Ecstasy, or MDMA, amps up the activity of at least three different neurotransmitters, including dopamine, norepinephrine, and serotonin, which plays a critical role in maintaining our mood.
Pumped-up serotonin levels may explain the mood boost many MDMA users feel, but it's this same serotonin dump that most likely also contributes to the days-long comedown it often brings.
Research suggests that chronic MDMA use (a couple of pills every weekend for years or 10 to 20 pills in a weekend) is bad news for the brain. Two recent studies comparing chronic users with those who rarely or never used found that the chronic users scored lower on memory and learning tests; one of those studies also found reduced activity in those brain regions via PET scans.