Other recently tested skull shaped tablets with MYBRAND marking have contained MDMA with ketamine or 2'-fluoro-2-oxo-PCE (a ketamine analogue, also known as 2F-NENDCK, or 2-fluoro-N-ethylnordeschloroketamine).

Tablet appearance is not a reliable indicator of drug contents.

Know the risks

• Synthetic cathinones are stimulants that may have similar effects to MDMA and other amphetamines. There is limited information on the specific effects of dipentylone.
• MDMA tablets are often pooly manufactured and the amount of MDMA and other substances in a tablet can vary a lot, even within the same batch.
• You are at increased risk of harm if you:
• Take multiple MDMA (ecstasy) tablets or capsules
• Take a higher-dose MDMA tablet or capsule
• Take MDMA in a hot environment like a music festival or indoor dance party
• The time from taking the drug to feeling any effect can vary between people and tablets.  If it's not working, don't re-dose. 
• 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 after taking MDMA, 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:

• Call Alcohol and Drug Information Service(ADIS) on 1800 250 015 at any time 24/7. Start a Web Chat with an ADIS counsellor Mon-Fri, 8.30am-5pm.
• Call NUAA on 1800 644 413 (Mon-Fri 9am-5pm) to speak to a peer or visit NUAA for a range of resources.
• Call the NSW Poisons Information Centre on 13 11 26 for information on adverse effects from drugs.
• Visit Your Room for fact sheets and other resources.