What medication can help a person who takes MDMA for anxiety?

Question

Hello doctor,

I have become extremely dependent on the party drug, MDMA over the last few years for social situations. I work hard the whole week and then on weekends, I take a very small amount of MDMA at night. I take it with a drink which helps me feel normal, relaxed, and gives me the ability to concentrate. It always feels amazing because all my anxieties just go away making me feel normal. However, I know that this is not sustainable forever. I use MDMA as a sort of self-medication, but I know it is not normal and have hangovers the next day. I have been sober in the past, but always felt the need for some sort of a prescribed drug to feel alright. Even though I hide it from everyone and successfully run a company with good pay, I am getting sick of this cycle. What sort of medication would benefit me? I know MDMA works on serotonin and dopamine so my thought was something similar. The SSRIs I have tried in the past gave me more anxiety and take forever to kick in. Recently I have taken Adderall and got some success, but it gives me increased anxiety. Should I take Adderall with propranolol?

Kindly help.

Answer 1

Hello,

Thank you for stopping by!

I am here to provide expert opinion on your medical issues.

I understand your situation. Why do you take MDMA (3,4-methylenedioxy-methamphetamine) on weekends? Do you have a craving for it? Do you have depression or anxiety? If you have cravings and are dependent on it then you need to take a consultation at drug rehabilitation. You may need to take Naltrexone or some other medication like Benzodiazepine to deal with your problem. You may also need cognitive behavior therapy and it is not possible to treat at home.

Kindly consult a specialist, talk to them, and take medications with their consent.

I hope this has helped you.

Thank you.

Answer 2

Hello,

Glad to have you back!

I am here to help you get the best medical advice.

You are taking MDMA (3,4-methylenedioxy-methamphetamine) just to deal with your social anxiety. I suggest you follow the below lifestyle to deal with your anxiety.

Exercise daily or at least go for a walk for 30 to 45 minutes. It will boost your confidence.
You should do meditation daily for 20 minutes. Just sit in a comfortable position and try to concentrate on your normal breathing. Do not stop or force yourself to stop your thoughts, just let it be. It will make you relax.
You should eat healthy home-cooked foods and avoid junk foods.
You must drink enough water.
You should spend quality time with your friends and family daily.
You should spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills, language, or musical instruments.
You should get adequate seven to eight hours of sleep daily.
You must avoid tobacco or alcohol or any substance abuse like MDMA.

Live your life, do not just spend it. Be bold and confident. You can take the tablet Clonazepam 0.25 mg when you have an anxiety attack or social anxiety. Tablet Adderall will cause precipitated anxiety. If you do not have ADHD (attention deficit hyperactivity disorder), then why do you want to take any stimulant medications? You have cravings and are triggered only on weekends, so just try to skip one weekend without substances. You may have restlessness and irritability.

Kindly consult a specialist, talk to them, and take medications with their consent.

I hope this has helped you.

Thank you.