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Alcohol is a poison, not a drug, but I also think so.

I honestly wish mind-altering drugs were more accessible sometimes, mostly because of safety. Millions are killed by adulterants in their street drugs.



As the saying goes: “the dose makes the poison”. Many (perhaps most) drugs cause harm at the wrong dosage.


> Many (perhaps most) drugs cause harm at the wrong dosage.

Not only drugs, almost everything is bad at the wrong dosage. Case in point: water.


Tonicity matters too. Deionized water will suck the ions right out of you. All the way to your death if you're so determined.


So for mold, low enough doses aren't poison? Can't you just say this about anything. If you have poison in a low enough dose it's not poison. So it means jsut about nothing to say alcohol isn't poisonous because you can have a small dose of it.


Fentanyl is actually much more toxic than the mycotoxins produced by mold (which I'm guessing is what you're referring to), and yet fentanyl is generally recognized to be a useful drug because of its therapeutic effects. If something has no possible therapeutic, recreational, nutritional, or culinary effect, while being toxic, it might be fair to characterize it as a 'pure poison'.


That's a good definition. Still, you can take it literally - anything small enough doesn't really harm you. and meanings can be stretched to support whatever conclusions you want.


> anything small enough doesn't really harm you

What about prions, or strange matter?


You think you can't make those any smaller?


I would assume you can't generally just shrink the size of basic particles, molecular bonds or fundamental forces, but maybe you can, who knows.


we used to think electrons were the smallest particles, until they were not.

and I think talking about breaking molecular bonds though or bringing "fundamental forces" into this is misleading and disingenuous. the point of the OP is to say, "you can take anything in a small enough dose and its not poisonous"

And when you say prions or whatever like you were, my point is if you take small enough doses even of those, you won't be poisoned. you get what I mean, so lets not waste each others time on trying to confuse impossibilities with reality. you won't be getting hurt or die or meaningfully poisoned by ingesting one "prion" or particle of "strange matter". and now when you describe any "poison" with this model, say you ingest 1 particle of even a pure poison, you won't be getting hurt or die.


> misleading and disingenuous

It was a joke.


sarcasm is often a joke on you, lol. I get it now. but it can be hard to get across, especially if someone doesn't know you.

Depending on your definition of poison of course, but at least for LSD and magic mushrooms, all that's known is a lower bound for their biological toxicity. For LSD IIRC it's somewhere in the 30mg (!) range, for mushrooms it's more than can comfortably fit a stomach. I'm afraid I don't have sources handy though.

That said, the state of mind must be so wild that "is it poisonous in this specific/usual sense" is probably not the right thing to discuss.


> That said, the state of mind must be so wild that "is it poisonous in this specific/usual sense" is probably not the right thing to discuss.

I've struggled to tell the difference between doses of LSD that exceed 100µg. Maybe I just take it too frequently to make much of a difference. It's also possible that it only increases duration, but not intensity.


And at the right dosage.


Poison is a function of dosage. Water is a poison in a high enough dose.

What’s you’re arguments it’s not a drug?


Alcohol requires an astronomical intake compared to most drugs, and I'd say the indiscriminate action and lack of any particular affinity is what makes it a poison as opposed to a drug. It is also generally assumed that alcohol is not exactly in the same category as drugs. ("drugs or alcohol" etc.)


"drugs or alcohol"

I usually encounter this framing from alcohol drinkers who are trying to be self-righteously judgemental about users of other drugs without getting hit by their own boomerang, so seeing it used for what is essentially the opposite opinion (i.e., that alcohol is worse than other drugs) is quite refreshing.

I still disagree with it, though. Alcohol is clearly a drug.


Yep, alcohol is one of a very small number of recreational drugs that can kill addicted people who quit cold turkey. Even hospitals have to provide ethanol to heavy drinkers to prevent withdrawal.

That's purely because it's usage is accepted nearly as a default, and drug in common usage is most often a pejorative term if it doesn't refer to a medicinal context.

Most people who use drug as a pejorative term also wouldn't use it to describe caffeine.


> Alcohol requires an astronomical intake compared to most drugs

That's primarily because it's most commonly diluted 90%. Spirits (or everclear) have much lower intake required.


I did not say alcoholic beverages, I said alcohol. Even pure ethanol still requires a far higher dosage than most drugs.


But the "Active dose" to "lethal dose" ratio, aka "therapeutic index" of alcohol is pretty bad.


Don't you mean that it's quite good? It's easily more than an order of magnitude for many people (not sure about chronic alcoholics with high tolerance). How many medications can you 5x your dose and not have some risk of ending up in the hospital?


Heroin (IV) ~6x

GHB ~8x

Ethanol ~10x

Methamphetamine ~10x

DXM ~10x

Cocaine ~15x

MDMA ~16x

Codeine ~20x

Methadone ~20x

Mescaline ~24x

Flunitrazepam ~30x

Ketamine ~40x

Phenobarbital ~50x

Nitrous oxide ~150x

LSD ~1000x

Cannabis/THC ~1000x or greater

Citation: Gable RS. Comparison of acute lethal toxicity of commonly abused psychoactive substances. Addiction. 2004;99(6):686–696. doi:10.1111/j.1360-0443.2004.00744.x


Well given "therapeutic index" I had said "medication" as opposed to "commonly abused substances". I think your list skews heavily due to psychedelics tending not to be acutely toxic to the same extent as other chemical species.

Statins for example are probably 10x to 20x (quick napkin math based on an animal study I found). Tylenol is 10x and is OTC.

Personally I consider alcohol to be much safer than many other substances given the form it typically takes. Utterly irresponsible binge drinking aside, most people will suffer serious adverse effects long before they're in danger. Compare that with pills or injections where an OD can be entirely inadvertent even when observing basic common sense.


Two things:

1. Half of those drugs on the list do have medicinal uses.

Even methamphetamine and cocaine are used medicinally (admittedly rarely).

2. Tylenol poisoning is the leading reason for poison control center calls.

>80,000 U.S. Poison Control exposure cases in 2021 involving acetaminophen or an acetaminophen-containing product.

https://poisoncenters.org/news-alerts/13244374


7-Up contained lithium citrate until 1950. The soda jerks were literally treating manic depression during WWII. There were advertising signs for it at crosswalks on city streets. Make 7-Up Yours, Baby!

Any product that contains ethanol but is not intended for consumption will be adulterated with ingredients that make it really unpleasant to consume. Any drug, OTC or sometimes even prescription, that has a risk of abuse, will be combined with another drug that makes it impractical or dangerous to use it recreationally, or isolate it for manufacturing.

So the next time you wonder why all your cough medicine has to come with guaifenesin, or you need a psychiatrist to prescribe your lithium carbonate, you can blame all the addicts and Walter Whites out there who ruined it for honest people.


By the way, Wikipedia attempts to contradict the claim about 7Up containing lithium citrate and says it was never an ingredient. There is no source supporting this claim. An unreliable source, by "Bill Lockhart and Bob Brown" never makes any claim about 7Up's ingredients, but focuses on weirdly-long names that had never been used by the company.

On the contrary, multiple sources insist that lithium citrate was in 7Up for decades, and in fact that the FDA had banned this usage in 1948, and that is why it was removed! If it was never in 7Up to begin with, it seems odd to ban a thing that wasn't going on!

https://www.snopes.com/fact-check/7up/

https://medium.com/wise-well/lithium-the-nonessential-elemen...


> the FDA had banned this usage in 1948, and that is why it was removed! If it was never in 7Up to begin with, it seems odd to ban a thing that wasn't going on!

Did the FDA ever say if 7Up was the one using it?


7 Up says that 7 Up was using it. The primary marketing campaign of 7 Up from its inception was its lithiated benefit. Soda jerks were the baristas who sold carbonated beverages at drug-store counters. The soda pop, tonic beverage, patent medicine, and pharmaceutical industries were intertwined from the beginning.

Lithiated beverages were all the rage in the 1930s and 1940s. It was equivalent to the coca beverages, which included coca wine, coca tonic, coca teas. There was lithia beer, lithia spring water (because there were natural springs containing some amount of dissolved lithium salts) and 7Up Lithiated Lemon Soda was a market leader. The "Lithiated" quality was on the bottle caps and it was in their advertisements.

https://science.howstuffworks.com/environmental/earth/geolog...

https://www.collectorsweekly.com/articles/the-toxic-history-...

The FDA first banned lithium citrate in 1948. There were over a dozen deaths related to lithium toxicity. It is unclear which products caused these deaths. The FDA doesn't have to say which ones: they were identifying a controlled substance, not issuing a recall.

There was yet another FDA ban in 1949. You see, doctors had begun recommending low-sodium diets to people with CVD and related illnesses. So people cut out table salt from their diets. But lithium chloride was commonly available in the same medium. So your wife and restaurant chefs cooked with a teaspoon of lithium chloride; your dinner table at home had a shaker of lithium chloride; people "salted to taste" with this marvelous salt substitute. But the lithiated effects were, again, lethal, and this secondary ban put the last nail in the coffin for the next 20 years before anyone started playing around with manic-depressive patients.


> an acetaminophen-containing product

Careful because that's some opioids as well.


It’s much more of a poison to some of our primate relatives. iirc the genes that facilitate alcohol metabolism evolved in great apes millions of years before homo sapiens, and we inherited them; we’ve been boozing long before we were even human.


if alcohol can damage your short term memory,

Imagine what effect alcohol has




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