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No drug eats holes into the brain, but many people say that MDMA (ecstasy) does. The myth comes from the fact that MDMA causes serotonin receptors to burn out prematurely, causing them to become "down-regulated", inhibiting their ability to bind to serotonin. This situation is not permanent, however, and receptors can return to normal with time. This is one of the body's natural processes as it tries to regulate horomone levels. See [1] and [2].

Another issue with MDMA is its capacity to burn out the brain's serotonin axion terminals with repeated use. This is not an effect of ecstasy directly, but rather the aftereffects of its use. Your brain's axion terminals regularly place both serotonin and dopamine into its synapses, and some of the serotonin is "recycled" back into the axion terminals where it its broken down by MAO. When MDMA causes a depletion of your brain's serotonin reserves, it is left with a relative excess of dopamine, which gets recycled instead of the serotonin. MAO breaks down the dopamine into hydrogen peroxide (think bleach) which is damaging to the axion terminals. Normally dopamine is not recycled in this way, it only occurs whenever there is a lack of serotonin. However, there are drugs (e.g. prozac) that can block this recycling process and actually prevent this damage if taken within 6 hours of dosing with MDMA; currently this has only been tested in animals. See [3] and [4].

[1] http://www.dancesafe.org/slideshow/slide18.html

[2] http://en.wikipedia.org/wiki/Downregulation

[3] http://www.dancesafe.org/slideshow/slide19.html

[4] http://www.dancesafe.org/slideshow/slide20.html

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15y ago
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13y ago

I'm a former active addict while I was in rehab door heroin an coke and others they did a brain scan to see how much of my brain was functional after this severe abuse and for me it showed a 15% decrease in

My regular brain function before the drugs it eats at your brain some drugs stay in your system for along time. If you are thinking of using drugs don't do it it's not worth the risk of addiction.

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13y ago

Ecstasy doesn't put holes in your brain

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