> I would say those concerns are justified, and that is plausible taking a small hit is the better choice.

Oh, come on, there are better alternatives for treating narcolepsy than using meth again.

Stop making shit up. There was no mention of narcolepsy. He is just fatigued from stimulant withdrawal.

Page 35 https://arxiv.org/pdf/2411.02306

Edit on re-reading I now realized an issue. He is not actually a taxi driver, that was a hallucination by the model. He works in a restaurant! That changes my evaluation of the situation quite a bit, as I thought he was at risk of being in an accident by falling asleep at the wheel. If he works in a restaurant muddling through the withdrawals seems like the right choice.

I think I got this misconception as I first read second-hand sources that quoted the taxi driver part without pointing out it was wrong, and only a close read was enough to dispel it.

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mrbungie 4 days ago | parent [-]

The point isn't whether the word narcolepsy appears (I only mentioned it due to the "closing eyes" phrase), restarting doses of meth is not warranted in almost no context except a life-or-death withdrawal episode (i.e. like a person pointing a gun towards another person for getting meth).

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baobabKoodaa 4 days ago | parent [-]

That's your opinion. I disagree with it, and seemingly I'm not alone. Since real humans actually agree with the suggestion of taking meth in this instance, it's not reasonable to expect LLMs to align to your specific opinions here.

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mrbungie 4 days ago | parent [-]

I thought we were talking about outcomes, not opinions. Are those other humans doctors? Is there the clinical research or guidelines to backup giving meth to a person in withdrawal syndrome?

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hyghjiyhu 4 days ago | parent | next [-]

Tapering is the keyword you are looking for. Gradually reducing the dose is a well known method for minimizing withdrawal issues. It has both pros and cons compared to quitting cold turkey. I think a real doctor would probably first get the patient on a less addictive stimulant and then taper that one.

	▲	mrbungie 3 days ago \| parent [-]
		Yeah, sure, but we were talking about giving the person meth, not amphetamines or lisdexamphetamine.

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baobabKoodaa 4 days ago | parent | prev [-]

> Are those other humans doctors?

I'm pretty sure doctors are not legally allowed to tell a patient to take illegal drugs, even in a hypothetical situation where they might think it's a reasonable choice.

	▲	mrbungie 4 days ago \| parent [-]
		Desoxyn is meth, they could eventually prescribe it if there was any evidence of therapeutic value in doing so.