“…MDMA has dual actions at the 5-HT transporter, blocking 5-HT uptake and inducing non-exocytotic release of 5-HT through reverse transport (Steinkellner et al, 2011). As a consequence, acute MDMA administration elevates extracellular levels of 5-HT in the DRN in vitro (Sprouse et al, 1989; Sprouse et al, 1990; Bradberry et al, 1990; Bradberry et al, 1991; Baumann et al, 2004; Baumann et al, 2005; Renoir et al, 2008) and in the brain in vivo in a number of regions including the nucleus accumbens (White et al, 1994; Kankaanpaa et al, 1998; Baumann et al, 2004; Baumann et al, 2005; O'Shea et al, 2005; Kurling et al, 2008; Baumann et al, 2008b), striatum (Gough et al, 1991; Gudelsky and Nash, 1996; Sabol and Seiden, 1998; Gough et al, 2002; O'Shea et al, 2005; Freezer et al, 2005; Stanley et al, 2007; Baumann et al, 2008b), hippocampus (Gartside et al, 1997; Esteban et al, 2001; Mechan et al, 2002), substantia nigra (Yamamoto et al, 1995; Hewton et al, 2007) and frontal cortex (Gudelsky and Nash, 1996; Gartside et al, 1997; Baumann et al, 2008b). This acute 5-HT stimulatory effect of MDMA then adapts upon subsequent exposures (Rodsiri et al, 2011).…”