I think the important thing is to decide how central the notion is to the world/society using them, and then follow that to find how they might contribute to conflict in the story.
If it's similar to narcotics in the world today - it will be more of a side-note to the key premise, maybe something that one particular character is drawn to more than others. Social stigma, health concerns, questions of risk/reward, legal ramifications etc.
If it's central to society - social structures and institutions will have adapted to its presence, and it will be difficult not to be using them. Conflict might arise out of notions of human purity, or access to the source of the enhancements (i.e. Dune).
There are plenty of other options that you could consider, of course...maybe they're a secret known only to a few; maybe the drugs themselves are another life-form; or maybe the consequences of taking them are out of the ordinary (over time, users start losing the ability to talk). It's not overdone if you can find a new and interesting context!