Are you a molly mastermind? An ecstasy expert? A professor of pingers? Do you really know your stuff when it comes to MDMA?
A: MDMA stands for
- 3-Methyl-3,4-dimethylaniline
- 3,4-Methylinedeoxyribosemethamphetamine
- 3,4-Methylenedioxymethamphetamine
- My Dog Might Annoy

B: What class is MDMA in Aotearoa under the current Misuse of Drugs Act classification?
- Class A
- Class B
- Class C
- Class D
C: What’s MDMA’s common oral dose?
- 500-750mg
- 80-120mg
- 20-80mg
- I wouldn’t know, common doses are for common people
D: What’s the heaviest MDMA pill that drug checkers have found in Aotearoa?
(Hint: it’s in our pill library)
- 1g
- 500mg
- 250mg
- 150mg
E: Is MDMA legally being used in psychedelic therapy?
- Yes, but only overseas
- Yes, it’s being used both here and overseas
- No, because drugs are bad mmmkay
- No, because actual MDMA is too hard to get and everything’s all cathinones now
F: Which country was the first to (re)legalise the medical use of MDMA?
- UK
- USA
- Australia
- Nowhere because drugs are bad, mmmmkay
G: What’s the most common drug added to MDMA in Aotearoa at the moment when suppliers adulterate their product?
- Eutylone
- N-ethylpentylone
- Caffeine
- Shame
H: What’s the most common additional drug that people choose to take when they take MDMA?
- LSD
- Caffeine
- Alcohol
- Pedro Pascal thirst traps
I: What are the drawbacks of snorting MDMA?
- It can harm the sensitive tissues and biome of your sinuses
- It wears off quick and you burn through your stash
- Most of the powder gets trapped in your nose hairs and the mucus in your sinuses and you don’t get your entire dose
- All of the above

J: Ok, so what is the least-risky way to take MDMA then?
- Eating or drinking it
- Snorting it
- Shelving it
- Looking at it longingly from across the room
K: What are the common health risks from taking too much MDMA in a short amount of time?
(We’re going to assume that you’ve brought your MDMA to a drug checking clinic and had it run through the spectrometer)
- Serotonin syndrome, bruxism, and hyperthermia
- Serotonin syndrome, bruxism, and hypothermia
- Liver problems, serotonin syndrome, and bruxism
- Having too much fun, amirite???????????????
L: What are the common health risks from taking too much MDMA over a long period of time?
(Like, if you’re smashing 250mg on a Saturday night every weekend for a 6 months)
- Changes in the way your brain produces and uses serotonin, leading to anxiety and/or depression
- Damage to your heart valves
- Damage to your teeth and jaws from clenching
- All of the above
Answers
A: 3) 3,4-Methylenedioxymethamphetamine
B: 2) Class B
C: 2) 80-120mg
D: 1) 1 gram
E: 2) Yep, it’s being used in trials for people with PTSD in the UK and USA, and in Aotearoa for people with late-stage cancer. Australia has straight up changed MDMA’s classification so it can be freely prescribed by pharmacists, which is pretty awesome.
- Effect of MDMA-Assisted Therapy on Mood and Anxiety Symptoms in Patients with Advanced-Stage Cancer Study (INZL1)
- Change to classification of psilocybin and MDMA to enable prescribing by authorised psychiatrists
- MDMA-assisted psychotherapy for treatment of PTSD: study design and rationale for phase 3 trials based on pooled analysis of six phase 2 randomized controlled trials
- MDMA-assisted psychotherapy for PTSD: Are memory reconsolidation and fear extinction underlying mechanisms?
- Breakthrough for Trauma Treatment: Safety and Efficacy of MDMA-Assisted Psychotherapy Compared to Paroxetine and Sertraline
F: 3) Australia
G: 3) Caffeine
H: 3) Alcohol
I: 4) All of the above
J: 1) Eating or drinking it. Shelving is the next least-risky because there’s a risk of tearing that oral consumption doesn’t have.
K: 1) Serotonin syndrome, bruxism, and hyperthermia
L: 4) All of the above
- Acute and long-term effects of MDMA on cerebral dopamine biochemistry and function, Springer online
- Drug-induced valvular heart disease
- Effects of 3,4-methylenedioxymethamphetamine (‘Ecstasy’) on the jaw-opening reflex and on the alpha-adrenoceptors which regulate this reflex in the anesthetized rat
Great quiz! I didn’t realize how hazy some of my knowledge is around these things.