Multiple tablets containing a high dose of MDMA (ecstasy) and multiple tablets containing a synthetic cathinone (dipentylone) in NSW

The risk of harm is increased when MDMA is taken in high doses or with other stimulants.

Synthetic cathinones, such as dipentylone, are stimulants.  The risk of serious harm is increased when taken with other stimulants.

Last updated: 04 February 2026
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​​Tablet appearance is not a reliable indicator of drug contents. Dose is reported as MDMA free base.
*Dipentylone is also known as N,N-dimethylpentylone.

Know the risks

  • You are at increased risk of harm if you:
    • take multiple MDMA (ecstasy) tablets or capsules
    • take a higher-dose MDMA tablet or capsule
    • use multiple stimulant drugs (e.g.,​ MDMA, synthetic cathinones, amphetamines or cocaine) at the same time
    • take MDMA in a hot environment like a music festival or indoor dance party.
  • The effects of taking both MDMA and dipentylone, and how fast or slow they come on, may differ to MDMA alone. If you’re not feeling the effects yet, don’t re-dose.
  • The dose in a tablet or capsule can vary a lot, even within the same batch.
  • High-dose MDMA use has been linked to death and other serious harms.

Effects to look out for

  • Feeling really hot and sweaty.
  • Racing heart/pulse or light-headedness.
  • Rigid muscles (e.g., difficulty walking), uncontrolled repetitive movements, seizures.
  • Confusion or agitation, feeling aggressive, difficult to rouse or unconscious.
  • Vomiting.

If you or others experience these symptoms, get help immediately.

Getting help

If you or your friends see the warning signs of overdose:

  • Seek help immediately from your nearest emergency department or call Triple Zero (000). You won’t get into trouble for seeking medical care.
  • Start CPR if someone is not responsive.

Support and advice

For free and confidential advice:

Current as at: Wednesday 4 February 2026