Head of Homeland Security pushing Kratom - implications for Pain

[Agast]

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Markwayne Mullin’s investments in the kratom industry look like a clear conflict of interest

Is Kratom a fun and harmless plant? Do you guys screen for this on your Utox or allow patients to mix this with opioids?

Anecdotally, my psychiatrist friend has had to help a few patients with kratom addiction.

 

[au bon pain]

Kratom is bad ****

He should stick to plumbing

Successful Management of Kratom Use Disorder With Buprenorphine and Naloxone - PMC

Kratom is an unregulated herbal supplement that is growing in popularity in the United States. Its primary active ingredients, mitragynine, and 7-hydroxymitragynine, are partial agonists that act on mu- and delta-opioid receptors in the central ...

pmc.ncbi.nlm.nih.gov

 

[Laryngospasm]

Apparently quite the addiction from what I have seen and heard. Definitely not harmless. There are some good mini-docs on YouTube.

 

[Agast]

it kind of reminds me of the old school opium dens

Maybe it has to become a widespread problem before there’s any meaningful regulation

 

[Ducttape]

the kratom industry has been successful at fighitng regulation.

probably because they have "donated" "wisely".

 

[kstarm]

We see a fair number of patients who have withdrawal and show up in the ER. I think there is a couple of different types with the high potency 7-OH being the most problematic right now. Usually takes high dose bupe to stabilize these people. As it isn't regulated people will self-escalated to significant amounts and then get into trouble. The "its all natural, and safe" marketing has harmed a lot of people.

 

[cowboydoc]

I may have mentioned this on the forms before, but my previous rad tech’s dad ended up getting a heart transplant in his early forties secondary to kratom use.

 

[geauxg8rs]

I always recommend getting pain treatment from the gas station. Texaco Mike will see you now

 

[BoardingDoc]

We see a fair number of patients who have withdrawal and show up in the ER. I think there is a couple of different types with the high potency 7-OH being the most problematic right now. Usually takes high dose bupe to stabilize these people. As it isn't regulated people will self-escalated to significant amounts and then get into trouble. The "its all natural, and safe" marketing has harmed a lot of people.

Yeah, I saw a few people who were either taking it for fun, or trying to wean off opioids by using it. That or Neptune's Fix, which was another gas station hit. Working in the ER was often a reminder as to precisely why why toxicology is an EM fellowship.

 

[mille125]

I may have mentioned this on the forms before, but my previous rad tech’s dad ended up getting a heart transplant in his early forties secondary to kratom use.

Wow

 

[Ducttape]

I always recommend getting pain treatment from the gas station. Texaco Mike will see you now

not sure others picked up on Dr. Glaucomflecken reference there