Mixing MDMA (ecstasy) and alcohol can lead to a variety of adverse experiences and health risks. Here are some common effects and potential dangers: ### 1. **Dehydration and overheating** - **MDMA**: It often causes increased body temperature and sweating, increasing the risk of dehydration. - **Alcohol**: It has a diuretic effect and can also cause dehydration. - **Combined effects**: The combined effects of the two significantly increase the risk of dehydration and overheating, which may lead to heat exhaustion or even heat stroke. ### 2. **Increased cardiovascular stress** - **MDMA**: It increases heart rate and blood pressure. - **Alcohol**: It may cause an increase in heart rate at the beginning, but long-term or high-intensity drinking may have a negative impact on the heart. - **Combined effects**: The heart and circulatory system are under greater stress, increasing the risk of serious health problems such as heart attack and stroke. ### 3. **Impaired cognition and judgment** - **MDMA**: It often causes emotional excitement and enhanced sensory experience, but it may also cause difficulty concentrating. - **Alcohol**: It impairs judgment, reaction speed and coordination. - **Combined effects**: Significantly reduced decision-making ability, increased likelihood of accidental injury, uncontrolled behavior, or dangerous behavior. ### 4. **Mood swings and mental health effects** - **MDMA**: "Emotional crashes" or feelings of depression may occur after use, especially after the drug's effects wear off. - **Alcohol**: It is inhibitory and can affect emotional stability, and long-term use may lead to depression and anxiety. - **Combined effects**: Mood swings increase, increasing the risk of mental health problems. ### 5. **Increased burden on the liver and kidneys** - Metabolizing MDMA and alcohol at the same time increases the burden on the liver and kidneys, which may cause organ damage or dysfunction. ### 6. **Increased risk of overdose** - Both **MDMA** and **alcohol** carry a risk of overdose, and mixed use makes it more difficult to monitor an individual's intake, increasing the likelihood of accidental overdose. ### 7. **Increased risk of addiction** - Using two substances at the same time may increase dependence on one or both substances, increasing the likelihood of addiction. ### **Summary and recommendations** Mixing MDMA and alcohol significantly increases multiple health risks, both physical and psychological. For your own safety and health, it is recommended to avoid using both substances at the same time. If you or someone you know is experiencing problems related to substance use, it is recommended to seek professional medical or mental health support.