@Article{Skowronek2025,
journal="Psychiatria Spersonalizowana / Personalized Psychiatry",
issn="2720-7048",
volume="4",
number="1",
year="2025",
title="The fatal consequences of chemsex, as exemplified by MDMA and sildenafil poisoning (“sexstasy”) from Upper Silesia",
abstract="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.",
author="Skowronek, Rafał",
pages="116--118",
doi="10.5114/psychs.2025.154465",
url="http://dx.doi.org/10.5114/psychs.2025.154465"
}