Australia's second pill-testing trial potentially saved the lives of seven music festival goers, saw less risky drug-taking behaviour and was well managed, researchers say.
But they say there needs to be clearer explanations of drug test results, with some users thinking they were getting their drugs tested for purity and not just content.
The independent report from the Australian National University looked at Canberra's second pill-testing trial held at the Groovin' The Moo festival in April, rating it a success.
All seven festival goers whose drugs tested positive for a substance linked to mass casualties overseas dumped their drugs.
Lead researcher Anna Olsen told AAP other states should be getting on board with pill-testing.
"We do believe that given the momentum happening and this report ... it is likely that we will start to see pill testing services in Australia in the not-too-distant future," Dr Olsen said.
Pill Testing Australia's David Caldicott said the report removed a lot of the arguments critics had used to attack pill-testing.
"It really is an almost exclusively political opposition that is preventing this from being implemented," Dr Caldicott told AAP.
"This is not about pill testing anymore; this is about politicians being afraid of having a conversation about drugs policy."
The report comes as NSW premier continues Gladys Berejiklian to oppose pill-testing in her state after the overdose death of a man at a festival earlier this month weeks after an inquest into six other recent deaths.
Following the inquest, the state's deputy coroner also recommended a pill testing trial.
Dr Caldicott, who is also an emergency consultant for a Canberra hospital, said the offer for the organisation to run a free trial at any music festival in Australia still stands.
More than a quarter of users said they would be taking less drugs after the test but the majority would still take drugs, albeit with harm minimisation techniques.
For most users, Dr Olsen said it was the first time they'd received health advice on their drugs from someone who wasn't a mate or their dealer.
It also said there was no evidence to suggest that pill-testing actually encouraged increased drug use.
Users also said they were more likely to avoid the drugs when they realised it wasn't what they thought they'd been sold.
ACT Health Minister Rachel Stephen-Smith said her government didn't support drug use but the report showed pill-testing worked.
"We need to continue this conversation at a national level. Across the country, we have seen too many avoidable deaths at music festivals," Ms Stephen-Smith said.
Australian Associated Press