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Current testing offices<br />
Pills submitted for testing<br />
Ecstasy users may submit drugs to any of 23 Dutch offices that provide testing services,<br />
where the drugs are either tested on the spot or forwarded for laboratory testing.<br />
Most such offices are open once a week. There are considerable variations between<br />
them, both in the absolute numbers of pills submitted for testing and in the wax<br />
or wane between 2001 and our study in 2002. Wide variations are also seen in the<br />
types of pills submitted both nationally and regionally. Though most pills do contain<br />
‘real ecstasy’ (MDMA), there continues to be a remarkable diversity in the ‘types’ of<br />
pills (logos and colours), as well as sharp fluctuations in their MDMA content.<br />
For the identification of the ecstasy pills brought in for testing, DIMS uses a highly upto-date,<br />
automated database containing information on pills analysed by DIMS in the<br />
preceding eight weeks. The longer such a period becomes, the greater the risk of<br />
encountering ‘look-alikes’ – pills with identical external features but with different contents.<br />
Experience has learnt that an acceptable degree of reliability can be assured<br />
over an eight-week period and that such a period is also practically viable. Restricting<br />
the period to eight weeks does have the consequence, however, that most pills are<br />
not recognisable on the spot and need to be forwarded to the lab for analysis (with<br />
the user’s consent). Many users are unwilling to allow that, and this may distort the<br />
insight into the ecstasy market.<br />
As part of our study, we compared the data from the pills submitted during the study<br />
period, including the unrecognised ones, with the entire database on pills analysed<br />
by DIMS since the beginning of 2000. We discovered that a large proportion of the<br />
initially unidentified pills had actually been recorded previously by DIMS and were<br />
therefore not really new pills.<br />
The ecstasy users<br />
Ecstasy users who have their pills tested during the existing office hours are a diversified<br />
group, but the majority are youths or men with an ethnic Dutch background.<br />
The vast majority are engaged in paid employment and/or study. As well as taking<br />
ecstasy, they report considerable experience with alcohol, tobacco and cannabis,<br />
and to a lesser extent also with powder cocaine and other drugs (but very little with<br />
heroin or crack cocaine). They include both experienced users who take ecstasy every<br />
week and less experienced ones who just take it occasionally. The most common<br />
pattern of ecstasy use over time involves increasing amounts taken up to a peak,<br />
followed by a decline to some lower level. The average dose is two pills per occasion.<br />
If ecstasy is taken in combination with another substance, that is usually alco-<br />
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