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Story summary
- MDMA use in Europe declined 16% in wastewater residues from 2024 to 2025, per European Union Drugs Agency.
- The decline stems from younger users shifting toward ketamine and synthetic cathinones.
- Cocaine residues rose 22% and ketamine residues 41% in the same period.
- MDMA is higher in Belgium, Spain, and the Netherlands.
- Amphetamine dominates northern Europe, methamphetamine dominates the Czech Republic and Slovakia, and cannabis remains the most used drug.
