| Prevalence of psychoactive substance use Prevalence of medication use Prevalence of drug use Drug Prevention | Treatment Supply Treatment Demand Health consequences Harm reduction | Drug-related crimes Drug market Drug use and prison Monitoring of publications Attitudes to legal framework changes |
| 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | |
| Total number of tests | 250 | 250 | 100 | 881 | 669 | 455 | 556 |
| Positive | 39 | 22 | 14 | 205 | 233 | 98 | 106 |
| Negative | 211 | 228 | 86 | 676 | 429 | 357 | 450 |
| By type of substances | |||||||
| Opioids (heroin, morphine) | – | 3 | 4 | 35 | 47 | 10 | 10 |
| Methadone | – | 2 | 1 | 8 | 21 | 8 | 6 |
| Cocaine | – | 1 | 1 | 2 | 9 | – | 6 |
| Amphetamines | 14 | 6 | – | 48 | 26 | 15 | 31 |
| Methamphetamines | 7 | 2 | 4 | 71 | 68 | 32 | 39 |
| Ecstasy (MDMA) | 6 | – | – | 2 | 3 | 1 | 3 |
| Barbiturates | – | – | – | 11 | 2 | 3 | – |
| Benzodiazepines | 4 | – | – | 37 | 31 | 12 | 16 |
| Cannabis | 21 | 11 | 3 | 72 | 62 | 15 | 14 |
| Antidepressants | 1 | – | 1 | 35 | 19 | 5 | – |
Source: Data from the prisons of the Republic of Bulgaria (1 prison in 2018, 3 prisons in 2019, 2 prisons in 2020, 12 prisons in 2021 and 2022, 9 in 2023, 10 in 2024), NFP, NCPHA.