PMMA Facts
Stimulant;
Dose and durationby route · individual sensitivity varies
Oral(mg)
Threshold< 25 mgLight40 – 80 mgCommon100 – 120 mgStrong120 – 150 mgHeavy150+ mg
Starts in 45 – 90 minLasts 3 – 5 hoursAfter-effects 2 – 4 hours
Body and dependence
- Acute toxicity
- Critical
- Chronic toxicity
- Moderate
- Physical dependence
- None
- Psychological dependence
- Negligible
- Withdrawal
- None recorded
- Compulsive redosing
- Low
Tolerance
- Builds
- Moderate
- Fully resets after
- Not recorded
- Carries over to
- MDMA;
PMA; amphetamine
Effectslikely at a common dose
- Perception
- none likely · 4 possible
- Body
- Stimulation;
Temperature dysregulation; Excessive sweating; +23 possible, including Dehydration sensation, Abnormal heartbeat, Vasoconstriction - Thinking
- none likely · 5 possible, including Compulsive redosing urge, Cognitive impairment, Confusion
- Feeling
- none likely · 4 possible, including Anxiety
Who shouldn't take it
Absolute
MAOI therapy; SSRI/SNRI therapy; CYP2D6 poor metabolizer status; Pregnancy
Relative
Pre-existing cardiovascular disease; Hypertension; Hepatic impairment; Renal impairment; Hyperthyroidism
Combinations60 recorded
Lethal (6)
MAOIs; MDMA, Amphetamines; MDMA, MDA; Psychedelics; SNRIs; Stimulants
Dangerous (32)
5-HTP, Tryptophan; Alpha-2 adrenergic receptor antagonist; Anticholinergics; Atypical antipsychotics; Caffeine; Dopamine agonists; Ephedrine, Pseudoephedrine; Local anesthetics; NDRIs (Wellbutrin); NRIs; Opioids; Antihistamines; Antipsychotics; Benzodiazepines, Barbiturates; Buspirone; Cannabis; Clonidine, Guanfacine; DXM; GHB, Baclofen; GHB, GBL; Ibogaine; Ketamine, DXM, PCP; L-Tyrosine; Lithium; and 8 more, see full page
Caution (19)
See full page: psychedex.org/substances/pmma
Not graded (3)
Not listed never means safe.
Seek help immediately if
- Overheating / very high body temperature — heavy sweating, then hot dry skin (the leading cause of MDMA deaths, worse when dancing in hot venues)
- Muscle rigidity, jaw clenching, tremor, or twitching (possible serotonin syndrome)
- Fast, pounding heartbeat; chest pain
- Agitation, confusion; seizures
- Hyponatremia (water intoxication) — headache, confusion, drowsiness, vomiting, and seizures from drinking too much water
- Nausea/vomiting; collapse or unconsciousness
What to do
- Move them somewhere cool and help them cool down — overheating is the main danger
- Sip water to stay hydrated but DO NOT overdrink — roughly a cup (250 ml) per hour if active; too much water can be deadly (hyponatremia)
- Get them to rest and stop dancing
- For overheating, seizures, chest pain, muscle rigidity/tremor, confusion, or unresponsiveness, call emergency services
- Recovery position if drowsy or vomiting; stay with them
- Be ready to give rescue breaths / CPR
Most resolve with cooling, rest, sensible hydration, and time. The life-threatening dangers are hyperthermia, serotonin syndrome, and hyponatremia (too much water) — each a medical emergency, not something to wait out.
988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE
psychedex.org/substances/pmma · Version r1 · Not medical adviceValues as of