Mixing ecstasy with alcohol

What are the effects of mixing ecstasy and alcohol? Can you overdose? Possibly die? Harms and warnings of mixing ecstasy with alcohol here.

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“Ecstasy” is a name for MDMA (3,4-methylenedioxy-methamphetamine), a synthetic drug that has similar effects to some stimulants and hallucinogens. Many people who use ecstasy also take it with a variety of other drugs, including alcohol. But what is the experience of mixing alcohol with ecstasy like? Is it dangerous?  Is ecstasy addictive? Read on below for answers to these questions. Then, feel free to share your experiences and questions in the comments section at the end.

Ecstasy and alcohol effects

On its own, ecstasy produces a powerful feeling of euphoria caused by a rush of neurotransmitters to the brain. How long ecstasy stays in your system varies by dose.  However, this chemical rush creates feelings of euphoria, empathy, and arousal. When mixed with alcohol, users often find that euphoria lasts longer and also that they are more sexually aroused.

However, depletion of the neurotransmitters often leads to a crash after the euphoria wears off, which can involve anxiety, depression, and trouble sleeping. Some experienced ecstasy users have reported increases of negative side effects when they chose to combine with alcohol.

Dangers of mixing ecstasy and alcohol

Ecstasy preserves feelings of drunkenness but may prevent the sedation consistent with alcohol intoxication. Although the user may feel that ecstasy helps mediate alcohol’s effects on physical performance, scientific studies have shown that coggitive ability remains impaired when using both drugs together.

Furthermore, participants in a recent scientific study examined the effects of MDMA and alcohol together. They found that while both drugs lower inhibitions on their own, but when taken together, users reported greater sexual arousal. Drinking alcohol on top of ecstasy can further encourage risky behavior, such as having unprotected sex.

Ecstasy and alcohol overdose

Since users may feel that they are unimpaired by alcohol, people high on ecstasy may be more susceptible to alcohol poisoning. Ecstasy interferes with the body’s ability to metabolize other substances, which can increase the risk of overdose when taken with other drugs. To increase euphoria, users may take more of either drug. Some ecstasy users may experience heart failure. Symptoms of ecstasy overdose can include high blood pressure, seizures, loss of consciousness, panic attacks, and faintness.

Ecstasy and alcohol deaths

In addition to MDMA, other substances may be present in ecstasy pills. Some pills sold as ecstasy do not contain MDMA at all and could contain other harmful drugs. It may be difficult for the user to determine exactly what substances they are putting into their body. Some of these drug interactions can be very dangerous on their own, and can become more dangerous with alcohol. It is important for the user to know the source of their ecstasy.

Is it safe to drink on ecstasy?

It is not a good idea to drink on ecstasy. Though the combination of ecstasy and alcohol can prolong the euphoria and intensify arousal, it can lead to unintended and dangerous drug interactions. If you use ecstasy, make sure you know your source. Drinking on ecstasy can also increase risky behavior such as having unprotected sex or driving while under the influence.

Mixing ecstasy alcohol questions

Do you still have questions? Please leave them in the comment section and we will work to answer them. If we cannot answer you questions, we will refer you to someone who can.

Reference Sources: NIDA DrugFacts: MDMA (Ecstasy)
NIDA: MDMA (Ecstasy Abuse)
PubMed: Acute psychomotor effects of MDMA and ethanol (co-) administration over time in healthy volunteers.
About the author
Lee Weber is a published author, medical writer, and woman in long-term recovery from addiction. Her latest book, The Definitive Guide to Addiction Interventions is set to reach university bookstores in early 2019.


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  1. Hi I recently did mdma for a few days in a row with like 3 lines a day and I’ve stopped now but it’s making me feel so weird like I feel like when you’ve watched a horror film n your all sketched out n jumpy and I also feel proper down and I can’t think properly is there anything I can do about this? I’m not sure if I’m addicted and have withdrawal symptoms or jus a side affect that will wear off please help

  2. I don’t know about you guys, but in my experience consuming alcohol after MDMA had always killed off the lovey-dovey ecstatic rush of the MDMA. I was still sweating like a beast because of the MDMA, so I needed to keep my gatorade intake in check, but otherwise, everything nice about MDMA was swept away. If you’re more of a fan of the effects of MDMA rather than those of alcohol, I wouldn’t recommend combining the two together.

  3. Consuming weed exctacy and alcohol all at once is it possible to throw up after and the next morning also

  4. Hey guys just wondering if i usually drink 12 drinks on days that i drink and not be too drunk and on have 2 caps nasally on the days i party and not be too wasted how bad would it be to do them both on the same night. Added to the fact i smoke 2grams of some really nice ganja.
    Ps im not fat but have a large body if that changes anything

  5. I took a ecstasy pill n drunk slot of alcohol and literally blacked out n have no memory of what happened…I also smoked slot of marijuana. Did I overdose?

  6. @Melissa, ever since “molly” (street name for the pure form of MDMA) became more popular and mainstream, producers/dealers began calling their products “molly” even though it is not a pure formulation and sometimes might not even have ANY MDMA in it at all. If it was a crystal form, than it more than likely was a different stimulant altogether which is typical of the symptoms you described

  7. Hi. I took ecstasy about 4 times in the early 90’s in tablet form and every time I got that extreme lovely dovey euphoric feeling. So now 20 + years later my husband said on his bucket list was to try it once so when we got it, it wasn’t a pill, it was pink and white crystals, & they say they call it Molly now. Well our last hurrah had absolutely no feeling like I remember and he had nothing to compare it to. It just felt like speedy, edgy, none of the empathy and everything is so beaitiful feelings. So my question is: can other drugs in your system that you had taken throughout the day (4) 300mg gabapentin, (1) 1mg xanax, (6) alcohol drinks, and (1) 15mg Adderal take away the euphoric affect or was it something else?

  8. I had drank 2 Mikes at the bar a shot of patron and at about 3 am we got to my boyfriends friend house there I took a small cup of wine and then about 30 min later I had a cup of wine that gis friend poured for me I drank it but he told me let’s see who wins and says you won’t be able to handle it I didn’t think anything then I only remember somethings and I was very lovable to people I don’t know was dancing all that night until 6 am with heels like nothing then a girl pushed me and I got supper agresive I had drank way more than this and I always always take my shoes off and I am not lovable to people I think they put something in my drink I wish u could help me figure it out

  9. I took 1 pingaz and the the next day I woke up at about 8 in the morning and started drinking goon and then when I ran out of goon I got more and then when I ran out of that I drank a bottle of vodka to my self and by the end of it I didn’t feel the slightest bit drunk y is this

  10. I often do this but always concious about how much Im taking. Is there certain feeling biologically that can show evidence someone is taking a lot of alcohol when being in extasis? For example, maybe sweating or feeling the heart a bit bothered.

  11. Hey, is it possible to take ecstasy first and then start drinking as soon as the effects of the mdma wear off? Or is that as dangerous as mixing them at the same time?

  12. Can the memory loss be ongoing after use? Does mixing the alcohol ecstasy and marjauna make come down worse such mood swings, anger and excessive sweating & more addictive? Does the effects increase starting younger, a teen?

  13. A couple days ago I was at a concert and wasn’t there very long. I weaved in and out of people and made my way to the front stage. I had just bought a drink at the bar and was still holding it. All I remember was standing there looking up at the stage. I woke up or came to in the ER. They had an iv in my arm. I naturally freaked the hell out and pulled the iv out. I asked what the fuck was going on and I needed to find my friends. They didn’t quite tell me and to lay back down. I called the concert hall wanting to know. They told me I collapsed and went unconscious and that the medical staff and doctor found MDMA in my system and got me to the hospital. Some fucker put Molly in my drink I presume and it hit me like a ton of bricks. I was drinking before the show but wasn’t drunk.

    1. Hello Lemmon. That’s a terrible experience! I’m very sorry that this happened to you. Please, be careful next time when you are at a concert.

  14. I’ve been told by teachers a while ago that alcohol cuts the effect of ecstasy, even though they’re both stimulants that increase your blood pressure and heart beat. Right now im feeling confused because apparently they were wrong?

  15. I’m going to a music festival this weekend and will be drinking but I will be sober by the time my favorite artist will perform.. Is it safe to take Molly if alcohol is in my system?

    1. Hi Sam. Molly taken together with alcohol will intensify the euphoric effects, but there are underlying dangers of mixing these two substances – as you can read in the text above.

  16. Can a mix of ecstasy, alcohol, and marijuana cause a person to completely black out and not remember anything that happened? I ask from 12 years ago, I was told I was slipped and ecstasy pill. I was already drinking and smoking. I was raped that night and cannot remember anything from my ride home. Just not sure what the mix can do.

    1. Hi Julie. That’s a combo that has caused memory loss form many people who’ve reported mixing those substances together. Especially a lot of alcohol mixed with ecstasy causes several hours to be lost from memory.

  17. Hi Bo. Well, acually it does cause a rush, and yes, the neurotransmitters are already there. But, it blocks the reuptake of neurotransmitters through the synapses’ mechanism, thus causing a rush (there is a huge amount of neurotransmitters that just keep on stimulating signals). Kind regards to you Bo.

  18. Might wanna breathing your blog. Controllable old it is but mama does not cause a rush of neurotransmitters to the brain. The transmitters are already there b

  19. Hi Tammise. I’d suggest an image search for each of the substances individually, focusing on the keywords “[DRUG] + neurotransmitters”. You’ll need to understand HOW these drugs affect the central nervous system and get a description of how the drugs affect the brain…and then an expert opinion (perhaps from a toxicologist) about the combined effects.

  20. Thanks for a speedy reply , I have searched on line and all i can find is the effect on the body .Is there anywhere i can find and print the high that would happen if you took them at the same time .

  21. Hello Tammise. A combination of these drugs can induce psychoses or hallucinations, depending on dose and potency. However, each person react individually to psychoactive substances according to their age, weight, gender, exposure/tolerance, etc. Why do you ask?

  22. Can you provide some info on the following ?
    What your state of mind would be if you took.. 2 ecstasy pills, and alcohol and marijuana?

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