Cocaine use continues to increase in Western and Central Europe as well as South-Eastern Europe, according to several indicators of use and harm.

In 2024, demand-side and supply-side domestic market indicators showed diverging trends in Western and Central Europe, suggesting localized disruptions and a realignment of trafficking routes.

• The levels of cocaine metabolites detected in wastewater, the number of seizures as well as the number of persons treated with cocaine as their primary drug all increased clearly since 2015, alongside a gradual decline in inflation-adjusted prices.
• Among adolescents aged 15-16, cocaine use was relatively stable from 2007 with a small decrease between 2015 and 2019 but has increased again since 2019.
• Demand for treatment for "crack" cocaine increased more rapidly than for powder cocaine, pointing to an expansion of the use of this form of cocaine, which is typically associated with more serious harms.
• In several countries in South-Eastern Europe, seizure data suggest that the domestic retail cocaine markets are also impacted.