I take regularly folic acid. Are there any dangerous side effects?

Vitamin B complex has eight B vitamins. These are water soluble vitamins are are important for our health. In normal doses there are no side effects. In overdoses there are side effects. This is the reason I advise you to consult with your doctor before you take any supplement.

Folic acid or folate is vitamin B9. The daily recommended intake is:

0 – 6 months -----------30 microg
6 – 12 months ---------50 microg
1 – 18 years ------------100 – 400 microg
18 years + ---------------400 microg
Pregnant -----------------1000 microg
Lactating -----------------1000 microg

Deficiency symptoms and risk factors include:

• Haemolytic and megaloblastic anaemia
• Abnormal faetal development, eg. Neural tube defect
• Vascular degeneration
• High homocynteine levels
• Low energy
• Confusion
• Forgetfulness
• Irritability
• Depression
• High blood pressure
• Insomnia (sleep disorders)
• Risk to develop some cancers
• Cervical dysplasia

The overdose side effects include:

• Increases LDL/HDL ratio
• Nausea
• Bloating
• Zinc and potassium deficiency
• Loss of appetite
• May mask anaemia from vitamin B12
• Kidney damage
• Worsens some forms of childhood leukemia
• Increased risk to develop some cancers from vitamin B complex supplements
• Reduces or interferes with the effectiveness of methotrexate (an anticancer drug used in chemotherapy), anticonvulsant drugs, barbiturates, estrogen and sulfasalazine

Folate is the natural form of vitamin B9 and folic acid is the synthetic form. Anything in excess is dangerous for our health and a doctor can give you always the right advice.

Who should not take oral contraceptive pills?

To know this you have to talk to your gynaecologist. He can give you the necessary information.

If you have following conditions your doctor will discourage you to take the combination birth control pills, oestrogen and progestin containing pills:

• Breast feeding
• Smoker
• Older than 35 years old
• Heart disease
• History of blood clots and stroke
• History of breast, endometrial or liver cancer
• History of thrombosis and pulmonary embolism
• Kidney, liver and adrenal gland health problems
• Diabetes complications
• Migraines with aura
• Unexplained uterine bleeding
• Bedridden because of a major surgery
• Taking antiepileptic drugs
• Taking St. John’s wort

Like all drugs the combination pill has many side effects.

The mini pill which contains only progestin may be discouraged by your doctors for the following reasons:

• Breast cancer
• Unexplained uterine bleeding
• Taking antiepileptic drugs and anti-tuberculosis drugs

Without consulting your doctor do not take the hormone oral contraceptive pills. Inform him all the prescribed or over-the-counter drugs or food supplements you take.

The mini pill also has side effects.

You tell us the side effects of drugs or medicines. Can you explain me the exactly what do they mean?

All the drugs or medicines have side effects. Up to 10% of the patients may get these side effects. You may have one or another or more side effects. In this case contact your doctor. The following are the side effects and the body system connected:

• Cardiovascular – include high or low blood pressure, pressure in the chest and pulse problems
• Dermatologic – include acne and all the other skin disorders
• Gastrointestinal – include abdominal pain, nausea, vomiting and diarrhoea
• Genito-urinary – include breast pain, vaginitis, uterine/vaginal bleeding including spotting, irregular bleeding and heavy bleeding and ovarian cysts
• Nervous system – include headache, dizziness, drowsiness and nervousness
• Respiratory – include sinusitis and upper respiratory infection
• Psychiatric – include mainly depression
• Musculoskeletal – include back pain
• General – include weight gain and fatigue
• Others – include angioedema
• The allergies – here you must go to the doctor immediately

Most of the patients don’t get side effects. If the side effects are there go to your doctor immediately. Blood tests may also be necessary because drugs may change your metabolism.

Can you explain us the advantages and disadvantages of the oral emergency contraceptive pill?

The morning-after pill or oral emergency contraceptive pill is used to prevent pregnancy if the contraception is failed or was not used. The pill works for 3 days after sex but it works best within 12 hours. The hormone here present is levonorgestrel, a female-type hormone which is also present in many oral contraceptives.

In many countries these are prescription medicine and you have to consult with your doctor to get it. Many religions are against this because they interpret this sort of contraception is murder. In some of the countries it is over-the-counter medicine. The reason may be family planning. But, many misuse this without understanding all the effects; their aim is only to prevent pregnancy. We must educate the women exactly about the sexual relationship between men and women. A woman with good knowledge about sex health education will go for this very rarely. It is always to consult your doctor.

The morning-after pill prevents the ovaries from releasing an egg and alters the lining of the uterus so that a fertilized egg cannot embed there. It is very effective if it is used in time. IT WILL NOT HELP IF YOU ARE ALREADY PREGNANT.

It is used by women who have had unprotected sex or to help rape victims, couples who had condom break or women who had sex without her knowledge under the influence of alcohol or drugs.

The side effects include:

• Headache
• Nausea
• Vomiting
• Tender breasts
• Irregular bleeding
• Diarrhoea
• Dizziness
• Stomach pain
• Tiredness

Seek medical attention right away if any of these SEVERE side effects occur when using Levonorgestrel: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); severe and persistent lower stomach pain; missed menstrual period; spotting instead of your usual period.

Pregnancy is also a side effect of the morning-after pill.

Although 72 hours are given the problem starts after 24 hours or if the person had more than once sex. The rest risk for a pregnancy is always there.

But the threat to the society comes from the HIV infection and other sexually transmitted infections. If you are infected you can infect your partner and also your children. Unprotected sex can spoil your life. If you are active in sexual life keep always condom with you.

To know more about sex health education including complete contraceptive methods read my book “Sexual Abuse of Children and Sex Health Education”. It is available as an e-book. Visit www.aaronverlag.com for further information.

NCW concern over emergency contraceptive pills

Oral emergency contraceptive pills gaining popularity among young girls
Advertisements quite misleading and its side-effects are undisclosed

NEW DELHI: Concerned over the indiscriminate use of emergency contraceptive pills sold across the country, the National Commission for Women (NCW) has written to the Ministry of Health and Family Welfare and the Medical Council of India seeking their opinion in curbing the promotion of these pills.


In a statement issued here, the NCW has said that it had been brought to their notice that wide scale advertisement campaign in favour of oral emergency contraceptive pills was being carried out by the pharmaceutical companies.
These pills are gaining popularity among young girls despite repeated warning from doctors against the use, the statement said.
“With concern, it is seen that the drug is being projected as an after saviour of unsafe sex. The advertisements of these pills are quite misleading and its side-effects as well as efficacy are not at all being disclosed,” the statement said.
It is being projected as an alternative to the safe sex method and thus may lead to an everlasting impact on the younger generation and in turn result in the government and the society losing its battle against AIDS and sexually transmitted diseases besides putting the women through grave emotional and physical trauma and everlasting effect of hormonal imbalance, the Commission said.
Over-the-counter drug
Pointing out that these pills were designed for women over 25 years and accordingly it is felt that it may have dangerous side-effects on teenagers and on women using it too regularly, the panel has further said that this is an over-the-counter drug and hence did not require any medical prescription.
It is dangerous because emergency pills do not prevent sexually transmitted disease like HIV/AIDS, the statement added.

The Hindu online edition 23.03.2010
http://www.hindu.com/2010/02/23/stories/2010022358442000.htm

I'm 63 yrs and find that whenever I stretch and get cramps. I'm taking Atenolol for tension. Erections are not as before. Can the tablets cause this?

I am 63 years old and recently I find that whenever I stretch I get cramps. I am taking Atenonol, Amlodipine and Irbersatan for my hypertension. Is it due to these tablets? Also I find that my erections are not hard as before. Can these tablets cause this problem?

As you know all the drugs have side effects. Up to 10% of the patients experience some of the side effects.

Atenonol may cause tiredness or weakness. It may affect the sex drive.

Amlodipine may cause fatigue, cramps and sexual dysfunction. This may be the cause for your cramps.

Irbersatan may cause decreased sexual ability.

All the three drugs have many other side effects also.

We need the drugs, but unfortunately all these have side effects. If you are unlucky you are affected.

These medicines have also many other side effects. Read the information which you get along with your drugs or ask your doctor about this. Talk to your doctor about this problems and he may prescribe other medicines.

Unfortunately I have no information - medical history, diseases, lifestyle etc. about you. We could do a lot if I get a complete picture about you.

One more important thing you must know. When you get high blood pressure or any other disease your mind is continuously thinking about that. This is an unending stress and could also make problems with your sexual life. Avoid the stress.

Visit www.aaronverlag.com, click Counselling and download the Aaron Analysis Form. Fill it up and send it to me.

What is your opinion about school children and drugs?

This is really a menace in our world. The parents want high marks from their children. The tension is too much for the children, many are not in a position to withstand this enormous stress.

Hundreds of thousands of doses of tranquillizers and other drugs are prescribed to children. But nothing will help including methylphenidate to increase their marks. The right food, love and time from their parents and the correct planning of the school and extracurricular works and activities are the best medicine to improve the situation but without any tablets.

Talk to your child and listen to your child, they are much more intelligent than you think, accept this and handle, the success will be mostly yours.

In some countries the paediatricians give cholesterol reducing tablets to obese children at the age of eight, nine or ten years. Here we should not forget the adverse side effects of the disappearance of the muscles if there is less physical activity. Your doctor must monitor the situation very closely; otherwise it is difficult to take the responsibility of such treatment.

Teach your children from the beginning what to eat and how to eat. If you also do not know, go to your dietician and learn it at first before teaching your children. We should keep it as subject even in the kindergarten. Could anybody tell me why such programs are not yet implemented?

We must be very careful with side effects because there are no clinical studies for children. So, the experience of your doctor is very important here.

Does everybody get the side effects from the medicine?

Fortunately it is not the case. Approximately 10% of the patients get common side effects. There are also very severe side effects like anaphylaxis.

But the number is still very high; ask your relatives, friends and colleagues how many have intolerable itching; if you analyse this you will come to know many are the side effects of the medicines. Many side effects destroy the quality of your life. Before searching somewhere else, first think about your prescription as well as over-the-counter medicines and first rule out the possibilities of the side effects.

If there are side effects from your drugs, then you try to take traditional medicine or go to your doctor who could help you always.

Many medicines have the side effect of stuffy nose and many think this is dust or some other allergies. But it could be also side effects of the medicines, without knowing if you treat this there will be no success because you take this medicine with side effect regularly.

Weight gain, constipation, dizziness and cough may also be side effects of many drugs.

Are the over-the-counter medicines safe?

We need medicines if we are sick. But the side effects are always there whether it is over-the-counter or prescribed drugs. If you use them properly it may be helpful to you. Over-the-counter medicine is safe when it is used properly.

Even if you take over-the-counter medicines consult your doctor first, he could check and tell you whether the organs necessary to metabolize these drugs are healthy or not. After that also, it is only trial and error to find out the right dose. Here, your doctor decides what you have to take and how long.

This is also applicable to all the over-the-counter medicines. Consult your doctor, get all the information from him and ask him also the maximum amount could be taken in a day. Never take more than necessary.

When taking medicine you must avoid alcohol completely. You can manage nicely, but do not forget the dose makes the gift. You can also get information from your pharmacist. If the drug is not helping for two or three days go to your doctor immediately.

You can try your grandmother’s methods and most of them are good.

What is cough?

Coughing is an important way to keep your throat and airways free, but excessive coughing may be because of an underlying disease or disorder. Some coughs are dry and others are mucus productive.

Acute coughs are sudden, caused by cold, flu or sinus infection and may last two to three weeks and chronic cough lasts longer than this.

The other sources of coughs include:

• Cigarette smoking
• Passive smoking
• Exposure to environmental pollution
• ACE inhibitors (drugs used to control blood pressure)
• Asthma
• Allergies
• Gastro-oesophageal reflux disease
• Lung infections such as bronchitis and pneumonia
• Lung tumours
• Sinusitis
• Dust
• Environmental air pollution
• Side effects of drugs

Children may develop coughs from diseases or causes which usually do not affect adults, such as croup, bronchiolitis, infection of the lower respiratory system caused by respiratory syncytial virus. Passive smoking, blockage of the airway with food or small toy or balloons and emotional or psychological problems can also cause cough in children.

Croup is a common respiratory problem seen in children between 1 and 3 years old, the symptoms are hoarseness, barking cough, striedon, a high pitched sound heard when breathing in and difficulty in breathing and is caused by a virus which affects the throat and upper airways. It can recur till the children become 5 or 6 years old and it could be avoided by humidifying the room where the children used to stay. If the symptoms are severe, go to your doctor, he may give medicines and if necessary oxygen also.

Bronchiolitis is the infection of small air passages and is also caused by a virus and it affects the children below 2 years. The symptoms include difficulty in breathing, rapid breathing and wheezing and it is better to go to the doctor if the breathing frequency increases considerably.

Remember, a cough is a symptom, but not a disease, a right diagnose must find out the real reason and the treatment with antibiotics could also be very carefully done only if pneumonia is diagnosed. Otherwise, aspirin, Paracetamol or ibuprofen is used to reduce fever and pains and headaches and children below 16 years should not take aspirin. Children could also be treated in the same way. If you use over-the-counter drugs, note always the content so that the patient, for example, should not get double the dose of Paracetamol because most of the over-the-counter drugs may also contain Paracetamol.

Codeine and dihydrocodeine can also be used in cough treatment.

If cough is a side effect of a drug contact your doctor immediately. I have seen persons who have coughed 10 years or more unnecessarily.

For common cold or cough you can also use grandmother’s mixtures which will help in most of the cases.

My son has to take methylphenidate; can you inform me about this drug?

It is a drug used as part of a treatment programme for attention deficit hyperactivity disorder with symptoms of more difficulty in focusing, controlling actions and remaining still or quite than others who are at the same age.

It is also used to treat narcolepsy, a sleep disorder which causes excessive daytime sleepiness.

The side effects methylphenidate include dizziness, nausea, vomiting, diarrhoea, nervousness, loss of appetite, stomach pain, headache, painful menstruation, difficulty in falling sleep or staying sleep, fast and irregular heartbeat, shortness of breath, chest pain, dizziness, faintness, excessive tiredness, slow or difficult speech, numbness of an arm or leg, seizures, agitation, blurred vision, hallucination, abnormal thoughts, mood changes, depression, fever, hives, sore throat, unusual bleeding, joint or muscle pain, skin rashes, itching and difficulty in breathing or swallowing.

Caution: Methylphenidate may cause sudden death in children and teenagers with serious heart problems or heart defects. In adults heart attack or stroke with heart defects or serious heart problems may occur. Talk to your doctor about these problems, particularly the risk of this drug in medication.

Methylphenidate may slow children’s growth and may give problems in weight gain. Your child’s doctor must accompany you both during the whole therapy to take necessary action immediately when it is necessary. All the other forms are not serious and may be dangerous to your child’s health.

Fixing the therapy for three months may not bring always the best results, the child’s doctor and the psychologist must work together to find the right medication and therapy. The role of phosphates in food and also a healthy food in general without any junk as well as processed foods is also necessary during this medication to achieve good results.

Methylphenidate should not be used in children under 6 years of age, since safety and efficacy in this age group have not been established.

There are no studies available in pregnant and breastfeeding women. If you are pregnant or breastfeeding while you use methylphenidate check with your doctor and he will advise you the benefits or risks. If it is possible to manage without drugs it is the best during pregnancy and breastfeeding.

The half-life period of methylphenidate is 2 to 4 hours.

Is viagra also a recreational drug? I’m 27 year old...

No is the answer. It is not only applicable to viagra, but also to Levitra and Cialis. These should be taken only after consulting your doctor.

This is a medicine used to treat erectile dysfunction. The reasons for erectile dysfunction are heart disease, prostate cancer and diabetes. The psychological factors like stress, anxiety and depression can also cause erectile dysfunction. Many medicines have side effects which can also cause erectile dysfunction.

Viagra is a prescription medicine. Its side effects are very severe. The common side effects include:

• Headaches
• Low blood pressure
• Facial flushings
• Nasal congestion
• Vision problems – trouble in differencing blue and green, blurred vision, sensitivity to light
• Dizziness
• Rash
• Urinary tract infections
• Diarrhoea
• Flu-like symptoms
• Respiratory tract infections
• Joint pain
• Back pain

There are other severe side effects, these may be rare but it is there and they include:

• Congestive heart failure
• Chest pain
• Heart attack
• Stroke
• Sudden death
• Serious irregular heart beats
• Temporary vision loss
• Fainting
• Migraines
• Muscle pain
• Allergic reactions
• A sudden decrease in or loss of hearing
• Anaemia
• Gout
• Arthritis
• Bleeding in the lungs
• Sleeplessness
• Asthma
• Cataracts
• Urinary incontinence
• Vomiting
• Dry mouth
• Anxiety
• Depression
• Seizures
• Prolonged erections without pain
• Prolonged, painful erections

There are deaths but the media is not giving importance to this because of big money, billions are the turnover.

It should be used only after a through consultation with your doctor.

With all these possible side effects you must be very careful. It is not licensed to use as recreational drugs. If you use this with other party or recreational drugs the danger is more. If you are unlucky you may die. The other side effects are also very serious.

Of course the pharmaceutical industry is ready to sell these drugs to healthy young man as recreational drug. It is not allowed by FDA, but as you know the drugs are given further or bought from the online drug stores. All these must be controlled and prevented.

There are other wonderful things in this world to enjoy and these drugs must only be medicines.

The morning-after pill

The morning-after pill is used to prevent pregnancy if the contraception is failed or was not used. The pill works for 3 days after sex but it works best within 12 hours. The hormone here present is levonorgestrel, a female-type hormone which is also present in many oral contraceptives.

The morning-after pill prevents the ovaries from releasing an egg and alters the lining of the uterus so that a fertilized egg cannot embed there. It is very effective if it is used in time.

IT WILL NOT HELP IF YOU ARE ALREADY PREGNANT

It is usually used by women who have had unprotected sex or to help rape victims, couples who had condom break or woman who had sex without her knowledge under the influence of alcohol or drugs.
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most common side effects persist or become bothersome when using levonorgestrel. They include:
Breast tenderness; changes in menstrual flow; diarrhea; dizziness; headache; nausea; stomach pain; tiredness; vomiting.
Seek medical attention right away if any of these severe side effects occur when using levonorgestrel. They include:
Severe allergic reactions (rash, hives, itching, difficulty breathing, tightness in the chest, swelling of the mouth, face, lips, or tongue), severe and persistent lower stomach pain, missed menstrual period, spotting instead of your usual period.
Pregnancy is also a side effect of the morning-after pill.

Although 72 hours are given the problem starts after 24 hours or if the woman had more than once sex.

The rest risk for a pregnancy is always there.

In all the Western countries the morning-after pill is a prescription drug, but in India…

The birth control pill or oral contraceptive pill

The oral contraceptives contain different levels of estrogens and progesterone or progesterone alone. It is prescribed by the family doctor after considering the family history and medical records of the woman. These pills stop the ovaries from releasing eggs every month. They also make the lining of the uterus thinner so that the fertilized egg could not attach there.

The disadvantages are that the pill must be taken everyday without any break. Even if you have vomiting or diarrhoea the effect of the pill is gone and you can become pregnant. If you forget to take the pill for a day then also the risk of pregnancy is there. Every year you need three months interval for the regeneration of the hormone household of your body, otherwise infertility may be the result. There are many side effects from these hormone pills.

Side effects:

If you have the following symptoms, go to your doctor and talk to him. These include severe headache, severe vomiting, speech problems, dizziness, faintness, weakness or numbness of arms or legs, coughing up blood, shortness of breath, crushing chest pain or chest heaviness, double vision, partial or complete loss of vision, bulging eyes, pain, warmth or heaviness in the back of the lower leg, severe stomach pain, jaundice, loss of appetite, extreme tiredness, weakness or lack of energy, fever, dark urine, pale stool, swelling of the hands, feet, joints and lower legs, mood changes and depression, unusual bleeding, skin rash and menstrual bleeding which is unusually heavy or that lasts more than 7 days in a row.

The other side effects are nausea, vomiting, stomach cramps or bloating, diarrhoea, constipation, swelling of the gum, increased or decreased appetite, brown or black skin patches, acne, hair growth in unusual places, white vaginal discharge, swelling, redness, irritation, burning or itching of the vagina, breast tenderness, enlargement or discharge, painful or missed menstruation, changes in menstrual flow, bleeding or spotting between menstrual periods, weight gain or weight loss and difficulty in wearing contact lenses.

Oral contraceptives may increase the risk of developing liver tumours and breast or liver cancer. The risk of getting a heart attack, a stroke or a serious blood clot may also be increased. Consult with your doctor about these serious effects.

Cigarette smoking increases the risk of serious side effects from oral contraceptives, including heart attacks, blood clots and strokes. If you are older than 35 years or smoke 15 or more cigarettes per day, then the risk is higher. If you take birth control pills, you should not smoke.

Caution:

Oral contraceptives will work only as long as they are taken regularly. You may need to use a backup method of birth control if you vomit or have diarrhoea when you are taking this drug. You can consult your doctor to choose the correct backup method and for other advices.

The women who have family histories of diabetes, high blood pressure, migraines, blood clots and breast cancer should not take this. It is same with the progesterone-only pill also. Although both pills are 99% effective if taken properly these are not suitable for women who change their partners often because they give no protection from HIV virus and other sexually transmitted diseases (STDs).

The patch - it is a big plaster with hormones of the combined pill oestrogen and progesterone and is applied on the skin. The hormones reach the blood through the skin. Apart from the side effects of the birth control pill here is the possibility of red skin and rash are there.

The advantages and disadvantages are the same as the birth control pill. The same precaution should also be taken as the oral pills.

This a prescription drug, but in India…..

Amphetamine and Methamphetamine and their derivatives: Designer drugs, Party drugs and Recreational drugs

Designer drugs are drugs produced by a minor modification in the chemical structure of an existing drug, resulting in a new substance with similar pharmacological effects. Here most of these recreational or party drugs are the modifications from amphetamine or methamphetamine. There are thousands of different tablets clandestinely prepared and sold throughout the world. They are not always pure, there may be poisonous combinations and there are also many fake tablets. In our lab we have analyzed many tablets which the parents found from their children and many had only starch and some binding material. You, your health, family and money are important for you and not the drugs. Say “No” to drugs always.

Amphetamine

Amphetamine is a stimulant and an appetite suppressant. It stimulates central nervous system and brain by increasing certain neurotransmitters in the body.

Small doses of amphetamine wear off 3-8 hours later, leaving you fatigued but not exhausted.

This increases heart rate and blood pressure and decreases appetite.

The side effects include:

• Dizziness
• Blurred vision
• Restlessness
• It can hide the symptom of extreme tiredness

If you are under the influence of this drug avoid car driving, operating a machine or any other work where you need concentration.

Amphetamine is habit forming and can make you addicted to it. It makes physically and psychologically dependent.

Methamphetamine

Methamphetamine is a highly addictive stimulant. It causes numerous neurotransmitters released in the brain, producing euphoria which may last up to 12 hours.

As a popular stimulant, methamphetamine improves concentration, energy, alertness while decreasing appetite and fatigue.

Women tend to abuse it because it can cause extremely rapid weight loss. However the effects are short term. The body builds up a tolerance to methamphetamine and so after 6 weeks there will be no effect. The weight which is lost is regained when the person stops taking it. It is dangerous to use for weight reduction.

Effects of methamphetamine include:

• Euphoria
• Excessive sweating
• Loss of appetite
• Sleeplessness
• Jaw-clenching
• Alertness and increased energy
• Increased blood pressure and heart rate
• Increased body temperature
• Increased blood sugar levels
• It crosses the placenta in pregnant
• It is in breast milk
• Nausea
• Increased libido
• Panic
• Agitation and irritability
• Talkativeness

Chronic use – effects

• Tolerance (need more drug to get the same effect)
• Rapid teeth decay and fall out
• Temporary weight loss
• Drug carving
• Drug related psychosis

Overdose causes brain damage, hallucinations, delusions, tension headache and paranoia. Elevated body temperature, muscle breakdown, stroke and cardiac arrest are the reasons for death.

MDMA (Methylenedioxymethamphetamine, Ecstasy)

MDMA is a psychoactive derivative of methamphetamine with psychedelic and stimulant effects. It is a designer drug and is used for recreational purposes.

Adverse side effects include:

• Dry mouth
• Nausea and vomiting
• Agitation
• Sweating
• Increased blood pressure and heart rate
• Jaw tension
• Eye-wiggling
• Teeth grinding
• Headaches
• Fatigue
• Sexual dysfunction or inability to ejaculate
• Confusion, mood swings and black outs
• Short time memory loss
• Insomnia
• Water retention
• Liver problems
• A post-peak crash

Too much of alcohol and water intake can thin the blood and it is dangerous. At the same time if one doesn’t drink enough water his body is overheated and dehydrated and this also equally dangerous.

MDMA is used in private parties, raves or wherever people search recreation.

Related other designer or party drugs include:

• MDA (Methylenedioxyamphetamine – It is known as love drug and is similar to MDMA. It is slightly more stimulating than MDMA but approximately twice as neurotoxic
• MDE (Ethyl-methylendioxyamphetamine – It is similar to MDMA, but makes one calm.
• MMDA and MBDB

Never try this and this will spoil your health and social status. There are so many other wonderful things in life to enjoy more than these chemicals.

Friends, family, society, religion, culture and our globalized world give us many possibilities to meet, communicate and enjoy life.

Say “No” to drugs always. Possessing and using these drugs are illegal and punishable in many countries.

These pills are not wonderpills but are highly toxic poisonous chemicals.

In this field I am expert – drugs abuse, counseling, substitution therapy for addicted etc. are my fields. Young or old, men or women if you have drug problems, contact me for information to come out from your addiction. Parents, you also feel free to ask if your children have this problem. The mail id is drkpadmanaban@gmail.com