Posted by Hermit on June 18, 2006, at 10:57:47
In reply to Re: ‘dependence’ vs ‘addiction’, posted by linkadge on June 17, 2006, at 23:27:13
> The main question though is, will ever increasing doses be requred to maintain relief.
You bring up an excellent point, and this is central to the question of whether it should be prescribed.
Tolerance does usually build when one takes opiates for any amount of time. However, I've run across a few people who have been on a maintenance dose for years and it's still working for them.
What I think is happening is that those people who continually up their dose are looking for the high associated with opiates. In my recent experience, the high quickly goes away when taking the same dose, BUT the antidepressant effects still work. We have to be careful NOT to up the dose just because the euphoria is no longer persent. And we have to educate others not to do it, either. True, this will be difficult with some people, and maybe those are the ones who shouldn't use opiates. It takes some amount of control and responsibility, but peope have and are doing it.
Kratom is not an opiate, even though it behaves a lot like one. I find that sometimes taking a smaller dose than normal is actually BETTER, and ends up being more stimulating than sedating. No need to "speedball" with this stuff at all.
Hermit
poster:Hermit
thread:651514
URL: http://www.dr-bob.org/babble/20060617/msgs/658293.html