They tend to have a psychiatric phenomenon, Bernstein said. That seems to be a phenomenon that we are seeing with the bath salts that we dont see as much with amphetamines or methamphetamines.
Mick Elle, 37, a musician and former DJ raised in Miami, had a three-month depression that he blames on Molly.
What I hate about Molly is I had a hangover of two or three weeks. Took me three months to recover, Elle said. Its such a blowup. But when you go up, eventually you will have to go down.
The Florida Poison Information Center at Jackson Memorial Hospital received its first calls related to Molly in 2011. From 2011 to 2012, the number of calls more than doubled, from eight to 20 calls.
Katie Victoria, 27, a student at Broward College, first heard about Molly when she moved to Miami four years ago from Maryland.
Before I moved to Miami, I never had heard of such a term, Victoria said. I dont think anywhere else in the United States its as popular as here.
But as popular as it may be, Molly is not a high law enforcement priority because it is not nearly as prevalent as cocaine and marijuana and leads to far less street violence, said Lt. Dan Kerr, commander of the Crime Suppression Unit of the Miami Police Department.
That changes during Ultra.
Ultra is really when we work the buys, Kerr said. Thats when big shipments come in.
Victoria went to Ultra in 2010 and doesnt plan to go again.
A lot of the 18-year-old kids cannot even buy alcohol, so obviously what they are doing is Molly, said Victoria. She reported seeing partiers take 10 pills in one Ultra night.
You really think theyre gonna do one Molly and thats it? No, because kids are not that responsible, she said. They dont think about their health that way.
A spokesman for Ultra said no one was available to comment, as they were too busy preparing for the event. The festivals policy, listed on its website, says the possession of any illegal substance is not tolerated. Security is extremely tight and all bags are searched at the gate.
Jose Gutierrez, 24, an events promoter in Miami who has been going to Ultra for five years, said everyone is on drugs.
If they are not on drugs, they are not having fun, said Gutierrez, who says he has taken Molly at Ultra since 2010.
You feel the music in your body. Its like tickling in the inside and thats what makes you smile, he said. You smile and you dont stop dancing.
By the end of an Ultra weekend as many as 50 people might overdose and need medical treatment after taking Molly and other drugs, Kerr said.
The Miami Police Departments Special Events unit, which will coordinate the officers that will staff the event, have met with local merchants and residents about possible route changes during the event.
Documented health effects aside, Molly is popular in the music world. Kanye West, Lil Wayne and 2 Chainz have referenced the drug in their lyrics. Madonna used her Molly remark to release MDNA, her 12th studio album, at last years Ultra wearing its controversial title emblazoned on a T-shirt at the festival.
And Miami-based international DJ Cedric Gervais, 33, released a single in April 2012 called Molly.
Its about a girl because I was looking for this girl called Molly, said Gervais, a resident at the Fontainebleau Hotel club LIV. The crowd is thinking MDMA, thats the controversy of it.