MDMA abuse and the trafficking of MDMA is on the rise, posing serious social concerns. Once confined to major metropolitan areas, MDMA trafficking has now expanded to smaller communities. Teenagers and young adults continue to be the primary targets of sophisticated crime syndicates who are supplying distribution groups with ever-increasing amounts of MDMA tablets. As the trend to consume MDMA in tandem with alcohol and other drugs continues, the harmful effects of the drug will increase exponentially.

MDMA (3,4-methylenedioxy-N-methylamphetamine), also referred to as Ecstasy, XTC, Adam, and Essence, is a illegally manufactured variation of mescaline and amphetamine. It is considered a designer drug - a substance on the drug market that is a chemical analogue or variation of another psychoactive drug.

MDMA is marketed as a feel good drug. Devotees say it produces profoundly positive feelings, empathy for others, elimination of anxiety, and extreme relaxation,hence the nickname "hug drug," or "love drug." MDMA is also said to suppress the need to eat, drink, or sleep, enabling club scene users to endure all-night and sometimes two, or three-day parties.

MDMA is taken orally, usually in tablet or capsule form. MDMA tablets are often "stamped" with icons or logos intended to appeal to a young audience. Its effects last approximately four to six hours.

Tablets sold as Ecstasy are not always pure MDMA. As demand for Ecstasy has increased, so has the appearance of Ecstasy "fakes" often containing other substances such as amphetamine, caffeine, codeine, DXM, ephedra/ephedrine, ketamine, MDA, methamphetamine, and PCP. When used alone, MDMA is dangerous. It is even more dangerous when used in combination with other substances, as the physical and psychological effects are difficult to determine or predict.