Acute neuropsychological effects of MDMA and ethanol (co-)administration in healthy volunteers

Contains fulltext : 73592.pdf (publisher's version ) (Open Access)RATIONALE: In Western societies, a considerable percentage of young people expose themselves to 3,4-methylenedioxymethamphetamine (MDMA or "ecstasy"). Commonly, ecstasy is used in combination with other substances, in particular alcohol (ethanol). MDMA induces both arousing as well as hallucinogenic effects, whereas ethanol is a general central nervous system depressant. OBJECTIVE: The aim of the present study is to assess the acute effects of single and co-administration of MDMA and ethanol on executive, memory, psychomotor, visuomotor, visuospatial and attention function, as well as on subjective experience. MATERIALS AND METHODS: We performed a four-way, double-blind, randomised, crossover, placebo-controlled study in 16 healthy volunteers (nine male, seven female) between the ages of 18-29. MDMA was given orally (100 mg) and blood alcohol concentration was maintained at 0.6 per thousand by an ethanol infusion regime. RESULTS: Co-administration of MDMA and ethanol was well tolerated and did not show greater impairment of performance compared to the single-drug conditions. Impaired memory function was consistently observed after all drug conditions, whereas impairment of psychomotor function and attention was less consistent across drug conditions. CONCLUSIONS: Co-administration of MDMA and ethanol did not exacerbate the effects of either drug alone. Although the impairment of performance by all drug conditions was relatively moderate, all induced significant impairment of cognitive function

Habituation:an event-related potential and dipole source analysis study

The goal of this study was to investigate habituation processes in the brain, and in particular, to identify the brain structures involved in these processes. Therefore, event-related potentials (ERPs) were recorded in response to a series of repeated, task-irrelevant, salient stimuli presented against the background of a cognitive task which required the subjects to attend to a fixation sign on a TV screen. Stimuli were presented randomly in one of four possible quadrants of the TV screen. Dipole analyses were performed in order to localize the source of stimulus repetition effects (habituation). As expected, there was a decrease in amplitude of the N1 and P3 components as a function of stimulus repetition; habituation of N1 occurred faster than that of the P3 component. It is suggested from the results of dipole analyses that the N1 effect concerns diffuse cortical activation. The P3 habituation effect seemed to involve the temporal cortex especially. (C) 2000 Elsevier Science B.V. All rights reserved