In 2017, the Centre for Emergency Medical Aid of Sofia reported 595 emergency cases related to illicit drug use (including abstinence syndrome), of which 74 cases were related to overdose with an illicit substance.
The toxicology clinic in Pirogov Hospital in Sofia reported 198 emergency clients in 2017, almost one third of whom required assistance because of cannabis use; in the remaining cases the drugs most commonly reported were amphetamine, cocaine, heroin and methadone. Almost half of those seeking treatment were treated in outpatient care and the remainder were hospitalised in the clinic. Drug-related emergencies trends have remained relatively constant, except for cases related to the use of amphetamines or cannabis, which have increased.
Since 2017, one emergency department in a hospital in Sofia has participated in the European Drug Emergencies Network (Euro-DEN Plus) project, which was established in 2013 to monitor acute drug toxicity in sentinel centres across Europe.