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. 2023 Jul 1;27(9):437–444. doi: 10.1007/s11916-023-01127-0

Table 2.

Criteria defining dependence and addiction [84]

Dependence Addiction

- The need for a substance in order function, e.g., also the use of insulin or anti-hypertensives

- Physiologic adaptation to taking certain substances over a prolonged period of time

- Withdrawal symptoms present

- Generally more common

- Continued use of a substance, loss of control and strong craving despite negative consequences such as high risks compared to benefits or even harm caused by its use

- Persistent epigenetic changes even after long-term abstinence

- Presence or absence withdrawal symptoms