#Substanceuse

Kratom use has spread rapidly outside Southeast Asia. New scientific reviews show its effects vary widely and call for measured regulation to protect public health (Kratom safety review).

Kratom is a tropical tree leaf that people chew, brew, or take as capsules. Many users report it helps pain, mood, energy and opioid withdrawal (Kratom safety review).

The surge in kratom use matters to Thai readers. Thailand has a long cultural history with kratom and new export and regulatory plans. The issue connects local traditions to global health and trade concerns (Kratom safety review).

Thailand finds itself at the center of a global transformation in kratom policy and scientific understanding, as the nation’s traditional herbal medicine—used for centuries by agricultural workers and traditional healers—now faces intense international scrutiny while offering unprecedented economic opportunities through regulated export markets and evidence-based therapeutic applications.

Comprehensive scientific reviews published in leading medical journals demonstrate that kratom (Mitragyna speciosa) produces highly variable effects depending on dosage, preparation method, and individual physiology, challenging both blanket prohibition policies and uncritical acceptance. These nuanced findings call for sophisticated regulatory frameworks that protect public health while preserving beneficial traditional uses.

A new wave of addiction research reveals an unsettling reality: for many women, substance use does not fit the sensationalized, chaotic image so often portrayed in media. Instead, it often begins quietly and appears “normal”—a glass of wine after a long day, a sleep aid to combat restless nights, or prescription painkillers following surgery or childbirth. In today’s Thailand, these subtle beginnings and the invisibility of early-stage addiction among women are prompting urgent questions for families, health professionals, and policymakers, especially as new evidence suggests young women are now outpacing men in binge drinking in several countries worldwide (Psychology Today).

A sharp rise in alcohol consumption among women over the past two decades is fueling a worrying increase in liver disease and related health consequences, according to new research published in the medical journal Clinical Gastroenterology and Hepatology. Experts warn that this trend — once largely associated with men — is swiftly closing the gender gap in alcohol-related illness, marking a quiet but significant shift in women’s health worldwide.

For Thai readers, where social drinking culture is deeply entwined with festivals, business, and daily life, this mirrors broader global changes in women’s roles and health behaviors. The new study finds that alcohol-related deaths among women in the United States have more than doubled between 1999 and 2020, while deaths from alcohol-related hepatitis nearly tripled over the same period (NBC News).