While you're using:
Start low, go slow
Strength can vary between batches, even if you take the drug regularly, starting with a small amount and waiting at least two hours before your next dose can help to reduce the risk of overdose.
Go at your own pace
Everyone responds differently to drugs - trying to keep up with others puts you at greater risk of overdosing.
Plan and measure doses
If you’re going out, only take what you plan to use with you as this makes it easier to set boundaries and stay in control. It’s easier to lose track of time when using drugs, so taking a screenshot of the time or setting a timer each time you have a dose can help you space out your doses.
Try not to use on your own
It's best not to use MDMA if you’re on your own or if you’re in a position where there is nobody you could call for help. A buddy system - where one person takes their dose first and waits until the peak effects have worn off before the other person uses - makes it more likely that someone can help if anyone overdoses.
Try not to mix
Try to take MDMA on its own, as mixing with other drugs or alcohol can increase your risk of overdose. Mixing with some prescription medications, including antidepressants and HIV medications, can increase the risk of serious side-effects.
Sip water
MDMA can make you feel very thirsty, but drinking too much fluid can be harmful. Try to drink a normal amount of water (no more than one pint of water or non-alcoholic fluid an hour) and in small sips.
Take a break
MDMA can cause your body to overheat. Taking regular breaks from dancing is important, as it gives your body time to cool down.
Find a safe space
Where you are when you take drugs can impact the effects you may experience, so try and find a space where you feel safe, comfortable, with people you trust.
The recovery position
The recovery position helps to prevent someone unconscious from choking on vomit. If someone is unconscious, putting them in the recovery position, getting help if needed, and staying with them will help to reduce the risk of harm.