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Controversies in Assessment, Diagnosis, and Treatment of Kratom Use Disorder
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Controversies in Assessment, Diagnosis, and Treatment of Kratom Use Disorder
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Journal Article
Controversies in Assessment, Diagnosis, and Treatment of Kratom Use Disorder
2024
Overview
Purpose of Review
We apply the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria for substance use disorders (SUDs) to the herbal product kratom. Similarities and differences between kratom use disorder (KUD) and other SUDs are explored, along with assessment, diagnostic, and therapeutic recommendations for KUD.
Recent Findings
Literature reports of “kratom addiction” or KUD rarely specify the criteria by which patients were diagnosed. Individuals meeting DSM-5 KUD criteria typically do so via tolerance and withdrawal, using more than intended, and craving, not functional or psychosocial disruption, which occur rarely. Most clinicians who use medication to treat patients with isolated KUD select buprenorphine formulations, although there are no controlled studies showing that buprenorphine is safe or efficacious in this patient population.
Summary
Diagnosis and treatment decisions for KUD should be systematic. We propose an algorithm that takes into consideration whether KUD occurs with comorbid opioid use disorder.
Publisher
Springer US,Springer Nature B.V
Subject
/ Diagnostic and Statistical Manual of Mental Disorders
/ Drug use
/ Humans
/ Medicine
/ Opiate Substitution Treatment - methods
/ Opioid-Related Disorders - diagnosis
/ Opioid-Related Disorders - drug therapy
/ Patients
/ Review
/ Substance-Related Disorders - diagnosis
/ Substance-Related Disorders - drug therapy
