3,4-Methylenedioxy-Methamphetamine Toxicity


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Expiration Date

26 Jul 2022

Last Reviewed

26 Jul 2021

Estimated Time To Finish

75 Minutes

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Activity Description

This activity reviews the FDA-class 1 drug 3,4 - methylenedioxymethamphetamine, also known as MDMA, ecstasy, or molly. The drug is known to promote a sense of euphoria and facilitate empathy and communication. Unfortunately, it can have dangerous effects on the cardiovascular, neurologic, renal, and hepatic systems and can lead to devastating consequences, including death. This activity reviews the potential for 3,4 -methylenedioxymethamphetamine toxicity, treatment approaches to patients who have overdosed on it, and the role of the interprofessional care team in improving outcomes for patients that use 3,4 -methylenedioxymethamphetamine.

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Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Describe the signs and symptoms that a patient with 3,4 -methylenedioxymethamphetamine toxicity might exhibit.
  • Outline the treatment strategy for a patient with 3,4 -methylenedioxymethamphetamine toxicity.
  • Identify rapid sequence intubation agents that should be avoided if a patient with 3,4 -methylenedioxymethamphetamine toxicity presents in a hyper-adrenergic state or if rhabdomyolysis is a consideration.
  • Explain why 3,4 -methylenedioxymethamphetamine toxicity requires an interprofessional team approach.

Author(s) / Contributors Disclosure of Conflicts of Interest

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information



The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.25 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

  • If you have content or system concerns, please contact support@statpearls.com, or call 727-289-9796.
  • If you have activity or credit concerns, please contact guy@campbell.edu, or call 910-893-7960.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.


Media Usage Rights

The contributors and editors of StatPearls have attested that all associated media (images and video) have been legally cleared for use with this activity.  All copyrights are reserved.


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    I am hoping that I did not pay $300 for courses which are of no use to me

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    Erika A. on 9/29/2021

    The activity is instructive and it can be informative for the general population

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    Joseph G. on 10/7/2021

    Excellent when combined with other toxicity eg., TCA

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    Dr.Mallikarjun K. on 12/14/2021

    I'm so please with the comprehensive-broad psychiatric program that I signed for an unlimited CME.

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    Kristan B. on 1/1/2022

    Excellent targeted course with valuable self assessment questions

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    Sean l. on 1/14/2022

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