It is exactly idiots like this lady, no surprise that she works in the VA Healthcare system, spouting off ill-informed propaganda that makes it hard for people to take care of themselves as they see fit! She advocates using prescription drugs and states that Kratom costs $1000 a kilo ($30 an ounce). I have been successfully using Kratom the past 3 months for chronic pain and am no longer on opioids. If these kind of mindless drones get what they want, myself and countess others are going to be hurt!
Kratom: The new alternative to opioids
Sherril Sego, FNP-C, DNP, is a staff clinician at the VA Hospital in Kansas City, Mo., where she practices adult medicine and women’s health. She also teaches at the nursing schools of the University of Missouri and the University of Kansas.
Safety, interactions, side effects
The safety of this product is definitely in question. Due to its known opioid action, addiction and overdose are easily possible. In August 2016, the DEA published a notice of intent to classify this compound as a schedule I drug.9 Due to a huge public response, however, a formal retraction of that intent was published in October 2016, pending further review.9
Regardless of regulation, kratom should be considered an opioid compound and, as such, possess all of the potential side effects and interactions of the class. Until such studies are conducted that more clearly show safety and efficacy for specific uses, there is no current indication for this compound.
How supplied, dose, cost
Kratom is widely available in the United States either online or in most ‘head shops.' It is available in a variety of forms including extract, powder, or capsule. Due to the lack of any quality control, there is no way to establish a ‘recommended dose.' Also, the concentration of the active ingredient, mitragynine, varies widely based on the form of the product. Extracts tend to be more concentrated, while powders and capsules are weaker.
Those who report sporadic use for anxiety or other episodic concerns may only use 1 to 2 g at a time, whereas daily users managing chronic pain or intense withdrawal from other opiates report using as much as 15 to 20 g or more per day. The type of product and the amount used dictate cost, with an average cost per ounce of about $30.
With the abundance of approved medications at the disposal of healthcare providers, the use of an unproven and potentially dangerous product such as kratom is not justified. However, providers must be aware of the growing use of this compound in the United States and, when opioid use is either ongoing or newly initiated, screen for use of this product.
Edited by swamper, 07 January 2017 - 10:02 AM.