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HSE warns of high-strength MDMA in circulation this Christmas

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Editorial Staff , 2025-12-19 08:30:00

Tablets with record amount of MDMA found by drug-checking services this year

Health officials are warning the public of tablets containing record high levels of MDMA found in Ireland.

HSE drug-checking services confirmed MDMA products ranging from 0mg to over 300mg discovered this year, showing how unpredictable the market has become.

Prof Eamon Keenan, HSE National Clinical Lead for Addiction Services, warned that taking high doses of MDMA has been linked with cases of serious illness and death in Ireland.

“We want you and your friends to stay safe and reduce the harms if you choose to use drugs this Christmas,” he said.

“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.

“We would prefer if people didn’t take drugs, and it is always safer not to use drugs at all. However, the reality is that these high strength pills, powders and crystals are circulating and we want people to be aware of the risks.”

Nicki Killeen, HSE Emerging Drug Trends Manager added: “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.

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

The HSE advises the public that it is safer not to use drugs at all. However, anyone who chooses to use drugs should use only one drug (including alcohol) at a time; leave at least two hours before taking more; stay hydrated; and get help as soon as they feel unwell. Signs of an emergency can include pain in arms or legs, muscle twinges, overheating, being warm to touch, confusion, and seizure.

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