Ecstasy poisoning

Question 1

What are some clinical features of ecstasy poisoning?

Answer 1

• Neurological: agitation, anxiety, confusion, ataxia
• Cardiovascular: tachycardia, hypertension
• Hyponatraemia
• Hyperthermia
• Rhabdomyolysis

(Basically similar to serotonin syndrome)

Question 2

How is it managed?

Answer 2

• Supportive
• Dantrolene may be used for hyperthermia if simple measures fail