Trends and patterns of cocaine use in Spain are described with the aid
of different information sources such as population surveys, the Stat
e Information System on Drug Abuse, and anthropological studies. In re
cent years the magnitude of cocaine supply indicators has increased gr
eatly. High levels of last-month prevalence of cocaine use have been d
etected among the general population - consistently higher than those
for heroin - and cocaine consumption among heroin users has increased.
Although the frequency of some health problems related to cocaine use
- treatment admissions, hospital emergency admissions - has increased
, it is still 30 times less than for heroin. Various hypotheses to exp
lain these discrepancies are discussed.