Date of Presentation

5-4-2023 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

Centuries in Eastern medicine.. Kratom has been commonly used for chronic pain and opiate withdrawal symptoms with first reported cases in the United States in the early 2000s. It is a plant that consists of psychoactive alkaloids that target opioid receptors with different affinity. Effects from Kratom are dose-dependent, at lower doses, it acts as a stimulant, while at higher doses produces analgesia and euphoria. Although Kratom is legal and easily accessible over the counter, there have been increasing reports of potential for addiction and toxicity. Cessation of Kratom can result in withdrawal symptoms similar to opiate withdrawal. Here we discuss a case of a 71 year old male with inadvertent Kratom dependence, who had prolonged withdrawal weeks after cessation and required management of dysphoric mood and insomnia symptoms persisting after withdrawal.

Keywords

Mitragyna, Kratom, Complementary Therapies, Substance Withdrawal Syndrome, Case Reports, Substance-Related Disorders, Plant Preparations

Disciplines

Alternative and Complementary Medicine | Complex Mixtures | Emergency Medicine | Medicine and Health Sciences | Other Chemicals and Drugs | Pathological Conditions, Signs and Symptoms | Patient Safety | Substance Abuse and Addiction

Document Type

Poster

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May 4th, 12:00 AM

Release the Kratom: Post-Acute Withdrawal Syndrome in a 70 Year Old Male

Centuries in Eastern medicine.. Kratom has been commonly used for chronic pain and opiate withdrawal symptoms with first reported cases in the United States in the early 2000s. It is a plant that consists of psychoactive alkaloids that target opioid receptors with different affinity. Effects from Kratom are dose-dependent, at lower doses, it acts as a stimulant, while at higher doses produces analgesia and euphoria. Although Kratom is legal and easily accessible over the counter, there have been increasing reports of potential for addiction and toxicity. Cessation of Kratom can result in withdrawal symptoms similar to opiate withdrawal. Here we discuss a case of a 71 year old male with inadvertent Kratom dependence, who had prolonged withdrawal weeks after cessation and required management of dysphoric mood and insomnia symptoms persisting after withdrawal.

 

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