Tablets containing more than 150 milligrams of MDMA are considered high-strength ecstasy tablets, given the dose of MDMA required to elicit subjective effects in adults (a). On occasion, exceptionally high-strength ecstasy tablets were reported, reaching upwards of 250 milligrams of MDMA per tablet, which made up 1 % of all tablets tested in 2023 (3 % in the same period in 2022). In 2023, 39 % of the MDMA tablets tested by drug checking organisations submitting data to the TEDI network contained between 100 and 149.0 milligrams of MDMA (35 % in the same period in 2022), and 26 % contained between 150 and 199.9 milligrams (29 % in 2022). A study conducted by 10 drug-checking organisations from the TEDI network found that the increase in MDMA content in tablets in this time period was directly related to an increase in the average weight of ecstasy tablets (Vrolijk et al., 2022). From 2019 onwards a new cycle appears to have begun, whereby the number of ecstasy tablets containing other substances alongside, or instead of, MDMA has increased (as expressed by a drop in percentage in the indexed trends shown above from 96 % in 2019 to 73 % in 2022).

Polydrug use can involve both illicit drugs and legal substances, such as alcohol and medications. The use of depressant drugs such as alcohol, benzodiazepines or cannabis to help with these ‘come down’ effects, may result in dependence on both types of drugs. Dutch vendors appear to be sourcing their drugs locally since their online activities are similar to those of offline drug dealers. Dutch vendors dominated global sales of MDMA and ecstasy on cryptomarkets with 23 percent of overall revenues for these substances. However, these figures seem to suggest that the majority of drugs bought on cryptomarkets are shipped domestically, or at least intra-continentally, rather than buy mdma between continents. Wastewater-based methods This organization verifies Internet drugstores throughout the United States and most Canadian provinces. You may also report suspected drug activity or abuse online. (2) Data reported to the Trans-European Drug Information project (TEDI) by drug-checking services in Austria, Belgium, France, Italy, Luxembourg, Portugal, Slovenia and Spain. This may not reflect use patterns, but rather differences in the offer, legal requirement and access to drug treatment between countries. Increased ener

The share of acute drug-toxicity presentations involving MDMA increased as compared to other substances and the previous year (or MDMA was reported for the first time) in 10 of the Euro-DEN hospitals. When using wastewater data to estimate MDMA markets, the use of MDMA is based on the excreted parent drug, rather than on an excreted metabolite (which is the case for some other drugs, such as cocaine and heroin). Demand-based estimates may underestimate the size of drug markets for a number of reasons, including difficulty reaching some groups of users, and underreporting of prevalence and quantities used by respondents. Estimates of amounts used suggest that about 72.4 million ecstasy tablets were consumed in the European Union in 2021. The total quantity of MDMA consumed in Europe is reached by multiplying the number of users by the amount used, combining prevalence data from general population surveys and the amount used from the EWSD. Information gathered in the 2021 EWSD suggests that, on average, those who reported having used MDMA in the last 12 months, consumed one ecstasy tablet or 0.4 grams of MDMA in crystal or powders form each time they used the drug. THC Drug Test – Marijuana Urine Dip Test 50 ng/ml

Smaller numbers of respondents also reported using the darknet (13 %) and social media (7 %). Data from drug-checking services can also inform on the type of relationships that exist between the consumer and the provider. The products had a net weight of approximately 20 grams each and contained between 130 and 176 milligrams of MDMA, evenly distributed inside the lollipops. These products may make the use of MDMA more socially acceptable and appeal to non-habitual consumers and young people. In recent years, the appearance of alternative (non-tablet) edible consumer products containing MDMA has also been reported, including candies, jellies, gummies and lollipops (see Box 6.1. Lollipops containing MDMA seized in Belgium). Why Does My Tracking Info Still Say “Label Created, Not yet in the System” When I Placed It X Days Ag

For some countries (Belgium, Croatia, Denmark, France, Malta, Netherlands, Norway and Türkiye) no data were available from the EWSD. The annual amounts used, in tablets, could be estimated for each survey participant based on their responses to questions on the number of tablets used on a typical day, multiplied by the number of days they said they used the drug in a year. As such, only last year prevalence and last month prevalence data are required to distinguish these two groups. Prevalence rates of the number of MDMA users, obtained from general population surveys, are multiplied by 2021 Eurostat population data of the age group. Wastewater data also reflect the predominant use of ecstasy in recreational settings, with more than three quarters of cities reporting that higher loads of MDMA were present in wastewater during the weekend than during weekdays in 2022. While the number of tablets used per session has not changed substantially from literature findings dating from several decades ago, today’s MDMA users generally ingest higher quantities of the psychoactive substance than before (Gremeaux, 2022