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What Makes Ecstasy So Dangerous? (VICE: High Society)

Published On: April 16, 2026
3 min readViews: 10

Table of Contents:

Introduction

Across the United Kingdom, MDMA use remains widespread, especially in nightlife settings. While ecstasy has often been viewed as a relatively low-risk drug compared to others, increases in drug-related deaths have raised concerns. Higher doses, stronger pills, and the growing presence of unknown or mixed substances have made its use far less predictable than many assume.

This episode of VICE: High Society explores what’s driving that shift, from changes in the drug supply to gaps in harm reduction and public awareness. It looks at how quickly risk can increase when people don’t fully know what they’re taking, and why safer practices—like testing and understanding dosage—are becoming more important. In doing so, it offers a clearer picture of how ecstasy use is changing, and what that means for the people using it.

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Quotes

“At best, British street dealers will only have a vague idea of what’s in their drugs and that’s because ecstasy, whether it’s too weak, too strong, or too adulterated, is largely manufactured in Holland. And since the advent of the dark web, Dutch pill makers have been shifting 50 kilos of ecstasy per month. Why smuggle drugs when you can just mail them anonymously with legitimate couriers?”

“Gary Bass died from taking a pill laced with PMA, a substance that’s more poisonous and takes longer to kick in than MDMA. Users can think that their pills aren’t working, leading them to take a fatal dose.”

“Drug testing isn’t only important because of adulterants like PMA. It also allows users to know how much MDMA they’re taking, and that’s especially important this year when pills are the strongest they’ve been in a decade. A normal pill contains about 80 milligrams of MDMA, but recently they’ve been weighing in at 240 milligrams.”

A male interviewer from Vice sitting in a chair across from Hillary Bass.

"These kids, who don’t do drugs all the time, just do it when they go to raves or they go to festivals or just go out for a night, they need to know. They need to be aware of this bad stuff that can kill you by taking it once."

“I think it’s to do with new manufacturers trying to make a place in market place – it’s effectively a pissing contest … and they are quite tragically better pills, the stronger pills. If there was a plea I could make to MDMA manufacturers it would be, guys standardized your pills, always have 100 milligrams in and score them four ways, and it would be fantastic. People could test those, take a quarter of the pill, see how they feel and there would be consistency.” Adam Winstock – Director of Global Drug Survey

“I think it’s an easy criticism to say that we [The Loop] are encouraging drug use. What we hope is that we’re reducing drug-related harm. More than 50 people a year die from ecstasy in the U.K. and that figure is rising, so I think there’s a desire from everybody on site to be trying to reduce drug-related deaths.”

Continue Learning

Want to learn more? I’ve found some extra resources for you below. Whether you’re looking for a quick video or a long-read article, these links will help you get a better handle on some of the topics discussed in this resource.

Resource Details

  • Published in 2019
  • Length: 18 minutes

VICE examines the risks of MDMA use in the United Kingdom, including stronger pills, higher doses, and the growing need for harm reduction awareness.

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Brenda H., owner of AMH Resources
Brenda H.

BA Psych, Grad. Cert. Addictions & Mental Health

Driven by a deep personal connection to these topics, I created AMH Resources to bridge the gap between academic knowledge and everyday support. I watch, read, and summarize a wide range of free resources to help you navigate the overwhelming amount of information available and find what resonates with your journey.