4 ms·

If it actually has beneficial uses let a doctor prescribe it. Kratom is extremely addictive and should be illegal yesterday.

chlorion 3mo ago
The doctors will prescribe methadone or suboxone instead most likely, both of which are *massively* more powerful and addictive than kratom.
- nozzlegear 3mo ago
  Prescribing opioids in the US is heavily monitored and scrutinized now. Doctors (and NPs, of which my mother is one) have to document the justification, meet state law restrictions, verify the prescription drug monitoring checks with their state, and complete the EHR workflows[†] before they can send in the prescription. There are more checks after that too that the pharmacist has to complete, and the insurance company will have oversight checks they'll do as well. Not saying people can't or won't get addicted to the drugs prescribed by doctors, but there's a lot more checks and oversight to it (these days) than there is for kratom right now. [†] At least in my mother's case, their EHR system will also flag opioid prescriptions for review by a board.
  - djriley 3mo ago
    Suboxone is regulated quite a bit differently than full agonist opioids despite being a massively powerful drug. One can get a prescription online via Telemedicine for $100 and a 3 minute visit in almost all 50 states. This was started around covid to help mitigate the opiod crisis and lower barriers to access. Suboxone is CIII instead of CII like many opioids and used to have special prescribing requirements requiring a class, patient limits, etc but those have been lifted. It may be a lifesaving/life-changing drug for many but it is also potent enough for a single dose to put a non-tolerant user in the dirt and is abusable for non-tolerant users just as any other opiod. It has been popular as a street drug in Europe for example for decades. Checking on Quick.md, a Telemedicine service that prescribed Suboxone it is indicated for folks who are addicted to fentanyl, heroin, opiod pharmaceuticals and kratom/7OH. If you are not opiod tolerant you can put yourself in a coma today for $100 + pharmacy fees. No need to prove dependancy with a positive drug test, no therapy, nothing.
    - fc417fc802 3mo ago
      > If you are not opiod tolerant you can put yourself in a coma today for $100 + pharmacy fees. But how likely are you to become addicted to it? How common are long term negative life outcomes when it is involved? There are any number of easily available chemicals that can put you in a coma, permanently injure, or kill you. That was never the concern.
KludgeShySir 3mo ago
This is a very overblown assertion about kratom. I've heard of people getting addicted, but no one I've known personally has ever had any issues. I have been using kratom almost daily for about a decade, and it has been one of the most useful substances for managing my physiology in response to my environment. It's great for stress reduction, but my most common use is actually ADHD treatment (which I doubt would be "on-label" if it went through the healthcare clusterf*dge) The ability to self-titrate is one of **the most important parts**. I know how much I need, and when I need it. With doctors or psychiatrists, you gotta schedule appointments and then try out a dosage for a while, then schedule a recheck and refine the dosage, etc etc etc. I have not had much success with prescription drugs, and I have tried many
- esseph 3mo ago
  > This is a very overblown assertion about kratom. I've heard of people getting addicted, but no one I've known personally has ever had any issues. My brother in law has a horrible kratom addiction. He now lives in a car with no insurance. > I have been using kratom almost daily for about a decade Hmm...
  - KludgeShySir 3mo ago
    I'm sorry for your BIL. These things can both be true, though.
- tbyehl 3mo ago
  > but my most common use is actually ADHD treatment Glad it's working out for you. My partner's brother had been trying to do the same and it has completely changed him for the worse. Blown up his job, marriage, relationship with his young children, and he's damned fortunate that his siblings were raised better than me 'cause if it were my brother we'd be done already. Adderall had always worked fine for him but we're living in a world where it's exceedingly difficult to keep a Schedule II drug prescription active and fulfilled.
- DontchaKnowit 3mo ago
  Youve never heard of someone being addicted but youve been taking it nearly every day for a decade? Do you hear yourself?
samtheprogram 3mo ago
Let's ban weed and alcohol from recreational use too, if there was any benefit a doctor would prescribe it. /u
mothballed 3mo ago
You cannot prescribe a schedule 1 substance (which is what the temporary schedule has placed into), and even if you could, you need FDA approval of the substance unless it is medical marijuana which recently had a specific carveout making it federally legal to non-FDA approved dispense through state licensed facilities.

chlorion 3mo ago

The doctors will prescribe methadone or suboxone instead most likely, both of which are *massively* more powerful and addictive than kratom.

nozzlegear 3mo ago
Prescribing opioids in the US is heavily monitored and scrutinized now. Doctors (and NPs, of which my mother is one) have to document the justification, meet state law restrictions, verify the prescription drug monitoring checks with their state, and complete the EHR workflows[†] before they can send in the prescription. There are more checks after that too that the pharmacist has to complete, and the insurance company will have oversight checks they'll do as well. Not saying people can't or won't get addicted to the drugs prescribed by doctors, but there's a lot more checks and oversight to it (these days) than there is for kratom right now. [†] At least in my mother's case, their EHR system will also flag opioid prescriptions for review by a board.
- djriley 3mo ago
  Suboxone is regulated quite a bit differently than full agonist opioids despite being a massively powerful drug. One can get a prescription online via Telemedicine for $100 and a 3 minute visit in almost all 50 states. This was started around covid to help mitigate the opiod crisis and lower barriers to access. Suboxone is CIII instead of CII like many opioids and used to have special prescribing requirements requiring a class, patient limits, etc but those have been lifted. It may be a lifesaving/life-changing drug for many but it is also potent enough for a single dose to put a non-tolerant user in the dirt and is abusable for non-tolerant users just as any other opiod. It has been popular as a street drug in Europe for example for decades. Checking on Quick.md, a Telemedicine service that prescribed Suboxone it is indicated for folks who are addicted to fentanyl, heroin, opiod pharmaceuticals and kratom/7OH. If you are not opiod tolerant you can put yourself in a coma today for $100 + pharmacy fees. No need to prove dependancy with a positive drug test, no therapy, nothing.
  - fc417fc802 3mo ago
    > If you are not opiod tolerant you can put yourself in a coma today for $100 + pharmacy fees. But how likely are you to become addicted to it? How common are long term negative life outcomes when it is involved? There are any number of easily available chemicals that can put you in a coma, permanently injure, or kill you. That was never the concern.

KludgeShySir 3mo ago

This is a very overblown assertion about kratom. I've heard of people getting addicted, but no one I've known personally has ever had any issues. I have been using kratom almost daily for about a decade, and it has been one of the most useful substances for managing my physiology in response to my environment. It's great for stress reduction, but my most common use is actually ADHD treatment (which I doubt would be "on-label" if it went through the healthcare clusterf*dge) The ability to self-titrate is one of **the most important parts**. I know how much I need, and when I need it. With doctors or psychiatrists, you gotta schedule appointments and then try out a dosage for a while, then schedule a recheck and refine the dosage, etc etc etc. I have not had much success with prescription drugs, and I have tried many

esseph 3mo ago
> This is a very overblown assertion about kratom. I've heard of people getting addicted, but no one I've known personally has ever had any issues. My brother in law has a horrible kratom addiction. He now lives in a car with no insurance. > I have been using kratom almost daily for about a decade Hmm...
- KludgeShySir 3mo ago
  I'm sorry for your BIL. These things can both be true, though.
tbyehl 3mo ago
> but my most common use is actually ADHD treatment Glad it's working out for you. My partner's brother had been trying to do the same and it has completely changed him for the worse. Blown up his job, marriage, relationship with his young children, and he's damned fortunate that his siblings were raised better than me 'cause if it were my brother we'd be done already. Adderall had always worked fine for him but we're living in a world where it's exceedingly difficult to keep a Schedule II drug prescription active and fulfilled.
DontchaKnowit 3mo ago
Youve never heard of someone being addicted but youve been taking it nearly every day for a decade? Do you hear yourself?

samtheprogram 3mo ago

Let's ban weed and alcohol from recreational use too, if there was any benefit a doctor would prescribe it. /u

mothballed 3mo ago

You cannot prescribe a schedule 1 substance (which is what the temporary schedule has placed into), and even if you could, you need FDA approval of the substance unless it is medical marijuana which recently had a specific carveout making it federally legal to non-FDA approved dispense through state licensed facilities.