Physiological dependence is different from substance use disorder.
People can develop a physiological dependence upon xylazine if they use it repeatedly for several days or weeks in a row. Physiological dependence means that someone has developed an increased tolerance for a drug. They need to use more to get a desired effect. It also means they may experience physical withdrawal symptoms if they suddenly stop using a drug. Unfortunately, there is no FDA approved treatment for xylazine dependence and there are no established protocols for managing xylazine withdrawal symptoms.
Addiction and substance use disorder.
A person only meets the criteria for a substance use disorder if they continue to use a drug repeatedly despite experiencing numerous harms and negative consequences.
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