Health authorities have warned that ecstasy pills with twice the average dose of MDMA are circulating in NSW.
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NSW Police recently seized the high-dose pills, which are pink, irregularly shaped and bear an Audi logo.
"While one MDMA tablet alone can cause life-threatening toxicity, the risk is greatly increased if high doses or multiple MDMA tablets are consumed over a short period, or if MDMA is consumed in combination with other stimulants, such as cocaine," NSW Poisons Information Centre medical director Dr Darren Roberts said.
Neither NSW Health nor NSW Police could provide information on where the tablets were seized or circulating, but the public health alert applies statewide.
People are urged to call triple zero if they or someone around them feels unwell after taking MDMA. For confidential counselling and information, contact the Alcohol and Drug Information Service on 1800 250 015.