PMA and PMMA

Last published: November 10, 2021

What are PMA and PMMA?

Paramethoxyamphetamine (PMA) and paramethoxymethamphetamine (PMMA) are empathogens with effects similar to MDMA also known as ecstasy.¹ In fact, most people who take PMA or PMMA think they are taking MDMA. However, drugs sold as MDMA may not contain any MDMA. They can be a mix of amphetamines, PMA, PMMA, ketamine, NBOMe, methylone or other substances.

This is potentially harmful as PMA and PMMA have more toxic effects (and are less euphoric) than MDMA. It also takes longer to feel these effects, so people may take another pill in the mistaken belief that the first has not worked, sometimes resulting in overdose. PMA and PMMA have been around since the 1970s¹ and have been associated with a number of deaths over the years worldwide including in Australia. In 2012 and 2013 there was a spike in deaths directly attributable to PMA or PMMA in England and Wales.²

How are they used?

PMA and PMMA are usually swallowed and can be snorted or injected.

Slang names

Death, Dr Death, Pink Ecstasy, Red Mitsubishi, Killer, Chicken Powder, Chicken Yellow.

Other types of empathogens

Effects of PMA and PMMA

There is no safe level of drug use. Use of any drug always carries some risk. It’s important to be careful when taking any kind type of drug.

PMA and PMMA affect everyone differently, but effects may include:

moderate stimulation
seeing colours and shapes
heightened senses (sight, hearing and touch)
dizziness
dry mouth and dehydration
Increased bodily temperature - The most common cause of death from PMA is due to severe hyperthermia.
Increased perspiration teeth grinding
increased sweating
increased heartbeat and blood pressure
difficulty breathing
irregular eye movements
muscle spasms
decreased appetite
nausea and vomiting (common at any dose)
Seizures – (more common with PMMA than with almost any other substance).^3-6

Overdose

If you take a large amount or have a strong batch, you could overdose. Call an ambulance straight away by dialling triple zero (000) if you have any of these symptoms (ambulance officers don’t need to involve the police):

kidney failure
extremely high body temperature
vomiting
convulsions and seizures
coma
death.⁷

High doses of PMA or PMMA are potentially lethal.

Long term effects

The long-term effects of PMA and PMMA have not yet been established but some research indicates they may have similar long-term effects to ecstasy.⁸

Using PMA or PMMA with other drugs

Taking PMA or PMMA with other drugs such as alcohol, cocaine, amphetamines, cannabis and some prescription medications such as anti-depressants (SSRIs and MAOIs) can be potentially fatal.⁴

More on Polydrug use

‘Polydrug use’ is a term for the use of more than one drug or type of drug at the same time or one after another.1 Polydrug use can involve both illicit drugs and legal substances, such as alcohol and medications.

Getting help

If your use of PMA and PMMA are affecting your health, family, relationships, work, school, financial or other life situations, you can find help and support.

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Federal and state laws provide penalties for possessing, using, making or selling PMA or PMMA, or driving under their influence.

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Effects

difficulty breathing, dry mouth, excitability, feeling alert, heightened senses, increased blood pressure, increased heart rate, increased sweating, irregular eye movements, muscle spasms, nausea, teeth grinding

AKA

Dr Death, chicken powder, chicken yellow, death, killer, pink ecstasy, red mitsubishi