Kratom News Archives | Resources | Whole Earth Gifts https://www.wholeearthgifts.com/category/kratom-news/ Premium Quality Kratom at the Markets Most Competitive Prices Thu, 12 Dec 2024 05:15:06 +0000 en-US hourly 1 https://wordpress.org/?v=6.6.2 https://www.wholeearthgifts.com/wp-content/uploads/2020/08/cropped-WEG-Transparent-150x150.png Kratom News Archives | Resources | Whole Earth Gifts https://www.wholeearthgifts.com/category/kratom-news/ 32 32 How to Take Kratom Powder? https://www.wholeearthgifts.com/how-to-take-kratom-powder/ https://www.wholeearthgifts.com/how-to-take-kratom-powder/#respond Thu, 12 Dec 2024 05:15:06 +0000 https://www.wholeearthgifts.com/?p=38717 Kratom powder is a natural powerhouse sourced from the lush landscapes of Southeast Asia. Made from dried and ground kratom

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Kratom powder is a natural powerhouse sourced from the lush landscapes of Southeast Asia. Made from dried and ground kratom leaves, it has earned its reputation as a versatile supplement that supports well-being. Praised for its therapeutic benefits, including enhanced vitality, stress relief, and improved mood, kratom powder is one of the most preferred ways to harness the plant’s power.

However, preparing and consuming kratom powder can be daunting for beginners. To help, we’ve compiled a guide with insights and tips to make the most of this herbal supplement. Whether you’re new to kratom or an experienced user, this guide will empower you to confidently unlock its potential.

Best Ways to Take Kratom Powder

1. Toss & Wash: The Simple Start

If you’re new to kratom, the toss-and-wash method is a straightforward way to get started. Here’s how:

  • Measure your desired dose of kratom powder.
  • Place the powder on your tongue.
  • Take a sip of water or fruit juice and swish it around before swallowing.

This method allows quick absorption of the active components through the tissues in your mouth, ensuring fast effects. Using fruit juice instead of water can mask kratom’s strong, earthy taste while enhancing its potency, thanks to the natural acidity in the juice.

Pro Tip: Start with a small dose, as the strong flavor may be overwhelming at first.

2. Kratom Tea: A Soothing Ritual

Brewing kratom tea is a time-honored tradition that offers a more palatable way to enjoy kratom.

  • Boil water and let it simmer.
  • Add your measured dose of kratom powder to the water.
  • Simmer for 15-20 minutes, then strain the liquid to remove residue.

For added flavor, mix in honey, sugar, or a splash of lemon juice. The lemon not only improves the taste but also enhances the bioavailability of kratom’s active alkaloids, maximizing its effects.

Why Tea?
Drinking kratom tea adds an element of relaxation to your routine, making it a perfect option for unwinding.

3. Capsules: Convenience in a Pill

Capsules offer an excellent way to avoid kratom’s bitter taste while enjoying its benefits discreetly. Pre-measured and portable, capsules are perfect for busy lifestyles.

Benefits of Capsules:

  • Precise dosage control.
  • No preparation or cleanup.
  • Easy to carry and consume anywhere.

However, capsules may take longer to produce effects, as the gelatin shell needs time to dissolve in your digestive system.

4. Kratom Smoothie: Flavor and Fun

For those who dread kratom’s taste, blending it into a smoothie can transform the experience. The fruity flavors of your favorite smoothie ingredients mask the bitterness of kratom while creating a nutrient-rich drink.

Smoothie Ideas:

  • Berries and bananas for sweetness.
  • Spinach or kale for a nutritional boost.
  • Yogurt or almond milk for a creamy texture.

Experiment with different combinations to find the flavor profile that works best for you.

Other Creative Methods

Kratom powder is versatile and can be added to:

  • Milk or milkshakes.
  • Baked goods like cookies or brownies.
  • Soups or sauces for subtle incorporation.

While these methods take longer to prepare, they offer enjoyable ways to include kratom in your diet.

How Long Does It Take for Kratom to Take Effect?

Kratom’s onset time varies depending on several factors:

  • Method of Consumption: Toss-and-wash and tea methods typically work faster than capsules or food.
  • Empty Stomach: Consuming kratom on an empty stomach results in quicker absorption and effects.
  • Individual Differences: Body weight, metabolism, and tolerance levels influence how fast kratom takes effect.

On average, you can expect effects to begin within 10 to 30 minutes.

How Long Do Kratom Effects Last?

The duration of kratom’s effects depends on:

  • Dosage:Lower doses (1-2 grams) last about 2-3 hours, while higher doses (5-7 grams) can last up to 5-7 hours.
  • Body Chemistry:Metabolism and tolerance levels play a role in how long the effects persist.

For most users, a moderate dose provides relief and vitality for about five hours.

What is the Recommended Dosage for Beginners?

If you’re new to kratom, start with a low dose of 1-2 grams to assess how your body reacts. Once comfortable, you can gradually increase your intake to 3-5 grams.

Important Tips:

  • Avoid exceeding 5 grams initially, as higher doses may cause side effects such as dizziness or nausea.
  • Listen to your body. Adjust the dosage based on your tolerance and the desired effects.

Conclusion

Learning how to take kratom powder is a journey into nature’s wellness potential. From toss-and-wash simplicity to luxurious kratom tea and flavorful smoothies, there’s a method for everyone. By understanding proper preparation, onset times, and dosing, you can unlock kratom’s therapeutic benefits and enjoy its ancient secrets of vitality and relief.

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Can You Travel with Kratom: 5 Tips for Air Travels https://www.wholeearthgifts.com/can-you-travel-with-kratom-5-tips-for-air-travels/ https://www.wholeearthgifts.com/can-you-travel-with-kratom-5-tips-for-air-travels/#respond Thu, 05 Dec 2024 16:48:16 +0000 https://www.wholeearthgifts.com/?p=38676 Got a holiday vacation planned, or is a business trip coming up? Whatever the occasion, you want to take your

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Got a holiday vacation planned, or is a business trip coming up? Whatever the occasion, you want to take your kratom powder on the plane. But can you fly with kratom?

Taking kratom on your flight is not easy and depends largely on where you’re flying to and what kratom you want to carry. While you can generally take it with you, in some instances, it’s better to leave it at home. Don’t worry—we’ll help you figure it out.

Welcome to Whole Earth Gifts. We’ve prepared this guide to help you with tips and best practices for a smooth, hassle-free journey with kratom. But first –

What is Kratom Powder?

Kratom powder is a derivative of kratom, an Indonesian tree from the coffee family that is believed to have pain-relieving and energizing effects. Despite the FDA not considering it as a dietary supplement, kratom products are sold in the USA.

The plant’s active constituents have the potential to work as a mild opioid drug, so many herbal consumers use kratom products just like they would opioids.

Given its potential therapeutic properties, kratom isn’t sold as a herbal medicine. You can find powdered kratom for tea and liquid extract shots for direct consumption.

Flying with Kratom

Everybody who wants to fly with kratom has their reason. You might want to do so because you have a long flight across time zones and don’t want to feel jet-lagged. Kratom capsules might ease the sensation before bed. Or, you may have plenty of pre-planned exertion and want to avoid the aftermath of caffeine—a cup of kratom tea would keep you going.

Tips for Flying with Kratom Powder

  1. You Can Bring Kratom on an Airplane: Kratom is not a federally controlled substance, so the TSA can not confiscate your products or impose disciplinary action if you bring kratom powder into the airport. Be confident and always prepared to answer questions should the need arise. Good communication can often keep you from getting into unnecessary trouble. You should also follow TSA regulations, including the limitations on carrying no more than 3.4 ounces of liquid in travel-sized containers. This applies if you carry liquid kratom extracts.
  1. Keep the Product in Its Original Packaging: Wherever you want to fly with kratom, there’s always a chance that the TSA will question you. Remember, you’re not doing anything wrong, so keep calm. If you have the products in their original packaging, it won’t take long to explain what you have with you.
  1. Avoid Certain States:Since kratom is federally legal, interstate travel isn’t going to be a problem. However, states like Alabama, Arkansas, Indiana, Rhode Island, Vermont, and Wisconsin currently ban kratom. Since kratom laws change constantly, it’s wise to check the current scenario before embarrassing on a trip. Then, there are local restrictions too. For instance, Florida is fine with kratom, but Sarasota County considers it illegal.
  1. Travel to Kratom-Friendly States: The AKA (American Kratom Association) has been advocating for laws that restrict low-quality, adulterated, and synthetic kratom, reaching out to legislators across the country, which encouraged various states to adopt the policies. So there are a few kratom-friendly states that impose quality standards and regulations, where you can bring lab-tested, premium kratom powders. States like Arizona, Georgia, Nevada, Oregon, and Utah have enacted the AKA’s Kratom Consumer Protection Act. We recommend you stay up-to-date with the work of the AKA and buy quality kratom products from a reputable vendor like Whole Earth Gifts.
  1. Avoid Flying Internationally with Kratom: We want to be upfront about it, so there’s no beating around the bush. Don’t travel internationally with kratom. Many countries like the UK and Australia consider kratom illegal. Even in Vietnam, where kratom grows naturally, kratom is restricted. If you’re traveling to a country where kratom is technically legal, you wouldn’t want to engage in a legal issue with law enforcement under suspicion of a possible crime. Since you won’t be in your homeland, you won’t have the same rights even if you didn’t do anything illegal.

How to Pack Kratom for Flight?

Consider a few things to comply with TSA regulations and avoid probable issues at the airport. Let us help you.

  • Original Packaging:It’s best to leave the product in its original packaging. The package has proper labels that can help you avoid unnecessary problems.
  • Label Clearly:If you transfer kratom to a smaller container, label them appropriately, mentioning the amount and contents.
  • Use Airtight Containers:These can help maintain the product’s potency and prevent spills to ensure maximum freshness.
  • Limited Amounts:To decrease your chances of interacting with the TSA, pack only how much you need for the trip.
  • Different Products, Different Containers:If you use kratom powders, capsules, and shots, store and store them separately.

The Takeaway

Flying with kratom can be either smooth or troublesome, depending on how prepared you are. Whether you travel domestically or internationally, check the legal landscape and follow this guide to enjoy the best experience.

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Restaurant in North Carolina adds Kratom to the menu https://www.wholeearthgifts.com/restaurant-adds-kratom/ https://www.wholeearthgifts.com/restaurant-adds-kratom/#respond Fri, 30 Oct 2020 14:25:19 +0000 https://www.wholeearthgifts.com/?p=10466 The post Restaurant in North Carolina adds Kratom to the menu appeared first on Whole Earth Gifts.

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EMMY TRIVETTE | The Daily Tar Heel | 10.30.20

Linda’s to add breakfast, coffee, alcohol alternatives to its menu

Linda's to add breakfast, coffee, alcohol alternatives to its menu 

Customers have a drink outside the recently reopened Linda’s Bar and Grill on Franklin Street on Tuesday, Oct. 27, 2020.

Restaurant adds kratom

Linda’s Bar and Grill, one of Chapel Hill’s most frequented restaurants, reopened last week and now plans to begin serving breakfast in addition to its classic specials like loaded tots.

The restaurant, which closed in August due to COVID-19 complications, will update its menu with everything from a Linda’s Breakfast —two eggs any style — to french toast, bagels and pancakes with sides.

Linda’s owner Chris Carini said this is the second time he has basically started the restaurant from nothing after the University’s brief reopening and closing in August.

“I wish the University would have done a better job because they cost a lot of people, a lot of money,” Carini said.

Carini said the University closing in August after a week of classes cost his business about $50,000. So after selling most of his belongings to make up for the lost money, Carini said he is now happy to say the bar and grill has officially reopened.

Linda’s is open Tuesday through Saturday from 11:30 a.m. to 10 p.m., with window service and outdoor seating options. Starting next week, it will be open at 10 a.m. to serve breakfast.

“I was like, ‘Holy crap that’s the idea, that’s the one, that’s how we do it,’” Carini said. “That’s how we get people to come back and then we don’t have to be open till four in the morning.”

George Hanna, a Linda’s regular, has been coming to the bar and grill since 2011, around the same time Carini bought the place. Hanna lives in Raleigh, but said a Linda’s breakfast might be worth a special trip to Chapel Hill.

“Every time they come out with something new, as far as the food goes, it’s been fantastic,” Hanna said.

The Linda’s menu will also include diverse coffee options. Carini hopes when the cold weather comes, Linda’s downbar will be able to open for those who are looking for a quiet space to study and get their daily dose of caffeine.

Alongside the breakfast and coffee, Carini said he’s including plant-based supplements kratom and kava, to mix with tea or other non-alcoholic drinks the eatery offers.

Carini’s friend, Jacob Torbert, pitched the kratom and kava idea. As a military veteran, Torbert said he’s found more and more people who aren’t interested in the big partying and drinking culture that normally surrounds military involvement.

“One of the big reasons I got into kava and kratom was because I found it just helped me a lot with some of the things I was experiencing,” Torbert said. “It tends to help me with pain, it gives me a little bit more energy, it helps me focus. I feel like it helps make me more productive.”

Restaurant adds kratom

Kratom alerts or focuses the consumer, while kava acts as more of a relaxer. The two hit the same receptors as drugs or alcohol without the intoxicating effects, creating an alternative for those who may want to avoid certain substances.

Carini said the kratom and kava options offer an opportunity for those who don’t want to drink to still be social in a bar environment. It may take a little bit for the new options to catch on, but Carini said he thinks they should draw in a large crowd once they do.

“I get to help my buddy, and some of his brothers in arms, I get to help some college students to ‘get their learn on’ and hopefully give them another place to hang out,” Carini said. “And it keeps us open, which at the end of the day, that’s really all we got to do.”

@EmmyTrivette

@DTHCityState | city@dailytarheel.com 

Restaurant adds kratom

 

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Thailand cabinet okays law to control sale and use of Kratom https://www.wholeearthgifts.com/kratom-legality-cabinet-okays-law-to-control-sale-and-use-of-kratom/ https://www.wholeearthgifts.com/kratom-legality-cabinet-okays-law-to-control-sale-and-use-of-kratom/#respond Tue, 13 Oct 2020 13:20:36 +0000 https://www.wholeearthgifts.com/?p=9411 The post Thailand cabinet okays law to control sale and use of Kratom appeared first on Whole Earth Gifts.

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Kratom Legality

Cabinet okays law to control sale and use of Kratom

nationthailand.com | Oct 13. 2020 | The Nation

The draft Narcotics Act proposed by the Ministry of Justice to control the use of kratom (mitragyna speciosa)
was approved by the Cabinet meeting on Monday, Government deputy spokeswoman Ratchada Thanadirek said.

On March 10, the Cabinet had approved the removal of kratom from Thailand’s narcotics list.

“The draft aims to control the use of kratom and prevent children and adolescents from abusing it,” she said. “The rules to be enforced are as follows: Kratom Legality

▪︎ The manufacture, import and export of kratom are only allowed by those who have permission from the Office of the Narcotics Control Board. Violators will be punished with a maximum Bt200,000 fine and maximum two years’ imprisonment.
▪︎ Selling of kratom to persons under 18 years old or pregnant women is prohibited, as well as hiring or allowing persons under 18 years to sell kratom, with punishment at a maximum of Bt200,000 fine and maximum two years’ imprisonment.
▪︎ Selling of kratom in schools, dormitories, public parks, theme parks, or via online channels is prohibited and punishable with a maximum Bt40,000 fine.
▪︎ Any form of advertising or marketing communication of kratom is prohibited and punishable with a maximum Bt500,000 fine and a maximum of six months’ imprisonment.
▪︎ Persons under 18 years old are prohibited from taking kratom either in pure form or mixed with other drugs.Kratom Legal

ity
Encouraging persons under 18 years old or pregnant women to take kratom is also prohibited and is punishable with a maximum Bt2,000 fine.
This law excludes the use of kratom as an ingredient in herbal, medical, food, and cosmetic products. Kratom Legality
The Cabinet will later forward the draft to the Council of State who will review it after which it will be submitted to Parliament for voting.
If the draft is passed, Thailand will be among 37 countries such as Japan, Serbia, Croatia, and Syria, who use a specific law to control the consumption of kratom and not a narcotic law.

Kratom Legality

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Kratom Legality

Kratom Legality

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Kratom: The Bitter Plant That Could Help Opioid Addicts, if the DEA Doesn’t Ban It | Simon and Nick Stockton | Wired.com | 11.30.16 https://www.wholeearthgifts.com/kratom-could-help-addicts/ https://www.wholeearthgifts.com/kratom-could-help-addicts/#respond Fri, 09 Oct 2020 17:52:31 +0000 https://wholeearthgifts.com/?p=3461 The post Kratom: The Bitter Plant That Could Help Opioid Addicts, if the DEA Doesn’t Ban It | Simon and Nick Stockton | Wired.com | 11.30.16 appeared first on Whole Earth Gifts.

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Kratom could help addicts

Kratom: The Bitter Plant That Could Help Addicts—if the DEA Doesn’t Ban It

Kratom could help addicts
ARIANA CAMPELLONE GREW 
up in East Greenwich, Rhode Island. It is a small community, affluent and charmingly New England. Heroin was very available there, and very good.By age 15, Campellone was a daily user. She stopped going to school, stopped doing much of anything besides scoring drugs, doing drugs, stealing stuff, selling stuff, scoring more drugs, doing more drugs. “This was the beginning of the New England heroin epidemic,” she says. “Everyone I knew was overdosing, dying, lives falling apart, people contracting diseases from sharing needles.”

That experience was mirrored around the country. In 2014, overdoses from heroin or prescription opioids killed 30,000 people—four times as many than in 1999. Today, 3,900 new people start using prescription opioids for non-medical purposes every day. Almost 600 start taking heroin. The yearly health and social costs of the prescription opioid crisis in America? $55 billion.

Campellone kicked her habit at 19—with rehab, suboxone, and a lot of willpower—and moved out west, to the San Francisco Bay Area. She began working at a natural remedy shop in Berkeley. Her bosses and co-workers introduced her to a plethora of plant-based products, among them a tart-tasting leaf called kratom. It gives a slight, euphoric high. Like the feeling that remains when you spin around in circles, after the dizziness wears off. It was also a decent painkiller, so she’d take it when she was hurt, or on her menstrual cycle.

And, on two occasions, she used it to help with the withdrawal symptoms following heroin relapses. “Nothing really feels good when you’re withdrawing from heroin, so no matter what you’re taking, you’re still in pain and it’s pretty excruciating,” says Campellone. But kratom helped some.

Campellone never needs a prescription to get kratom. Nor does she have to visit a dealer. She buys it from an herbal remedy store—about $20 for a 4 ounce packet, which lasts about a week. When she takes too much, she gets a stomach ache. And when she does not take it, she doesn’t crave it like she craved heroin. Mostly she doesn’t think about it; it just sits in her cabinet. So, she was surprised when, on August 30, the DEA announced that it was pursuing an emergency scheduling of mitragynine and 7-hydroxymitragynine, the active alkaloids in kratom. Campellone was one of perhaps 4 or 5 million Americans who were being told, for maybe the first time, that this leaf posed an “imminent danger to public safety.”

The DEA Takes an Exception to Kratom Kratom could help addicts

Biologically, kratom acts enough like an opioid that DEA considers it a threat to public safety. The agency planned to use a regulatory mechanism called emergency scheduling to place it in the same restrictive category as heroin, LSD, and cannabis. This category, Schedule I, is reserved for what the DEA considers the most dangerous drugs—those with no redeeming medical value, and a high potential for abuse.

Kratom leaf

GETTY IMAGES

Before they finalized the scheduling, something surprising happened. An advocacy group called the American Kratom Association (yes, AKA) raised $400,000 from its impassioned membership—impressive for a nonprofit that typically raises $80,000 a year—to pay for lawyers and lobbyists, who got Congress on their side.

On September 30, representatives both conservative and liberal—from Orrin Hatch to Bernie Sanders—penned a letter to the DEA. “Given the long reported history of kratom use, coupled with the public’s sentiment that it is a safe alternative to prescription opioids, we believe using the regular review process would provide for a much-needed discussion among all stakeholders,” they wrote.

It worked. The DEA lifted the notice of emergency scheduling, and opened a public comment period until December 1. When was the last time the DEA backed off anything? “This is unusual,” says Gantt Galloway, a Bay Area pharmacologist specializing in treatments for addictive drugs. Galloway could not recall another instance when the DEA responded to public outcry like this.

As of this writing, those comments number nearly 11,000. They are from: people who use kratom to relieve chronic pain or endometriosis or gout; people who use kratom to treat depression or wean off opioids or alcohol; people who said it saved their life. “It doesn’t allow you to escape your problems,” says Susan Ash, founder of the AKA, who used kratom to treat pain and escape an addiction to prescription opioids. “It instead has you face them full on because it doesn’t numb your brain at all, and it doesn’t make you feel stoned like medical marijuana does. And yet it’s effective on so many things, like pain and anxiety and depression.”

Kratom could help addicts

That promise is part of the problem. Scientists know practically nothing about kratom—how its compounds work in concert, what it can actually treat, how addictive it might be, what counts as a safe dose. And certainly not enough to back up all the life-changing claims extolled in public comments, and by the many kratom users we interviewed. In the absence of good science and the slightest hint of regulation, Ash and potentially millions of other users are winging it. And should the DEA follow through on its promise to schedule kratom, these people will become criminals overnight.

For Ash, that’s completely unacceptable. “I want the future to look like this is your next coffee,” she says. “I’d like it to be sold in Starbucks. I’m not even kidding.”

An Herb Wades Into an Opioid Crisis Kratom could help addicts

Kratom is not an opioid—actually, it is in the coffee family—but its active molecules bind to the same neuronal receptors as opioids like heroin, codeine, oxycodone, and morphine. Typically, those drugs give users a feeling of euphoria and dull their pain—that’s why David*, a former boarding school teacher, started using prescription opioids to treat his discomfort from ski injuries. He became addicted, and when his prescriptions ran out, he switched to heroin. “I became a high functioning user,” he says. “My addiction was never detected at my place of employment, although I do think my behavior became more erratic.”

When David eventually committed himself to rehab, his doctors weaned him off heroin using suboxone, a combination of two drugs—buprenorphine, a partial opioid that quenches the body’s chemical thirst, and naltrexone, which blocks any euphoric opioid feelings. But suboxone can give users symptoms of withdrawal, not to mention a dulled sense of reality. And users like David can still find ways to abuse it. “Dependence on that was different from heroin, and it became easier to take more suboxone to a higher high, or selling it to score heroin again,” he says.

As of this writing, though, David has been clean for 18 months—success that he attributes to kratom. Since it binds to the same receptors as opioids, kratom users report similar euphoric and pain-killing effects, but they’re muted. After other 12 step recovering addicts introduced David to the plant, it helped him rebuild his life—he did eventually lose that boarding school teaching job—and deal with the physical pain that got him hooked on opioids to begin with.

Since it mirrors opioids in other ways, the concern is that kratom is also addictive. But again, the real science is sparse. David and several other users we spoke with said kratom is habit forming, to some degree, though one survey in Southeast Asia found that for people using it to kick an opioid addiction, the dependence is far less likely to disrupt their lives. “When I take kratom, that addictive part of me kicks in and it becomes habitual,” says Jeffrey*, another former opioid addict. “It doesn’t throw my life out of control, but it bugs me when people say things like, ‘it’s not more addictive than coffee.’ I think that hinders us making inroads with the regulators.”

Kratom could help addicts

There is no doubt, however, that kratom is less harmful than opioids—even take-home synthetics like suboxone. When opioids kill, they do it through respiratory depression—they slow your breath until you stop breathing entirely. But kratom’s chemical composition doesn’t appear to produce the same effects. “The two main alkaloids in kratom, mitragynine and 7-hydroxy, appear to have a low ceiling for respiratory depression,” says pharmacologist Jack Henningfield of the Johns Hopkins School of Medicine, who with the consulting firm Pinney Associates has advised the AKA on kratom scheduling. “And that’s why if you look hard, it’s very difficult to find deaths attributable purely to kratom.”

Notice he said “purely.” In its initial notice of emergency scheduling for kratom, the DEA did link the drug to 15 deaths between 2014 and 2016. But that accounting ignores the fact that all but one of those people had other substances in their systems. Folks using kratom to wean themselves off opioids may still be taking those opioids.

And some deaths could be attributed to contamination: Because kratom isn’t strictly regulated, bad actors can and do lace the plant with actual opioids, like the extremely powerful synthetic opioid fentanyl. “You can just imagine, ‘Oh you got pain? Well, we’ve got a special kratom product,’” Henningfield says. “Maybe it has fentanyl in it. That’s scary.” Clearly, the plant needs some kind of regulation. The question is whether the DEA’s scheduling is the right kind.

Regulatory Wranglings Kratom could help addicts

The FDA could help prevent contamination-related deaths by strictly regulating kratom as a supplement, as opposed to the DEA scheduling it as a drug. “FDA has a lot of authority to actually help consumers know that what they’re buying is what is labeled, and have at least some level of assurance,” Henningfield says. “It’s not close to the drug standard, but it’s much better than something that’s illicitly marketed.”

Kratom could help addicts

But the FDA is actually also pivotal in advising the DEA on the scheduling of drugs. “The decision to permanently schedule any drug is not a DEA unilateral decision,” says Steve Bell, a DEA spokesperson. Consider the regulatory pathway of suboxone. The FDA approved the drug in 2002, and the Department of Health and Human Services recommended that the DEA put it in Schedule III, which the DEA accepted. This puts the drug in the same category as Tylenol with codeine: It’s available for doctors to prescribe for narcotic addiction, but is still a controlled substance.

Schedule I, though, is an entirely different rodeo. If the DEA places kratom here, nobody can touch the stuff. Current users, should they continue to use, will be forced to even sketchier sources. And scientists will have a harder time learning how kratom works, and supporting, or refuting, the claims users make with hard data. (Consider marijuana, also a Schedule I drug. Science has a dearth of data on it because getting permits to study the drug is an exercise in bureaucratic insanity.)

All that research costs money. Which is kratom’s catch-22: The DEA wants to schedule the drug because they think it might pose a danger to public health, but the only way to confirm (or refute) the DEA’s worries is with more research—which will be next to impossible should the DEA follow through on its promise to schedule.

One of the few scientists studying kratom is the University of Florida’s Oliver Grundmann, who is finishing up an online survey of nearly 10,000 users. And the data (preliminary, though Grundmann plans to publish a paper in the coming months) reveals a different profile of kratom users than you’d expect from an “illicit” recreational drug.

“The age range is more geared toward an older population,” says Grundmann, “which is more likely to experience work related injuries or acute or chronic pain from another medical condition.” Over half of users are between the ages of 31 and 50. Eighty-two percent completed at least some college. Nearly 30 percent of respondents pull in a household income of over $75,000 a year. Not quite the party drug demographic. And the public comments on the DEA’s scheduling notice reflect that population. Many of those folks are using kratom to either wean themselves off prescription opioids or use the drug alone to treat pain.

Still, that’s self-medication using a product that may be contaminated. “The industry needs to come together,” says Susan Ash of the AKA. “There’s no way the FDA is going to feel comfortable not seeing this as a scheduled controlled substance without a commitment from the industry that there will be proper measures put in place.” Better labeling, for instance, would be a start.

Kratom could help addicts

Grundmann says he understands the DEA’s motivation. “They do not want to have another drug out there that could potentially contribute to the already devastating opioid epidemic that some communities are experiencing,” he says. “But on the other side, we also need to consider that the 4 to 5 million estimated users of kratom may face a health crisis of their own if kratom becomes scheduled.”

Anecdotes and Evidence

Ariana Campellone takes her kratom with coconut milk and protein powder. Then, she mixes, diluting with water to take the lumps out of the mixture. By itself, the stuff tastes awful. Like oversteeped tea, or a mouthful of peat. She thinks the comparison to coffee is a bit overstated. “Coffee gives me a noticeable spike and high, and can feel when I’m coming down,” she says.

The DEA’s public comment period closes tomorrow. The agency says it will consider those comments alongside the FDA’s scientific and medical evaluation before proceeding to schedule. The FDA did not respond in time to comment on this story.

However, if the DEA follows through on its previous intent to schedule, Campellone says she’ll still continue to use kratom. “Just like people have continued to use cannabis where it’s not legal,” she says. In practical terms, it means getting ahold of kratom would probably get more expensive and personally risky. Those costs, those risks—those hassles—might not be worth it to some kratom users. And then the not-so-small community of recovering opioid addicts lose something available, and possibly quite good.

*This name has been changed to protect anonymity.

 

The post Kratom: The Bitter Plant That Could Help Opioid Addicts, if the DEA Doesn’t Ban It | Simon and Nick Stockton | Wired.com | 11.30.16 appeared first on Whole Earth Gifts.

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Release the Kratom | Emma Grey Ellis | Wired.com | 1.22.20 https://www.wholeearthgifts.com/kratom-to-quit-opioids/ https://www.wholeearthgifts.com/kratom-to-quit-opioids/#respond Tue, 06 Oct 2020 16:01:26 +0000 https://wholeearthgifts.com/?p=3414 The post Release the Kratom | Emma Grey Ellis | Wired.com | 1.22.20 appeared first on Whole Earth Gifts.

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Release the Kratom: Inside America’s Hottest New Drug Culture

01.22.2020 07:00 AM | Wired.com

Leaves of a kratom plant
Just about the only thing everyone agrees on is that kratom is a plant, a tropical evergreen tree that grows wild in Thailand, Malaysia, Indonesia, Myanmar, and Papua New Guinea.PHOTOGRAPH: GETTY IMAGES

BY HER MID-20S, Faith Day was out of jail but homeless. She was also addicted to a substance now too legally compromising to name. When she tried to quit, she couldn’t afford the medication to manage the withdrawal symptoms. She looked to the internet for answers. News about a plant called kratom kept popping up in her social media feeds, alongside claims that consuming it would help her break free of addiction. Many use kratom to quit opioids. Desperate, she used her last $140—money that would have otherwise gone to the destructive drug—on an ounce she found at a head shop.

Two weeks later, she was off the drug. She has not relapsed since. Now, Day devotes her life and career to kratom. She’s no back-alley pusher—her goal is get kratom out of head shops, gas stations, and dark street corners and into the safe, legal light of day.

By some scientists’ count, there are between 10 million and 15 million kratom users in the US alone. They are using the drug for everything from chronic pain relief to replacement for their morning coffee. It is not an illicit substance; unless you live in one of the six states where kratom possession is criminalized, or are part of the US Army or Navy, which also banned the drug, kratom capsules, extracts, and teas are legal to buy and sell. However, after finding kratom in the systems of dozens of people who have died of drug overdoses, the federal government has been considering a total ban. It warns consumers of potential opioid-like effects, though scientists have questioned the FDA’s methodology in coming to that conclusion. Some people, like Day, will tell you kratom saved their lives. Others ask her if she’s selling “legal heroin.”

Day’s is one of only two kratom businesses licensed by the Department of Agriculture in the entire country. If you ignored the sign, her Oregon storefront, Clean Kratom Portland, could be a coffee shop or a trendy marijuana dispensary. The air is sweet and spicy with incense, the walls bright white and pale green, the plants plentiful, the bar wood, and the binders of lab tests numerous. Day greeted me at the door, along with a giant, exuberant husky named Max. She is wearing a long cardigan and a careful smile. Every visible expanse of skin is tattooed—hands, chest, neck, face. As they travel upward, the tattoos turn from birds and dots to the structural formulas of chemical compounds found in kratom. The arc of hexagons above her left eyebrow is speciogynine, thought to be a smooth muscle relaxer. She credits it with stopping awful withdrawal convulsions.

Day started her kratom business in Denver, and she’s in Portland for one reason only: Google Trends. Of all the people in the US, it’s Portlanders who search for kratom the most per capita. It’s hard to say why that might be—the reasons people give for using kratom vary widely. It’s equally fruitless to try to stereotype an average American kratom user. Many use kratom to quit opioids. Many are trying to quit opioids or alcohol. Others are trying to manage chronic pain, improve their eyesight, clear up their skin, boost their immune systems, or just have fun and get high. “A third of our clientele are looking for a caffeine-free alternative to get them through their day,” Day says. “I’m talking soccer moms.”

The image of wealthy moms slurping kratom tea in lieu of a cappuccino, or trendy Bay Area residents popping kratom pills socially just for its mild, mellow body high, cuts strangely against the dire tone of most government reports on kratom. The US Food and Drug Administration warns consumers to avoid kratom, noting that it appears to affect “the same opioid brain receptors as morphine” and may come with the same risks of dependence. The CDC has reported 91 kratom-involved overdose deaths and found the drug in the systems of 61 other overdose deaths.

There was a reason kratom was so present in Day’s social feeds in 2016: The DEA had just stated its intent to ban kratom and reclassify it as Schedule 1 drug. Then it reversed the decision following prolonged outcry from the public and the scientific community. “I don’t think that’s ever happened before,” says Marc Swogger, who studies the therapeutic use of drugs at the University of Rochester Medical Center. “I think they didn’t do any research about how many people were using this plant and what they were using it for, and they were surprised at the response.” Day is never surprised when people are surprised by kratom. The plant is surrounded by so much misinformation that it’s often hard to separate fact from flackery or fearmongering.

Just about the only thing everyone agrees on is that kratom is a plant, a tropical evergreen tree that grows wild in Malaysia, Thailand, Indonesia, Myanmar, and Papua New Guinea. It’s a relative of the coffee tree. Within its native range, it’s been used for centuries (at least) as an herbal remedy, especially among day laborers who would chew the leaves for a mild stimulant effect. At the end of a hard day’s work, people might then brew the leaves into a tea, extracting different compounds purported to have a calming and pain-relieving effect.

Many use kratom to quit opioids.

It’s still used that way in Southeast Asia. According to Darshan Singh, a researcher at the University of Science, Malaysia’s Center for Drug Research, contemporary Malaysian kratom users fall into four categories: old folks practicing traditional medicine, manual laborers, people trying to get off opioids, and people who use kratom in lieu of other illicit drugs, sometimes mixed with cough syrup. (He notes that all categories do tend to share a gender. “Due to societal discrimation,” he says, “kratom use among females is not widespread.”) So far, there have been no kratom-linked deaths in Malaysia, despite its long history and ubiquity. “It is seen that kratom use has become [more of] a major issue in the US than in its local context in Southeast Asia,” Singh says. In Thailand, kratom is on the brink of total legalization.

Southeast Asia is a long way from Portland, and it took kratom a long while to get there. Kratom was described by a Dutch colonial botanist in 1839, but according to Oliver Grundmann, who studies the effects of herbal products on the central nervous system at the University of Florida, interest in the US and Europe didn’t become widespread until the mid-2000s and 2010s. (Though it’s difficult to draw causal links, that does roughly correlate to the rise of the opioid epidemic.)

Most of what Grundmann knows about today’s American kratom use has come from online surveys. He acknowledges that there are biases inherent in that kind of self-reported study, but outside of head shops and Portland convenience stores declaring “Kratom Sold Here,” online is where kratom culture lives. It’s where Day sold her products when she first got started. Many use kratom to quit opioids. It was also the scene of the drug’s largest scandal. Last year, a seller in Michigan was forced to forfeit $1 million he’d made hawking kratom online because he was claiming it cured medical conditions like Lyme disease. Facebook is home to dozens of dedicated kratom groups; there are multiple kratom subreddits. Kratom supplements, much like CBD, have become a frequently promoted product in the Instagram economy, especially among fitness influencers claiming it helps with recovery after tough workouts. Once you scroll past a few scary articles from the DEA, FDA, and the Mayo Clinic, kratom’s online presence is somewhat chic.

With digitization comes anonymity. Even after careful study, neither Grundmann nor Swogger are able to generalize about who in America is taking kratom. In 2016, after conducting an online survey of over 8,000 people in the US, Grundmann found few trends in age, income, or gender—kratom cuts straight through the middle of society. He did find that about two-thirds of kratom users were using the drug to treat chronic and acute pain or mental and emotional disorders like anxiety and depression. Only a minority were using it to mitigate withdrawal symptoms or using it recreationally, and recreational users tended to prefer other illicit drugs over kratom—the plant gets you high, but not that high.

So, are these some 15 million Americans using the opioid-adjacent killer the DEA fears? Grundmann sees the fact that a highly purified, injectable form of kratom does not exist as evidence that the DEA may have overstated its similarity to opiates: “If kratom were really so powerful, why don’t we see anything like that, despite having a sophisticated underground machinery that could easily come up with extraction techniques if they wanted to?” Grundmann says. “Instead, we see fentanyl and its derivatives contributing to the opioid crisis.” Swogger concurs, as do many other scientists. The compounds in kratom require a great deal of further study to determine what exact effects they do have, but while some bind to the same chemical receptors as opioids, they do so quite differently. Kratom is triggering the same part of your brain’s reward system, but in a way that is (perhaps, hypothetically) less addictive. “When millions of people say they’re using kratom, and it’s helping them with conditions that are really difficult to help people with, we have to listen,” Swogger says. “I’m not convinced that a single death has been the result of kratom.”

A person takes notes next to a pile of plastic bags filled with kratom leaves.
By some scientists’ count, there are between 10 million and 15 million kratom users in the US alone.PHOTOGRAPH: DIMAS ARDIAN/BLOOMBERG/GETTY IMAGES

Thing is, people are dying, and that’s not even the only reason to take issue with kratom’s rising trendiness. The likeliest reason for the fatalities, Day thinks, is less kratom than the substances being used to adulterate it. Shortly after she started posting about her own experiences with kratom online, a man who ran a head shop in Colorado began messaging her, and they became romantically involved. “It turned out to be a bad situation,” she says. “I got trapped inside of an apartment for six months and didn’t have anything else to do but work with him and watch this person making assloads of money selling kratom in a really inappropriate manner.”

Some sellers add just about anything to kratom: potato starch, matcha, flour. Others don’t pay much attention to what’s already in it. Day has seen kratom sold clumpy with mold and dirt. “Someone died using at his store,” Day says of her ex. “So, out of this traumatic experience, I realized I didn’t want to be homeless anymore and maybe I could make a business for myself doing this the right way.” She called labs every day until they started testing kratom for contaminates. Today, she takes pride in offering customers evidence that her products are tested. This has also earned her many enemies. Just because kratom culture is stretching toward the mainstream doesn’t mean it can’t also get nasty when someone threatens the status quo: “I’ve been very vocal that I think kratom should be regulated like marijuana,” Day says. “So much so that … I’ve gotten death threats from kratom users online. Many use kratom to quit opioids. There’s a lot of wild stuff on the internet. I try not to focus on it.”

Many use kratom to quit opioids.

Even if there aren’t contaminants in the kratom you’re ingesting, the manner in which it’s sold presents other dangers. That guy who got busted for claiming that kratom cured Lyme disease? He’s not alone. “We’ve done mystery shopping, and some of the interactions I’ve had are just insane. I wanted to jump across the counter,” Day recalls. “One guy said it will get you high like morphine. Another said it would cure cancer.” To be clear, it doesn’t. Some preliminary studies have suggested certain compounds found in kratom might have possible anticancer effects. Even if that’s true, at this point it’d be a bit like saying blueberries cure cancer because they’re high in antioxidants.

Like many high-value crops (especially semi-illicit ones), the kratom industry is also built on frequently exploitative labor practices, mostly in remote, rural areas in Indonesia. According to Day, who imports her kratom from the country, Indonesia’s drug enforcement agency, the BNN, has been under pressure from the US to ban kratom production by 2022, imperiling the kratom farmers’ livelihoods.

So the DEA and FDA’s worries aren’t unwarranted. “They are rightly concerned about any substance that they have very little control over that patients and consumers are using to self-treat medical conditions,” the University of Florida’s Grundmann says. “When you talk about withdrawal, depression, anxiety—that usually belongs in the hands of a medical professional.” Few seem to think that calls for a ban, though. “If we completely cut off any legal way for those consumers to get kratom, then we don’t have any oversight left.”

Many use kratom to quit opioids.

Instead, it might be more helpful to consider what kratom’s widespread use says about where our culture around drugs and medicine is now. “Many kratom users I’ve talked to don’t feel comfortable interacting with doctors, which is to their detriment,” the University of Rochester’s Swogger says. “But we can’t pretend like the medicines we’re providing are getting to everyone. They’re not.” While not everyone who takes a kratom supplement has a story as dramatic as Day’s—from homeless substance abuser to business owner and mother—it’s clearly filling a need for millions of people. The need to regulate, but not ban, kratom use is already being acknowledged on the state level: The Kratom Consumer Protection Act has been passed in Arizona, Georgia, and Utah, and is pending in Oregon.

“If it was as dangerous as the media says, I don’t think that would be happening. Nobody’s passing a heroin consumer protection bill,” Day adds. “It’s just weird.” You probably know how Portland feels about weird. The place plans on keeping it.


 

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Feds Incinerate 28 Tons of Kratom | Pat Anson | PNN | 2.12.20 https://www.wholeearthgifts.com/federal-government-destroys-kratom/ https://www.wholeearthgifts.com/federal-government-destroys-kratom/#respond Sun, 04 Oct 2020 17:44:00 +0000 https://wholeearthgifts.com/?p=3457 The post Feds Incinerate 28 Tons of Kratom | Pat Anson | PNN | 2.12.20 appeared first on Whole Earth Gifts.

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Federal Government Destroys Kratom

Feds Incinerate 28 Tons of Kratom

 Pat Anson, PNN

Over 28 tons of the herbal supplement kratom were recently destroyed by the federal government, the final chapter in a legal battle over one of the largest seizures of kratom in U.S. history. The federal government destroys kratom.

The U.S. Marshals Office paid a hazardous waste company nearly $30,000 to transport the kratom from South Carolina to Florida, where it was incinerated at an energy-from-waste facility. The kratom had an estimated value of $1 million.

Kratom is a dietary supplement that millions of Americans use to self-treat their chronic pain, anxiety, depression and addiction.  It comes from the leaves of a tree that grows in southeast Asia, where kratom has been used for centuries as a natural stimulant and pain reliever.

Federal Government Destroys Kratom

The incinerated kratom was seized in 2018 after FDA inspectors found large quantities of kratom powder and capsules at a warehouse in Myrtle Beach, SC operated by Earth Kratom, a kratom wholesaler and vendor.

At the time, the federal government was engaged in a public relations campaign against kratom, led by then-FDA Commissioner Scott Gottlieb. Federal officials claimed kratom was a risky and addictive substance that should not be used to treat any medical condition.

Federal Government Destroys Kratom

“Serious concerns exist regarding the effect of kratom on multiple organ systems. Consumption of kratom can lead to a number of health impacts, including respiratory depression, vomiting, nervousness, weight loss, and constipation. Kratom consumption has been linked to neurologic, analgesic and sedative effects, addiction, and hepatic toxicity,” U.S. Attorneys said in a civil forfeiture complaint that led to the kratom being seized.

Kratom can be sold legally in South Carolina and most U.S. states, but vendors can run into trouble if they claim it can be used to treat medical conditions.

“There’s nothing wrong with our facilities or our product,” explained Brian Stall, supervising manager for Earth Kratom. “We were selling a product for human consumption and they didn’t like that.”

Stall told PNN that Earth Kratom’s lawyers were able to persuade a judge to order the kratom returned, but it was seized a second time by U.S. Marshals. The kratom was wrapped in plastic and remained at Earth Kratom’s warehouse, but was off-limits to the company.

Federal Government Destroys Kratom

“They took all of our product and half of our building at that point,” said Stall. “It was a tough time for us. We’d worked really hard and really believed in the product. It really sucked.”

Earth Kratom’s entire inventory may have gone up in smoke, but it survived the ordeal and remains in business. It sells one of the most popular kratom brands, Trainwreck Kratom, a blend that combines several different kratom strains. PNN’s Crystal Lindell raved about Trainwreck as a pain reliever in a 2018 column.

Federal Government Destroys Kratom

Scott Gottlieb resigned as FDA commissioner in March 2019 and weeks later joined the board of directors at Pfizer. Although the FDA’s campaign against kratom seems to have quieted since Gottlieb’s departure, an import alert remains in effect that allows FDA inspectors to seize kratom products even “without physical examination.”

A recent study funded by the National Institute on Drug Abuse concluded that kratom is an effective treatment for pain, helps users reduce their use of opioids, and has a low risk of adverse effects.

 

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What is Kratom? | Jacqueline Stenson | nbcnews.com | 10.16.19 https://www.wholeearthgifts.com/what-is-kratom/ https://www.wholeearthgifts.com/what-is-kratom/#respond Thu, 01 Oct 2020 17:38:00 +0000 https://wholeearthgifts.com/?p=3454 The post What is Kratom? | Jacqueline Stenson | nbcnews.com | 10.16.19 appeared first on Whole Earth Gifts.

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What is kratom? The popular herbal supplement has caught flak from the FDA

Oct. 16, 2019, 3:31 AM CDT

By Jacqueline Stenson | nbcnews.com
Follow NBC HEALTH on Twitter & Facebook.

What is kratom? Some advocates credit the supplement with getting them off opioids.

Whole Earth Gifts What is Kratom? wholeearthgifts.com

Whole Earth Gifts What is Kratom?

The herbal supplement has surged in popularity, prompting pushback from the FDA. Chelsea Stahl / NBC News; Getty Images

Bobby DiBernardo credits the herbal supplement with getting him off heroin, oxycodone and alcohol six years ago.

“It saved my life,” he said. “I could have died any day from a heroin overdose and kratom gave me a new lease. It helped take away the pain of withdrawal.”

DiBernardo, 41, of Rochester, New York, still mixes a teaspoon of the herbal powder into a glass of water once or twice a day and drinks it even though he says it tastes terrible.

He is just one of the millions of Americans — potentially upwards of 15 million, according to estimates from the American Kratom Association (AKA) — to use kratom, a supplement made from the leaves of the Mitragyna speciosa tree native to Southeast Asia. Since at least the 19th century, the leaves have been either chewed or brewed in tea by people in Thailand, Malaysia and Indonesia to relieve pain, ease fatigue and boost mood. Kratom is believed to act like a stimulant at lower doses and have opioid-like painkilling effects and sedative properties at higher doses.

But as the supplement has surged in popularity in the U.S., safety concerns have prompted the Food and Drug Administration to warn consumers against kratom use and to crack down on companies making fraudulent health claims.

“We have issued numerous warnings about the serious risks associated with the use of kratom, including warnings about the contamination of products with high rates of salmonella that put people using kratom products at risk, and resulted in numerous illnesses and recalls,” acting FDA Commissioner Dr. Ned Sharpless said in a June 2019 statement, when the agency issued warning letters to two companies selling kratom. “Despite our warnings, companies continue to sell this dangerous product and make deceptive medical claims that are not backed by science or any reliable scientific evidence.

Six states — Alabama, Arkansas, Indiana, Rhode Island, Vermont and Wisconsin — and the District of Columbia have even taken the step of banning the supplement.

That’s a move that advocates, including Lois Gilpin, 58, of Louisville, Kentucky, oppose.

Gilpin has been mixing powder into her orange juice about two or three times a day for four years and says it relieves the chronic pain in her left leg and back so well that she can now get out of bed and enjoy her family again. “It’s definitely not a fix-all,” Gilpin said. “But for it to work well enough that I’m able to pick up my granddaughters from school and take them to the park is huge.

She was so impressed with kratom that she began volunteering her time to coordinate the social media efforts of the AKA, a consumer advocacy group in Virginia that was founded in 2014.

So, is kratom really all it’s cracked up to be? Or is more caution needed?

How is kratom being used in the United States?

A 2016 online survey of more than 8,000 kratom users contacted primarily through the AKA found that most were using the product for relieving pain or treating mood disorders such as depression and anxiety. Others used kratom to combat withdrawal symptoms from prescription opioid or illicit drug use.

Most often, kratom was consumed as a powder mixed into a drink or in pill form, according to the survey, which was conducted by Oliver Grundmann, a clinical associate professor of medicinal chemistry at the University of Florida, and published in the journal Drug and Alcohol Dependence.

Is there solid evidence that kratom is beneficial?

“To date, we don’t really have clinical studies, rigorous studies like we do for drugs that the FDA requires before a drug is approved to enter the market,” Grundmann said.

That rigorous “gold standard” is not required before dietary supplements can be sold; instead, “what we have primarily are the beneficial uses that have been reported in a traditional setting in East Asia, and surveys and user reports in the U.S. and Europe,” he said.

In his survey, the most commonly reported benefits of kratom were reduced pain, increased energy and better mood. The majority of respondents reported benefit at doses up to five grams taken up to three times per day.

Kratom often comes in a powdered form.Mary Esch / AP file

“I would say that we have relatively good anecdotal emerging evidence that kratom has benefits for the average user as long as we consider how much kratom is being used and what products are being used,” Grundmann said.

But while there may be encouraging anecdotal reports of benefits, some experts are calling for more research.

 

Is kratom safe?

That depends on whom you ask — and opinions vary widely.

The FDA has issued a strong warning against kratom use. “FDA is concerned that kratom, which affects the same opioid brain receptors as morphine, appears to have properties that expose users to the risks of addiction, abuse and dependence,” the group states.

Kratom is an opioid. #FDA continues to be deeply concerned that it’s widespread recreational use is contributing to the opioid addiction crisis. People are abusing kratom and, in some cases, are unaware that they’re using an opioid with addictive qualities https://t.co/8XeD44DiPQ

— Scott Gottlieb, M.D. (@SGottliebFDA) February 25, 2019

“There are no FDA-approved uses for kratom, and the agency has received concerning reports about the safety of kratom,” the FDA says in a statement. “FDA is actively evaluating all available scientific information on this issue and continues to warn consumers not to use any products labeled as containing the botanical substance kratom or its psychoactive compounds, mitragynine and 7-hydroxymitragynine.”

In fact, in 2016, the Drug Enforcement Administration went as far as temporarily listing kratom as a Schedule 1 controlled substance — a classification that means it has no accepted medical use and high potential for abuse — only withdrawing the decision after a public outcry and a targeted petition effort from advocates.

The FDA also has expressed concerns that kratom products may be contaminated with heavy metals or salmonella, and that marketers are making misleading health claims.

In 2018, for example, the supplement was linked to a multistate outbreak of salmonella, prompting a mandatory recall by the FDA. (A specific source of that contamination was not identified, however, it may have occurred during the growing or manufacturing process.) And an April 2019 analysis of 30 different kratom products found traces of heavy metals, including lead.

Over the summer, the FDA issued warning letters to two companies for selling “unapproved, misbranded kratom-containing drug products with unproven claims about their ability to treat or cure opioid addiction and withdrawal symptoms.”

It’s that illusion that it is a plant so it’s going to be OK.

Dr. Paul Earley, an addiction medicine specialist in Atlanta and president of the American Society of Addiction Medicine, said that he treats patients dependent on kratom, including a recent patient who was in recovery from opioid abuse when he switched to kratom thinking it was safe. That patient later had to be hospitalized for kratom dependence.

“It’s that illusion that it is a plant, so it’s going to be OK, it’s milder than heroin — and yes that’s true — but it’s not a safe compound,” Earley told NBC News.

“Kratom does produce a physical dependence, and people who are susceptible to addiction especially should stay away from it, because it’s going to tickle that same part of the brain that opioids do,” he added.

Two reports this year linked kratom use to various adverse effects, even death.

One study in the journal Clinical Toxicology found that between 2011 and 2017, more than 1,800 calls involving kratom were placed to U.S. poison control centers. The most common complaints were agitation/irritability and rapid heartbeat, followed by nausea, drowsiness, vomiting, confusion and high blood pressure. But there also were some reports of serious complications such as seizures, respiratory problems, coma and, in 11 instances, deaths. Nine of the deaths involved other drugs such as cocaine, fentanyl and alcohol, but two cases were attributed to kratom only.

Another report, from the Centers for Disease Control and Prevention, looked at more than 27,000 drug overdoses entered into a multistate database between July 2016 and December 2017 and found that 91 Americans died from overdoses involving kratom. Most of the cases involved multidrug use, including fentanyl, heroin and benzodiazepines. But in seven cases, kratom was the only compound revealed in post-mortem testing. The researchers, however, noted that “the presence of additional substances cannot be ruled out.”

Critics say these types of reports are hard to draw firm cause-and-effect conclusions from because other contributing factors may be at play.

The AKA maintains there have been no deaths directly resulting from kratom products that are unadulterated and have not been used in combination with other drugs. “Kratom has been safely used for centuries in Southeast Asia where there are no deaths associated with the pure kratom consumption,” Mac Haddow, the AKA’s senior fellow on public policy, said. “In the U.S., there are no deaths that are related to pure kratom consumption.”

What’s ahead for kratom?

While some health professionals support a kratom ban, others say regulation would be a better route.

Dr. Peter Grinspoon, a primary care doctor and instructor at Harvard Medical School, said banning kratom would leave many chronic pain sufferers without an option they may be relying on if they want to avoid prescription opioids or cannot get them from their physician.

Still, Grinspoon recommends that his patients avoid kratom because of the lack of regulation.

“If you buy kratom you don’t know what you’re getting,” he said. “Are you really getting a gram of kratom or are you getting a gram of whatever is in the capsules in the powder that they’re calling kratom? There’s no oversight of the growth, production, packaging, distribution or sales of kratom.”

Follow NBC HEALTH on Twitter & Facebook.

Jacqueline Stenson

NBC News contributor Jacqueline Stenson is a health and fitness journalist who has written for the Los Angeles Times, Reuters, Health, Self and Shape, among others. She also teaches at the UCLA Extension Writers’ Program.

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The post What is Kratom? | Jacqueline Stenson | nbcnews.com | 10.16.19 appeared first on Whole Earth Gifts.

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