Kratom - NutraPedia
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Kratom (Mitragyna speciosa)
1) Conditions Studied
- Chronic Pain
- Opioid Withdrawal and Dependence
- Anxiety and Depression
- Post-Traumatic Stress Disorder (PTSD)
- Fatigue
2) Efficacy in Treating Conditions
The effectiveness of kratom in treating the above conditions is still under investigation. Some anecdotal reports and preliminary studies suggest potential benefits for pain relief and opioid withdrawal symptoms, but there is a lack of large-scale, rigorous clinical trials to conclusively determine its efficacy.
3) Potential Health Benefits
- Pain relief
- Mood enhancement
- Stimulation at low doses
- Sedation at high doses
- Reduced opioid withdrawal symptoms
4) Possible Downsides
- Dependency and addiction potential
- Withdrawal symptoms similar to opioid withdrawal
- Nausea, itching, sweating, dry mouth, constipation
- Increased heart rate, blood pressure, and risk of seizures
- Risk of contaminated or adulterated products
- Legal restrictions in some areas
5) Genetic Variations and Impact
There is limited research on kratom's effects on different genetic variations. Certain genetic markers may influence how individuals metabolize kratom or respond to its psychoactive properties, but this area requires further study to make definitive conclusions about specific genetic predispositions to its beneficial or harmful effects.
Kratom Research Summary
Kratom (Mitragyna speciosa) is a plant native to Southeast Asia with effects similar to opioids and stimulants. It is consumed in various forms, such as tea, powder, extracts, resins, tinctures, and edibles. Kratom is traditionally used in Asia and Africa for medicinal purposes but has become controversial due to its potential for abuse and varying legal status worldwide.
Recent studies have highlighted kratom's use among US adults, showing that most users experience acute effects from their usual dose and use it for managing daily responsibilities. However, longer periods of regular use are associated with more severe adverse effects upon cessation.
Health concerns related to kratom include dependence, addiction, toxicity, and uncommon cases of significant liver damage. There is also a concern about the presence of lead contamination and the possible adulteration of commercial kratom products with the potent alkaloid 7-hydroxymitragynine.
Studies suggest kratom may have therapeutic value for conditions such as acute and chronic pain, opioid and ethanol withdrawal, and dependency. However, safety concerns include learning impairment, high cholesterol, and dependency or withdrawal symptoms with chronic use. Despite these findings, some users report using kratom to manage opioid withdrawal symptoms and for its stimulant and opioid-like effects.
Research indicates that kratom has pain-relieving effects, increases pain tolerance, and could be a promising herbal supplement for diabetes treatment and prevention. Nonetheless, more extensive and controlled clinical trials are needed to fully understand kratom's therapeutic benefits and safety profile.
The legal status of kratom is controversial and remains unregulated in many areas, posing risks due to variable potencies and effects. The first reported case where naloxone successfully reversed kratom toxicity highlights the need for further research and regulation to standardize kratom dosing and ensure patient safety.
Given the increasing use and potential risks, there is a need for health care providers to become familiar with kratom, including its pharmacology, clinical effects, detection, and management. Meanwhile, consumers often encounter low-quality information online, underscoring the need for improved communication between healthcare providers and patients regarding the use of kratom.
References:
- Searching for a Signal: Self-Reported Kratom Dose-Effect Relationships Among a Sample of US Adults With Regular Kratom Use Histories
- Kratom
- Mitragyna Species as Pharmacological Agents: From Abuse to Promising Pharmaceutical Products
- Patterns of Kratom use and health impact in the US-Results from an online survey
- Kratom (Mitragynine) Ingestion Requiring Naloxone Reversal
- Kratom
- Liver injury associated with kratom, a popular opioid-like product: Experience from the U.S. drug induced liver injury network and a review of the literature
- Kratom: History, pharmacology, current user trends, adverse health effects and potential benefits
- Public Health Implications and Possible Sources of Lead (Pb) as a Contaminant of Poorly Regulated Kratom Products in the United States
- Suspected Adulteration of Commercial Kratom Products with 7-Hydroxymitragynine
- Evaluation of the Mitragynine Content, Levels of Toxic Metals and the Presence of Microbes in Kratom Products Purchased in the Western Suburbs of Chicago
- Assessing the quality of information provided on websites selling Kratom (Mitragyna speciosa) to consumers in Canada
- The informal use of ketum (Mitragyna speciosa) for opioid withdrawal in the northern states of peninsular Malaysia and implications for drug substitution therapy
- Severity of Kratom (Mitragyna speciosa Korth.) Psychological Withdrawal Symptoms
- Kratom (Mitragyna speciosa) dependence, withdrawal symptoms and craving in regular users
- Lyophilized Kratom Tea as a Therapeutic Option for Opioid Dependence
- Here today, gone tomorrow…and back again? A review of herbal marijuana alternatives (K2, Spice), synthetic cathinones (bath salts), kratom, Salvia divinorum, methoxetamine, and piperazines
- Inhibition of α-Glucosidase and Pancreatic Lipase Properties of Mitragyna speciosa (Korth.) Havil. (Kratom) Leaves
- A systematic review of (pre)clinical studies on the therapeutic potential and safety profile of kratom in humans
- Kratom and Pain Tolerance: A Randomized, Placebo-Controlled, Double-Blind Study
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