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Rare but relevant: MDMA and hyponatraemia

dc.contributor.authorGarcia, Maria Rita
dc.contributor.authorGomes, Nelson G. M.
dc.contributor.authorSilva, Diana Dias da
dc.contributor.authorDias da Silva, Diana Cristina
dc.date.accessioned2026-04-13T09:24:56Z
dc.date.available2026-04-13T09:24:56Z
dc.date.issued2026-03
dc.description.abstractConventionally used for its stimulant, empathogenic and entactogenic effects,3,4-methylenedioxymethamphetamine (MDMA, ecstasy) is one of the most commonlyused psychoactive drugs, specifically among young adults and in nightlife and recrea-tional party contexts. Often perceived as a safe drug, MDMA can display an array oftoxic effects on multiple organs, with hyponatraemia (a low blood sodium concentrationthat can cause an altered mental state) being increasingly reported. Although hypona-traemia per se is among the most common electrolyte disorders encountered in clinicalcare, acute MDMA-induced hyponatraemia was first described in 1993 and constitutes alife-threatening condition if left untreated, particularly among women, who presenthigher incidence rates and increased odds of developing severe clinical effects. The pre-sent review outlines the main clinical manifestations and prevalence of MDMA-inducedhyponatraemia, its pathophysiological mechanisms and the therapeutical approaches tocorrect this electrolyte imbalance.eng
dc.identifier.citationGarcia, M. R., Gomes, N. G. M., & Dias-da-Silva, D. (2026). Rare but relevant: MDMA and hyponatraemia. Addiction, 121(3), 713–718. https://doi.org/10.1111/add.70255
dc.identifier.doihttps://doi.org/10.1111/add.70255
dc.identifier.eissn1360-0443
dc.identifier.issn0965-2140
dc.identifier.urihttp://hdl.handle.net/10400.22/32212
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWiley
dc.relationUID/50006/2025
dc.relation.hasversionhttps://onlinelibrary.wiley.com/doi/10.1111/add.70255
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAntidiuretic hormone (ADH)
dc.subjectArginine vasopressin (AVP)
dc.subjectEcstasy
dc.subjectElectrolyte balance
dc.subjectHyperthermia
dc.subjectHyponatraemia
dc.subjectMolly
dc.subjectPolydipsia
dc.titleRare but relevant: MDMA and hyponatraemiaeng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.endPage718
oaire.citation.issue3
oaire.citation.startPage713
oaire.citation.titleAddiction
oaire.citation.volume121
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameDias da Silva
person.givenNameDiana Cristina
person.identifier.ciencia-id7715-CF06-F0B5
person.identifier.orcid0000-0002-7331-9157
relation.isAuthorOfPublication1f32faf1-efa5-4ea0-982d-a755e1940abf
relation.isAuthorOfPublication.latestForDiscovery1f32faf1-efa5-4ea0-982d-a755e1940abf

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