01 January 2026, 5:41 AM
Some of the high dose tablets found recently in NSW. [IMAGE: NSW Health]NSW Health is warning the public of multiple high-dose MDMA (ecstasy) tablets in circulation in NSW, found to contain a dangerously higher dose than usually expected.
The tablets were detected by the NSW Government’s Drug Checking service at the Lost Paradise music festival on Monday 29 December and Tuesday 30 December on the Central Coast of NSW.
NSW Poisons Information Centre, Acting Medical Director and Clinical Toxicologist Dr Angela Chiew said although detected on the Central Coast, it is important to know these tablets could be circulating anywhere in the state.
“We are urging the community to be extra cautious and be aware that high dose MDMA is circulating in the community,” Dr Chiew said.
“MDMA can cause severe agitation, raised body temperature, seizures or fits, irregular heart rhythm and death.
“These risks are greatly increased if MDMA is used in combination with other stimulants, such as amphetamines or cocaine, or if high amounts are consumed over a short period of time.
“The amount of MDMA in a tablet or capsule can vary significantly, even within the same batch.”
Hot environments increase the risk of harm from MDMA.
Taking a break from activities, seeking shade and drinking water are important measures to reduce the risk of overheating.

Square yellow tablet with the facebook logo found to contain 256mg of methamphetamine.
“It is very important to remember if you or a friend has taken drugs and feel unwell, you won't get into trouble for seeking medical care.
If you or a friend feels unwell, please seek help immediately by calling Triple Zero (000),” Dr Chiew said.
What to look out for
For information about the potential adverse effects of MDMA, please contact the NSW Poisons Information Centre on 13 11 26.
For support and information with alcohol, MDMA and other drugs, please contact the Alcohol and Drug Information Service on 1800 250 015. This is a 24/7 service offering confidential and anonymous telephone counselling and information.
NSW Users and AIDS Association (NUAA) also provides a range of harm minimisation resources and advice and can be reached on 1800 644 413.