Sunday, May 19, 2013

Jazzmine Myers- High incidence of mild hyponatraemia in females using ecstasy at a rave party


High incidence of mild hyponatraemia in females using ecstasy at a rave party

 

Ecstasy is used by millions of people every day. Ecstasy is a popular drug because of its distinctive emotional and social effects on the body.  Ecstasy also causes hyponatraemia. Hyponatraemia is an electrolyte disturbance in the serum where sodium levels are lower than normal. This article is based on a study that was done on ecstasy users to see if hyponatraemia occur more often in females than males.  Hyponatremia is mainly caused by direct stimulation of antiduretic hormone secretion by ecstasy. Over 30 cases of severe symptomatic hyponatraemia have been reported in relation to the use of MDMA, resulting in high mortality. This study was conducted in 2010 in Amsterdam at an indoor party called Awakenings.  The point of care method was used to test the plasma sodium concentrations in 63 subjects using MDMA and 44 controls.  Urine test was used to confirm the use of MDMA.  The results showed that the plasma sodium concentrations were much lower in the subjects using MDMA, than in the subjects not using MDMA. Hyponatremia occurred mostly in females.  Out of 30 females 8 of them developed hyponatremia.  There was no difference in the number of pills ingested between the people who developed this complication and the people who did not. It was also found that ecstasy caused a dipsogenic effect in the body, because the subjects under the influence of the drug had an higher level of fluid intake. At the party 25% of females and 3% of males under the influence of MDMA developed mild hyponatremia. Due to the fact that millions of people take this drug daily, measures should be taken to reduce MDMA induced hyponatremia.

Reference

Van Dijken GD, Blom RE, Hené RJ, Boer WH. "High Incidence of Mild Hyponatraemia in FemalesUsing Ecstasy at a Rave Party." National Center for Biotechnology Information. U.S. National Library of Medicine, 13 Mar. 2013. Web. 19 May 2013

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