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Ecstasy is most often available in tablet form and is usually ingested orally, although some users have reported taking it anally (known as "plugging" or "shafting"). Users have also been known to "parachute" the tablet, by placing the pill in a napkin, crushing it, and then swallowing the piece of napkin in an attempt to speed up the drug's onset. MDMA is also available in powder form, often contained in geltabs, and is sometimes snorted and occasionally smoked, but rarely injected.

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