The fatal consequences of chemsex, as exemplified by MDMA and sildenafil poisoning (“sexstasy”) from Upper Silesia

Rafał Skowronek

doi:10.5114/psychs.2025.154465

ISSN: 2720-7048

Psychiatria Spersonalizowana / Personalized Psychiatry

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abstract:

Case report

The fatal consequences of chemsex, as exemplified by MDMA and sildenafil poisoning (“sexstasy”) from Upper Silesia

Rafał Skowronek

¹

Katedra i Zakład Medycyny Sądowej i Toksykologii Sądowo-Lekarskiej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny, Katowice Department of Forensic Medicine and Forensic Toxicology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice

Personalized Psychiatry 2025; 4: e116–e118

DOI: https://doi.org/10.5114/psychs.2025.154465

Online publish date: 2025/09/20

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Taking psychoactive substances to initiate and/or improve the quality of sexual intercourse (chemsex) poses a real toxicological threat to individuals engaging in this practice. This is particularly true when combining several psychoactive substances, which can interact in complex ways. The author’s goal is to present a case from his own forensic practice, in which combining the psychoactive substances MDMA and sildenafil (“sexstasy”) with sexual activity ended disastrously. The primary goal of using such a mixture is to counteract the side effects of one drug with the other – to counteract the negative effects of MDMA on a man’s erection with sildenafil and to enhance sensory experiences while simultaneously reducing fatigue with MDMA. In clinical practice, appropriate patient education and awareness of the risks associated with chemsex are crucial.

keywords:

The fatal consequences of chemsex, as exemplified by MDMA and sildenafil poisoning (“sexstasy”) from Upper Silesia

Rafał Skowronek 1

chemsex, “sexstasy”, MDMA, sildenafil, poisoning

Rafał Skowronek

¹