S5 E31 - Defining Kratom Use: Addiction, or Dependence? A Drug, or a Medicine?

Today we hear from a new listener who is trying kratom for the first time this week in the hopes that it will help them with their struggle with alcohol.
Then, we respond to another listener’s email exploring the differences between addiction and dependence, what is a drug versus medicine, and is it really right to take a “middle of the road” view of kratom if evidence leans more one way?
(*Sources in this episode can be found below.)

* Merriam Webster Dictionary: https://www.merriam-webster.com/

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MY BROTHER WAS DEPENDENT ON ZOLOFT

Addiction:
a compulsive, chronic,
physiological or psychological need
for a habit-forming substance,
behavior, or activity having harmful
physical, psychological, or social
effects and typically causing well-
defined symptoms (such as anxiety,
irritability, tremors, or nausea) upon
withdrawal O abstinence : the state
of being addicted

Dependence:
the quality or state of being
dependent
especially : the quality or state of
being influenced or determined by
or subject to another
2
RELIANCE, TRUST
3
one that is relied on
4
. • drug addiction

Dependent:
: determined or conditioned by
another : CONTINGENT
// plans that are dependent on
the weather

Medicine:
: a substance or preparation
used in treating disease
/1 cough medicine
b
something that affects well-
being
/1 he's bad medicine
Zane Grey
2
a
the science and art dealing
with the maintenance of health
and the prevention, alleviation,
or cure
disease

Drug:
1
a
a substance used as a
medication or in the
preparation of medication
b
according to the Food, Drug, and
Cosmetic Act
(1) : a substance recognized in
an official pharmacopoeia
or formulary (see
FORMULARY sense 3)
(2)
. a substance intended for
use in the diagnosis, cure,
mitigation, treatment, or
prevention of disease