Thread by @Jessnimm

I work in KY as an SUD provider. Generally I have very few issues with Kratom - anecdotally for a few of my patients, it seemed to generate tolerance really quickly, so it got very expensive very fast, but I haven’t seen data to support. 1/5

https://twitter.com/allisonamcbride/status/1506686661777928195

The bigger issue some of my patients have had is that they don’t always know that they’re using it - it has a bunch of different names and is even in some workout supplements, etc. I’ve had a couple of people referred to me for naltrexone “allergies” when they 2/5

Tried oral or IM naltrexone for alcohol use. Turns out it was actually precipitated opioid withdrawal, which was a really crummy way for them to learn what’s in their supplements. :/ 3/5

Banning it doesn’t fix that, natch. But I’m a big fan of people controlling what they put in their own bodies, so they have to know what those things are. Especially so we don’t make things worse! 4/5

Ultimately, we (and KY leg in particular, because good God, they’re a huge part of this problem) need to make management of SUD a ton less stigmatizing, a lot more accessible, and entirely open to multiple pathways to use and recovery. 5/5 💜