HSE Warns of Dangerously High-Strength MDMA Circulating This Christmas

The HSE is urging heightened awareness of significant changes in the MDMA market as the busy festive season approaches, with some tablets containing over 300 milligrams of pure MDMA, the highest strength ever recorded in Ireland.

HSE drug-checking, Ireland's only service analysing substances for harm-reduction purposes, has confirmed MDMA products ranging from 0mg to over 300mg this year, demonstrating the unpredictable nature of the current market.

Professor Eamon Keenan, HSE National Clinical Lead for Addiction Services, said:

"We want you and your friends to stay safe and reduce the harms if you choose to use drugs this Christmas. Year on year we've been seeing increases in MDMA potency, and this year we identified tablets containing over 300 milligrams of pure MDMA. That's more than three times the average adult dose and the highest we've ever seen in Ireland.

MDMA at this strength is very dangerous. It can cause a rapid and significant rise in temperature, seizures, or cardiac complications, and it can be fatal."

Professor Keenan emphasised that whilst the HSE would prefer people didn't take drugs, the reality is that these high-strength pills, powders and crystals are circulating, and public awareness of the risks is essential.

Nicki Killeen, HSE Emerging Drug Trends Manager, highlighted specific festive season concerns:

"MDMA has changed, and higher strength carries higher risk. With more people socialising, attending events and celebrating over the festive season, we are concerned about people unintentionally taking higher doses, particularly when highly potent powders or crystals are added to drinks. One pill does not mean one dose."

She stressed the importance of recognising drug emergency signs:

"Everyone should know the signs of a drug emergency, including pains in the arms or legs, muscle twinges, headache or migraine, overheating, being warm to touch, confusion or seizure. Seek help immediately if someone becomes unwell. Medics are your mates."

The HSE advises that whilst it is safer not to use drugs at all, those who do should start low, go slow and leave at least two hours before taking more. Using one drug at a time is crucial, as mixing with other substances including alcohol, over-the-counter or prescription medication significantly increases risks.

Other safety measures include keeping cool and staying hydrated without exceeding a pint of water per hour, planning a safe way home, and never driving after drug use as substances can still be detected even when effects aren't felt.

The HSE emphasises the importance of not leaving anyone alone, being a good bystander, and reporting anything that doesn't feel right. In an emergency, immediate medical help should be sought without delay.

Updates on drug trends, warnings and alerts are available on the HSE's X (Twitter) and Instagram accounts (@Drugs.ie), with regular updates on their drug monitoring page. Information about spiking is available on the HSE website.