @globaldrugsurvy larissa.maier@hotmail.ch adam@globaldrugsurvey.com

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