More seeking help for risky new drugs, but cocaine rehab now at all-time high
EILISH O’REGAN
20 May 2026
A report reveals a growing number of people are being treated for new psychoactive drugs and ketamine use, while cocaine recovery demand is at an all-time high.
Last year’s Health Research Board report on drug treatment in Ireland documented 15,422 cases receiving therapy for problematic drug use.
Cocaine remains Ireland’s most commonly treated drug, excluding alcohol. There were 6,535 cocaine treatment cases, the highest recorded to date.
Last year, powder cocaine treatment demand surged by 21% to 834 cases, while crack cocaine treatment demand rose by 31%.
Cocaine continues to be the primary problem drug for over half of new treatment cases and more than one-third of previously treated cases.
However, treatment rehab for new psychoactive substances saw a remarkable 50% increase last year, rising from 170 cases in 2024 to 256. These drugs have experienced a nearly six-fold increase in recovery need since 2020, when 43 cases were reported.
The most commonly reported synthetic cannabinoid-type drugs include hexahydrocannabinol (HHC).
Vaping has become a popular method of using synthetic cannabinoids.
Since 2017, there has been a staggering 336% increase in cases receiving treatment for cocaine as their primary problem drug. Over this period, powder cocaine treatment demand rose by 282% and crack cocaine treatment demand increased by 906%.
The number of women seeking cocaine treatment has almost sevenfold increased from 284 cases in 2017 to 1,912 last year.
Opioids, particularly heroin, were the second most commonly reported main problem drug for treatment. Cannabis was the third most common, mirroring previous years.
Senior researcher Dr Anne Marie Carew noted: “Many findings from our 2025 report align with 2024. For instance, we observe a sustained rise in demand for cocaine treatment.
“However, we’re also seeing early signs of emerging drug trends, particularly new psychoactive substances and ketamine. While the numbers are still small, these trends are significant and will be closely monitored.”
The report revealed that in 2025 the median age for those entering treatment was 35. Cannabis was the primary problem drug for those aged 19 or under, cocaine for those aged 20-44 and opioids for those aged 45 and over. This highlights the ageing cohort of opioid users who continue to require treatment.
Social disadvantage remains a persistent feature of treatment demand, with a substantial proportion of cases experiencing unemployment and homelessness. This underscores the links between social and economic inequalities.
Cannabis, cocaine, alcohol and benzodiazepines were the most frequently reported additional drugs.
Health Research Board chief executive Dr Gráinne Gorman stated: “While this new report further indicates the continued dominance of cocaine use in Irish society, it also represents increased investment in publicly funded drug treatment services. This means they are now available to more people struggling with problem drug use.”
https://www.pressreader.com/category/health/en/gb?popupArticleId=281599542143150