Why Do People Die after Taking Ecstasy?

In the United Kingdom, over 200 deaths have been linked to ecstasy use within the last 5 years, a relatively low number compared to deaths related to other drugs like cocaine and heroin or even over-the-counter drug related deaths from products like aspirin. According to authorities, the strength of MDMA and Ecstasy tablets is now stronger than ever, which raises concerns that the number of drug-related deaths can only get higher in future.

With a large amount of media attention on ecstasy-related deaths, findings have shown that no deaths have been caused by allergic reactions to the drug or poisoning; instead, ecstasy deaths belong in three categories:


When a user takes ecstasy, a sudden increase in energy levels and hyperactivity are two of the main reactions. Typically taken in a club environment where hundreds (or thousands) of people are dancing, the body’s temperature naturally rises. On ecstasy, users typically dance for hours at a time without any breaks which, in the hot and humid environment, can force their temperature above 40 degrees Celsius causing a lot of problems. Typically people who reach this body temperature on ecstasy experience dilated pupils, low blood pressure, rapid heartbeat, and ultimately convulsions and seizures.

Death in this case is usually caused by respiratory collapse—ecstasy reacts with other chemicals in the user’s body that causes blood to coagulate in portions of the body that it shouldn’t. When blood starts to coagulate in the lungs, the user will be unable to breathe and the person will die.

Too Much Fluid

Most ecstasy users have heard enough anecdotal evidence of other users overheating that they take precautions to prevent that from happening. Typically users will wear light clothing, take breaks, and drink water. The problem is users don’t understand how much water they should be drinking and end up drinking too much. When too much water is consumed, the user will suffer from dilutional hyponatremia.

When someone suffers from dilutional hyponatremia while taking ecstasy, their kidneys will start to produce a chemical that tells their brain to stop excreting fluid, which means the body will not sweat. During this stage of water retention, the brain cells will start to absorb the water and the increased pressure on the brain can cause lung and heart failure. Not all users who suffer from dilutional hyponatremia die and may only experience dizziness, disorientation, or become comatose.

Heart Failure

When ecstasy is taken, the heart beats much faster than normal and blood pressure takes a steep rise. For a young, fit individual the elevated blood pressure and heart rate is usually something their body can sustain with no negative consequences. For some users—especially those who aren’t aware they have a cardiovascular condition, are older, or are overweight and unfit—this elevation in heart rate and blood pressure can cause heart failure.

Drug Testing for Ecstasy

If you are concerned that a teenage or relative is using Ecstasy, there are drug testing kits available that will detect MDMA (Ecstasy) These single drug Ecstasy Tests Kits are simple-to-use urine checks that will give you results in minutes There are also multi-drug testing kits available that have ecstasy as one of the drugs that they detect.

This post has been updated since its original publication in 2013.

Ecstasy Drug Test (MDMA)

Ecstasy Drug Test (MDMA)

Drug test for Ecstasy (MDMA) in urine Accuracy level of 99%. Test Sensitivity is 500ng/mL Approx. detectable time after use: ...
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