Ireland has experienced a sharp increase in people seeking treatment for combined alcohol and drug problems, with cases jumping almost 80% since 2017, according to new official figures.
The Health Research Board’s latest report shows that while alcohol treatment cases overall rose by 19% to 8,745 in 2024, the most concerning trend is the surge in people using alcohol alongside other drugs. These combined cases increased from 1,452 in 2017 to 2,579 last year.
Cocaine has emerged as the primary concern, with cases involving alcohol and cocaine rising threefold from 607 to 1,823. The drug overtook cannabis as the most common secondary substance in 2022.
Health experts warn that mixing alcohol and cocaine “increases toxicity” to major organs and heightens risks of stroke, heart attack, liver damage, violent behavior, and suicidal thoughts.
“The sustained rise in cases using cocaine with alcohol is a real concern,” said HRB senior researcher Suzi Lyons. “Mixing substances complicates treatment, can hinder recovery, and can also be dangerous.”
Despite an estimated 600,000 people showing signs of alcohol use disorders in Ireland, only 8,745 accessed treatment services last year. The government has allocated €1 million for 2025, rising to €1.8 million in 2026, to expand treatment services including two new community programs.