• A&A practice · Apr 2018

    Kratom, an Emerging Drug of Abuse: A Case Report of Overdose and Management of Withdrawal.

    • Jack Diep, David Tian Chin, Somdatta Gupta, Faraz Syed, Ming Xiong, and Jianguo Cheng.
    • From the Department of Pain Management, Cleveland Clinic, Cleveland, Ohio; Rutgers New Jersey Medical School, Newark, New Jersey; Department of Anesthesiology and Perioperative Medicine, Rutgers New Jersey Medical School, Newark, New Jersey; and Department of Critical Care Medicine, Englewood Hospital and Medical Center, Englewood, New Jersey.
    • A A Pract. 2018 Apr 15; 10 (8): 192-194.

    AbstractKratom is an herb indigenous to Southeast Asia with psychoactive opioid compounds, often used as a treatment for chronic pain or opiate withdrawal symptoms. It is legally and readily available via Internet sales and has been identified as an emerging drug of abuse in the United States. Kratom use has been associated with psychosis, seizures, and even death. At lower doses, kratom acts as a stimulant, while at higher doses, it produces analgesia and euphoria. Here, we describe the successful management of kratom overdose and withdrawal in a young man with negative toxicology screens.

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