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Dr. Conrad Murray sits in a courtroom during his involuntary manslaughter trial in Los Angeles October 21, 2011. Credit: Reuters/Reed Saxon/Pool By Alex Dobuzinskis LOS ANGELES | Thu Oct 27, 2011 9:02pm EDT LOS ANGELES (Reuters) - Michael Jackson was dependent on a painkiller that he received in large, regular shots, along with Botox treatments, in the months before his death, a Los Angeles court heard on Thursday. But in the involuntary manslaughter trial of Dr. Conrad Murray, stemming from Jackson's 2009 overdose death, addiction specialist Dr. Robert Waldman could not say unequivocally whether he believed the singer was addicted to the painkiller. Waldman was testifying as an expert witness for the defense as it neared wrapping up its case. The claim by Murray's attorneys that the "Thriller" singer was addicted to the painkiller Demerol and that he engaged in "doctor shopping" is a central part of the defense strategy. Murray has admitted to giving Jackson nearly daily doses of the powerful anesthetic propofol as a sleep aid at the singer's Los Angeles mansion, and medical examiners found that was the chief cause of his June 25, 2009, death. But Murray's attorneys argue that the physician was unaware the singer was getting shots of Demerol from a Beverly Hills dermatologist, and that it hampered Murray's efforts to get him to sleep. Waldman said side-effects of Demerol withdrawal included anxiety and insomnia. According to medical records presented on Thursday, Jackson received 900 milligrams of Demerol over three days in May 2009, from dermatologist Dr. Arnold Klein. Klein's records show he also gave Jackson Botox and Restylane for wrinkles and excess perspiration for several months in 2009. Waldman described the Demerol shots as "stiff doses" that were not needed with skin treatment injections. "I believe there is evidence that he was dependent on Demerol," Waldman said of Jackson, adding the pop star was "possibly" addicted to the painkiller. LAST WITNESS But during an aggressive cross-examination by prosecutors, Waldman could not say for certain that Jackson was addicted to the drug. He also acknowledged that he was not officially certified as an addiction specialist. Dependence is characterized by a physical need for a drug, while addiction is more serious because it also involves a person continuing with destructive behavior and use of a substance, despite bad consequences, Waldman said. Dr. Paul White, a leading expert on propofol who is expected to be the defense's last witness, undercut prosecutors' attempts on Thursday to show Murray acted dangerously by combining sedatives with propofol in his treatment of Jackson. "In anesthesiology, it's what we do every day," White told the jury. "We're polypharmacists. We combine drugs to achieve better effect, with less medication." White also said it seemed unusual that Jackson would have died from the relatively small dose of 25 milligrams of propofol that Murray told police he injected into the pop star hours before he stopped breathing. Attorneys for Murray, whose specialty is cardiology, claimed in opening arguments last month that Jackson caused his own death by giving himself an extra dose of propofol without Murray's knowledge. But the defense has yet to address that point as it lays out its case in detail. The doctor, who has pleaded not guilty, faces up to four years in prison if convicted. (Editing by Jill Serjeant and Peter Cooney) Entertainment Fashion People Tweet this Link this Share this Digg this Email Reprints Entertainment News From the Wrap Gerard Butler, Sam Worthington, Matthew McConaughey Join 'Thunder Run' Cast 27 Oct 2011 Film will chronicle the fall of Baghdad to American military forces Grandfather Your Section 181 Benefit Today 27 Oct 2011 You do not need to have investors to be grandfathered; you just need to memorialize a few things before year’s end Melissa Joan Hart Sued by Former Manager for 'Being Cheap' 12:02am EDT One-time representative wants $56K for "Melissa & Joey" commission Box Office: 'Puss in Boots' Purrs Toward $40M+ Opening 2:17am EDT "Shrek" sequel will win the box office, but probably won't impress DreamWorks investors; also Justin Timberlake film "In Time" opens alongside Johnny Depp's "Rum Diary" We welcome comments that advance the story through relevant opinion, anecdotes, links and data. If you see a comment that you believe is irrelevant or inappropriate, you can flag it to our editors by using the report abuse links. Views expressed in the comments do not represent those of Reuters. For more information on our comment policy, see http://blogs.reuters.com/fulldisclosure/2010/09/27/toward-a-more-thoughtful-conversation-on-stories/ Comments (1) dibeanie wrote: I wish all sides would drop this. Let It Be. Oct 27, 2011 9:12pm EDT -- Report as abuse See All Comments » Add Your Comment Social Stream (What's this?) 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