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Piracetam does not particularly conflict with anything. However, if there is a concern for health, then it is necessary to take into account that MDMA greatly narrows blood vessels, and in fact they are already a problem, since piracetam is prescribed. It definitely won't do any good.
By the way, piracetam is a substance with unproven effectiveness. I advise you to contact a more competent neurologist to prescribe working medications.
Usually, the desire to take psychoactive substances indicates a low mood background, this also needs to be dealt with. Antidepressants may help, and / or the formation of healthy habits.
In general, Mdma should not be consumed. as not as a prohibited substance. And with peracetam, you should not use anything if you are prescribed it to restore blood circulation to the brain. At this point, it's time to think “maybe it's enough to hack everything that inserts?”