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The drug “Molly” has been around for years. Maybe not in the same pure form, though. These days, Molly is usually mixed with other substances, and that’s what ramps up the risk.

Who or what is Molly?

Molly (short for molecular) is a psycho-stimulant. It’s a powder or capsule form of MDMA, the same chemical that’s in Ecstasy. Molly increases activity in three of the brain’s neurotransmitters—serotonin, dopamine, and norepinephrine—triggering heightened emotional, sexual, and trusting feelings, and sensory distortions.

When Molly gets miserable

After that surge of feel-good chemicals, the brain can run into problems. For users, this can mean confusion, depression, sleep difficulties, drug cravings, and anxiety. These other side effects are not so cute on the dance floor:

  • Involuntary teeth clenching
  • Nausea
  • Blurred vision
  • Increased heart rate
  • Chills or sweating

Molly mixes with the wrong sort

It’s rare to find pure Molly these days. It tends to be mixed with other substances, including methamphetamine, caffeine, heroin, ketamine (the anesthetic), or cocaine. Combining these can increase the risk of side effects, and could lead to other problems, such as overdose.

For more on Molly

Brandy Reeves is a health educator at the College of Public Health at the University of Kentucky. She received her undergraduate degree from Miami University, a master of public health from Ohio State University, and a master of higher education from the University of Kentucky.