Here We Go Again (Kratom)
...many of the former treatment patients quickly developed the same problems with kratom that they had with alcohol or cocaine or heroin— compulsive use, loss of control, and continued use despite adverse consequences.
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Alcohol may be the oldest. New ones are being invented every day. There are thousands, and keeping track of what they are and what they do isn’t easy.
by C. Scott McMillin | Aug 28, 2025 | Addictive Substances | 0 |
...many of the former treatment patients quickly developed the same problems with kratom that they had with alcohol or cocaine or heroin— compulsive use, loss of control, and continued use despite adverse consequences.
by C. Scott McMillin | Aug 14, 2025 | Addictive Substances | 0 |
by C. Scott McMillin | Jul 31, 2025 | Addictive Substances | 0 |
by C. Scott McMillin | Jul 28, 2025 | Addictive Substances | 0 |
by C. Scott McMillin | Jul 21, 2025 | Treatment | 0 |
by C. Scott McMillin | Jul 10, 2025 | Addictive Substances | 0 |
by C. Scott McMillin | Jul 3, 2025 | Treatment | 0 |
Many of the chronic pain patients I’ve run into suffer from both depression and anxiety, much of it related to their experience of pain.
Read Moreby C. Scott McMillin | Jun 23, 2025 | Addictive Substances | 0 |
…ibogaine has been associated with “… serious adverse effects that can occur due to undiagnosed health conditions and/or concomitant use of other drugs.” As well as 33 recorded deaths.
Read Moreby C. Scott McMillin | May 29, 2025 | Addictive Substances | 0 |
The NYT article did strike me as, well, a bit histrionic in tone, along the lines of the early media pieces about crack following the death of basketball star Len Bias.
Read Moreby C. Scott McMillin | May 26, 2025 | Addictive Substances | 0 |
I can’t help thinking that unintentional ODs would be fairly common, since the recommended doses on the product label would be, well, unreliable.
Read Moreby C. Scott McMillin | May 15, 2025 | Addictive Substances | 0 |
It’s easy to understand how primates and other animals discovered fermentation — it happens naturally when fruit is left to lay around.
Read Moreby C. Scott McMillin | May 12, 2025 | Addictive Substances | 0 |
What is the psilocybin content of any particular dried mushroom? Does anybody know?
Read Moreby C. Scott McMillin | May 8, 2025 | Addiction | 0 |
Incarceration alone is almost never very effective— in fact, drinking may well resume the day the offender is released.
Read Moreby C. Scott McMillin | May 5, 2025 | Treatment | 0 |
…real progress has been made — especially with the most challenging population, the very chronic, relapsing, “street” drug user.
Read Moreby C. Scott McMillin | May 1, 2025 | Addictive Substances | 0 |
That sounds expensive and time-consuming, which would make it less attractive to third-party payers such as insurance companies.
Read Moreby C. Scott McMillin | Apr 24, 2025 | Treatment | 0 |
Target client for these operations is the chronic daily user, mostly but not exclusively of opioids, and that’s a difficult population for such programs to work with.
Read Moreby C. Scott McMillin | Apr 21, 2025 | Treatment | 0 |
A user could count on a better exchange rate for the Safer Supply medication, whether in cash or illicit heroin, fentanyl, whatever.
Read Moreby C. Scott McMillin | Apr 10, 2025 | Addiction | 0 |
…new data suggest that even those who think they are using their stimulant medications as directed may be at risk of substance use disorder
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