Topic: addiction medications
The real issue is that Kratom use is already so widespread that attempts at a total ban would inevitably create hardship for those who are already dependent on the drug, as well as fuel the appearance of a thriving black market.
Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.
As the old chief says in the movie Little Big Man: “Sometimes the magic works, sometimes it doesn’t.”
Would you respond to this information with a concerted effort at self-examination and profound behavior change?
So even if drug use decreases, and clients continue on methadone, they don’t necessarily make the other much-desired (by society) changes — such as giving up crime.
I’m sure some is used to suppress withdrawal, but if it’s possible to get high, then you have to figure people are doing that, too.
A substantial number of patients will wind up taking these meds on a more or less permanent basis, so lifetime costs should be considered.
We routinely received assurances from experts that abuse and addiction were not going to be a big problem once access to opioids had been greatly expanded.
Many physicians don’t want to offer opioid maintenance. They’re happy to refer out, to an addictionologist or psychiatrist with training.