Although very rarely reported, opioids may also be found in tablets sold as MDMA. The detection of mixtures of MDMA and ketamine combined with buy ecstasy other substances including cocaine have also increased in some regions of Europe, and are sold as ‘pink cocaine’, ‘tuci’ or ‘tucibi’ (see Box 6.3. What is tucibi?). In the period from 2019 to 2023, caffeine, 4-CMC (4), amphetamine, cocaine and MDA were the adulterants most commonly found in MDMA samples (tablets and powders/crystals) submitted to drug-checking organisations belonging to the TEDI network.


The European Union Drugs Agency (EUDA) is your source of drug-related expertise in Europe. The data used to generate the infographics and charts on this page may be found below (CSV format). In 2022, a total of 853 clients entered drug treatment for the first time due to MDMA-related problems in 2022. Most MDMA-related hospital emergency cases involved males, confirming trends in prevalence and patterns of use. Half of the centres reported no MDMA-related admissions to the intensive care unit. Türkiye is an outlier, buy ecstasy with MDMA identified in almost 1 in 5 drug-induced deaths (46 out of 246 in 2022).
Wastewater-based methods
Although often used interchangeably, ecstasy and MDMA are not necessarily synonyms. Additionally, particularly with instant messaging applications, transactions may be organised online, but completed using in-person pick-up or ‘dead-drop’ delivery. This appears to be supported by existing studies that indicate that MDMA is bought online mostly by retail distributors for the purpose of re-sale rather than purchased directly by retail clients (Aldridge and Décary-Hétu, 2016; Gremeaux, 2022). Data collected from individuals submitting MDMA samples to drug-checking services between 2019 and 2022 appear to support these findings from the EWSD.
Increased ener


In Australia, MDMA/Ecstasy are also known as E, pills, caps, pingers, M&M, doopa, love drug, disco biscuits, XTC, X, eccy, ekky, or molly. Safer nightlife online resources. Deaths related to drug poisoning, England and Wales. The model includes precautionary measures related to product control and information provision on safe ecstasy use. The analysis considers impacts of different policy options across a range of outcomes to develop a new optimized policy model for ecstasy. Adaptations in the behaviours of people who use MDMA shows that they are able, willing and indeed eager to minimise their risk exposure where possibl

While a slight decrease in price was observed in 2022 for ecstasy tablets, this may not be statistically significant or sustained in the coming years. In fact, it could be argued that MDMA in the form of ecstasy tablets became cheaper between 2012 and 2019 as tablets containing larger quantities of MDMA became increasingly available on the market (see Section The trend of large tablets containing more MDMA may be reversing). For countries reporting data in 2022, a considerable retail price range was observed, with prices per ecstasy tablet ranging from EUR 4 to EUR 19 (mean) and prices of MDMA powder from EUR 6 to EUR 50 per gram. Occasionally, tablets containing 250 milligrams or more of MDMA are encountered on EU drug markets. This trend may be a combination of the scheduling of PMK glycidate, and a reduction in demand for MDMA during the COVID-19 pandemic, and is in line with the changes observed in the adulteration of ecstasy tablets (see Section Ecstasy adulteration is responsive to market pressures). This means that the ratio of MDMA to fillers (excipients) in the mixtures used to make ecstasy tablets did not increase over this time period.


This is because ecstasy tablets now contain more MDMA, on average, than they did in the past (see Section Price and purity). 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. All of the 10 cities with data for both 2011 and 2023 had higher MDMA levels in 2023 than in 2011 (see Figure 6.6. Key prevalence data for MDMA/ecstasy use in Europe). Where prevalence is higher, it may suggest that MDMA is no longer a niche or subcultural drug limited to dance clubs and parties in those markets.
Harms and ris


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 dru

A review of MDMA-related mortality in Australia and three European countries (Portugal, Finland and Türkiye) showed an increase in the number of fatalities between 2011 and 2017 (Roxburgh et al., 2021).