As Name-Checked by Madonna
A version of Ecstacy (or MDMA) called Molly has become prominent in the party and dance scene, but has become notorious for the number of people who have died using it. In the Summer of 2013, a festival was cancelled due to two deaths that had been attributed to the drug. The New York Electric Zoo Music Festival came to an abrupt end, even though the official reason did not name Molly or another form of ecstacy.
It should be noted in fairness that people often end up overdosing on fake or counterfeit versions of party drugs. This is because it is often legal (or less criminal) to sell knockoffs or concentrated cough syrup derivatives to clubgoers, even though the effects like elevated heart rate and body temperature are actually worse. As a rule, the people who sell pills at raves are not always the most trustworthy, and a quick costume change (or fast getaway) could mean that the culprits could be gone by the time that people notice that they aren't getting the effects they wanted.
Overdose and Side Effects
People familiar with such music events have seen fliers asking "have you seen molly?" and the attention-friendly Miley Cyrus has essentially endorsed the drug in a song. The effects of the drug are said to be a euphoric feeling, an adrenaline rush, and a feeling of comfort. For all you brain chemists out there, the amount of dopamine, norepinephrine, and serotonin is increased, which amps up good and energetic feelings.
Difference between MDMA, Molly, Ecstacy?
Naturally, there is a question about whether there is really any difference between the designations, or whether Molly is just E (or X) with a new name. The problem with substances that are manufactured in clandestine locations with no Heisenberg-style quality control is that you just aren't sure how powerful of a thing you are getting. Some versions are purer than others, and this can be a bad thing if someone is putting too much of the drug into one pill or dose. A couple of high-dose pills could leave you dead. One story indicates that Molly is the more pure form of the drug, so it is unadulterated. Other narratives indicated that different substances like mephedrone (MDPV) methylone, and butylone may be sold under the moniker. Essentially, you could be getting Bath Salts from the local smoke shop in pill form.
Part of the problem for law enforcement, detox, drug treatment, and emergency room personnel is that they may not have much of a clue what the person they encounter has ingested. (The user might not really know either!) If the patient is unresponsive, or experiencing an altered mental state, test may be necessary, but testing for Molly only works if it is a recognized form of the drug or actual MDMA. If it is cut with other substances, then treatment may not necessarily be effective.
Furthermore, partygoers may not be under the influence of a single drug, and this complicates emergency medical procedures since an antidote for one kind of poisoning may interact with a secondary recreational substance. Drug treatment centers are likely to use the same program for Ecstacy use as with Molly, since the effects are essentially identical. Luckily, because there is a law of diminishing returns with this drug, it is not abused as much as narcotics and other stimulants. One rehab center representative indicated that less than one in twenty patients are in for this drug. While high profile deaths are on the rise, hosptial visits are not as high as for other drugs as well. This is not to say that the drug is harmless, as people who are under the influence of the drug would be dangerous drivers, may fail to notice unsafe conditions, and can experience high body temperatures, heart problems, death, epilepsy-like seizures, and body chemistry issues. If these issues don't get you, the depletion of positive brain chemicals can lead to weeks of depression while the brain replentishes the supply that was exhausted in a few hours on a dance floor.