Sextasy

Sextasy is a common name for a drug combination of ecstacy (methylenedioxymethamphetamine), and sildenafil citrate (Viagra), which is a PDE5 inhibitor and vasodilator used for erectile dysfunction. Sextasy can be ingested as two separate mediums (such as tablets) or they may be crushed and combined for insufflation or insertion into a capsule. Sextasy is a slang term for the combination, referring to ecstasy and sex combined, Viagra allows the user to achieve an erection, a difficult feat due to the strong stimulant nature of ecstasy.

Physiological Interactions
Sextasy's inclusion of Viagra is thought to minimize or eliminate the effect of MDMA (Ecstasy) on the ability to develop an erection. Ecstasy affects areas in the brain that ultimately induce a significant period of euphoria, the mechanism of which is believed to trigger a massive amount of serotonin to flood the neuroreceptors.

Risks
Immediate psychological effects last from four to six hours and may include euphoria, anxiety, insomnia, and/or paranoia. Immediate physical effects include muscle tension, jaw clenching, nausea, nystagmus (involuntary eye movement), tremors, increased heart rate, and chills. Due to increases in heart rate and blood pressure, a user's body temperature may effectively rise and lead to dehydration, hyperthermia, and possible seizures.

Since PDE5 inhibitors work by vasodilation, headaches are a common side effect of PDE5 inhibitors alone. Viagra alone can in some patients cause priapism, an erection that lasts more than four hours. Priapism is painful and can cause lasting damage to the penis.