Drugs and addiction

What these substances actually contain, where they come from, what they do, how to spot use and how to get out. Alcohol, tobacco and screens belong here too: the line between legal and illegal is not the line of danger.

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This section is not here to frighten or to moralise. It starts from a simple observation: most serious accidents happen to people who did not know what they were taking, at what dose, or what it must not be mixed with. Each page therefore says where the substance comes from, the forms it takes, what the user is looking for, what happens in the short term, what happens in the long term, and how to spot use.

Two rules that save lives

Never use alone, and never mix depressants — alcohol, benzodiazepines, opioids. The great majority of deaths follow one of those two failures rather than the toxicity of a single substance.

The substances, one by one

A harm-reduction stand welcomes two young adults at a festival
At a harm-reduction stand at a festival, a support worker talks with two young adults. Cannabis, cocaine, opioids, MDMA, ketamine, nitrous oxide, alcohol, tobacco: each factsheet describes the substance, its effects and the life-saving steps, such as naloxone, an opioid antidote that anyone can give.

Spotting, helping, reporting

The law country by country

Use, possession and supply are not punished the same way from one country to the next: a fixed penalty here, a prison term there, mandatory treatment in some cases, capital punishment for trafficking in a few countries. Being a minor, the quantity, the substance and whether you were driving change the exposure completely. Each page gives the applicable law, the penalties, how minors are treated, the rules at the wheel and the treatment services.

Select a country to open its detailed page.

European framework

European Union

A common minimum on trafficking, and complete freedom left to member states on personal use.

Europe

Ireland

Possession is an offence under the 1977 Act, with a health-led approach introduced for a first cannabis offence.

Spain

Consumption and possession in private are not offences, but consumption or possession in a public place is a serious administrative infraction with a fine of 601 to 30,000 euros (Citizen Security Law); trafficking carries 3 to 6 years; private home-growing and cannabis social clubs live in a grey area; alcohol is sold from 18 and the drink-driving limit is 0.5 g/l (0.3 for new and professional drivers), a criminal offence from 1.2 g/l — stricter than the UK's 0.8.

United Kingdom

A three-class system dating from 1971, with penalties that depend on the class and on whether supply is involved.

Western Africa

Ghana

Under a 2020 statute possession and trafficking are penalised, and treatment services sit mostly in the big cities.

Nigeria

Possession, trafficking and importation are offences under the NDLEA Act, with treatment mostly in the main cities.

Middle Africa

Cameroon

Law No. 97-19 of 7 August 1997 on the control of narcotic drugs, psychotropic substances and precursors punishes use, possession and trafficking, while expressly providing treatment and rehabilitation for users; diverted tramadol is the main health concern, cannabis the most widespread illicit drug, pre-trial detention is the rule after an arrest, and help with addiction is found almost only in Yaoundé and Douala. For British nationals the FCDO's warning is plain: penalties for using and possessing drugs are severe and usually include a prison sentence.

Eastern Africa

Ethiopia

Ethiopia's drug offences sit in Art. 525 of the 2004 Criminal Code: dealing in poisonous, narcotic or psychotropic substances carries at least five years of rigorous imprisonment and a fine of up to 100,000 Birr (at least ten years and up to 200,000 Birr in aggravated cases), and private possession or use without a prescription carries up to seven years and a fine of up to 50,000 Birr.

Kenya

A 1994 Act governs possession and trafficking, and methadone clinics operate in Nairobi and Mombasa.

Rwanda

Rwanda punishes being caught with drugs or using them with one to two years' imprisonment or community service (Penal Code, art 263 as rewritten in 2019) and producing, transporting, storing, supplying or selling drugs in the country with terms from 7 to 10 years up to life imprisonment and fines from FRW 5 million to 30 million, according to the category set by Ministerial Order 001/MoH/2019, which ranks cannabis, cocaine, heroin and opium as 'very severe'.

Tanzania

On the Mainland the Drug Control and Enforcement Act (Cap. 95) punishes trafficking above 200 g of a narcotic drug or 100 kg of cannabis with life imprisonment (s. 15), lower trafficking and cultivation with at least 30 years (ss. 11 and 16), and small-quantity personal use with a fine of at least TSh 500,000 or three years (s. 18); Zanzibar applies its own Act No. 8 of 2021.

Uganda

A 2016 Act governs possession and trafficking, with treatment available chiefly in the main cities.

Zambia

A 2021 statute covers possession and trafficking, and treatment places are mostly in the main cities.

Southern Africa

South Africa

Private adult cannabis use, wider drug prohibitions and planned reforms are three separate matters in South African law.

Southern Asia

India

A 1985 Act with mandatory minimums keyed to quantity, and a statutory route to treatment instead of punishment.

Pakistan

A 1997 Act keyed to quantity, with life imprisonment and the death penalty available above ten kilograms.

Eastern Asia

Hong Kong

A 1969 Ordinance with life imprisonment for trafficking, applied by a specialist sentencing practice keyed to quantity.

South-eastern Asia

Indonesia

Since 2 January 2026 arts. 609 and 610 of the Criminal Code, as rewritten by Law No. 1 of 2026, set the penalties for possessing and for producing or distributing narcotics, from up to 7 years for possessing a Group III drug to death, life or up to 20 years for trafficking above 5 g of a Group I drug in non-plant form; art. 127 of the 2009 Narcotics Law still caps the penalty for a user at 4 years and makes rehabilitation mandatory for addicts and victims of abuse (arts. 54 and 127(3)).

Malaysia

Capital or life punishment for trafficking, a presumption keyed to weight, and cannabis now permitted for medical use only.

Philippines

A 2002 Act with life imprisonment for most trafficking offences, following a campaign that killed thousands.

Singapore

The strictest regime covered on this site: capital punishment for trafficking above set weights, and a statutory presumption of trafficking from quantity alone.

Northern America

Canada

Cannabis legal and regulated since 2018; everything else falls under the CDSA.

United States

Federal prohibition alongside state legalisation: cannabis is lawful for adults in 24 states and the District of Columbia and a federal crime everywhere.

Caribbean

Jamaica

Small amounts of ganja decriminalised in 2015, with a licensed medical and religious framework alongside.

Trinidad and Tobago

Cannabis decriminalised for adults in 2019, with cultivation permitted at home and a licensing framework for the rest.

South America

Argentina

Law 23.737 punishes possession for personal use with one month to two years, but the Supreme Court held this unconstitutional in 2009 (Arriola) where it does not affect third parties, and most courts follow that ruling; medical cannabis and home-growing are regulated (Law 27.350, REPROCANN), alcohol is sold from 18, and the drink-driving limit has been zero on national roads since 2023 — against 0.8 g/l in England and Wales and 0.5 in Scotland and Ireland.

Oceania

Australia

Criminal law is state law, with diversion schemes almost everywhere and a decriminalised territory in the middle.

New Zealand

A 1975 statute, a 2019 amendment directing police discretion towards health, and a referendum that narrowly said no.

This topic is also covered for French-speaking countries · German-speaking countries · Spanish-speaking countries · Italy and Italian-speaking Switzerland · Portuguese-speaking countries · the Netherlands, Flanders and Suriname · Poland and the Polish diaspora · Türkiye and the Turkish diaspora.

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Sources

  1. Surdose d'opioïdes — World Health Organization (WHO), 2023 (in French)
  2. 'Alarming' increase in use of death penalty last year, despite global trend towards abolition — news.un.org, 2026

Official or institutional documents this page relies on, consulted on 12 October 2026. Links open in a new tab.

Content updated in . The instruments cited can change: if in doubt, confirm with the official source given.

Text written with the help of AI, under the editorial responsibility of CAPIT; human reviews are occasional (method and sources: About). This content does not replace medical or legal advice. Spotted an error? Write to us.

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