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Kaskey GB. 
“Possible interaction between an MAOI and 'ecstasy'”. 
Am J Psychiatry. 1992;149(3):411-2.
Harvey Sternbach, M.D. recently reviewed the serotonin syndrome and recommended a heightened awareness of agents that may induce such a state. I would like to report a case in which a patient on a regimen of a monoamine oxidase inhibitor (MAOI) plus lithium seemingly developed the serotonin syndrome when exposed to 3,4-methylenedioxymethamphetamine (MDMA), a drug of abuse referred to as 'Ecstasy.' A review of the literature yielded one other reported case of a similar interaction.
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