Like people in general, pregnant people use non-prescribed drugs for many reasons. The DEA states that kratom abuse can lead to addiction and can result in psychotic symptoms, including hallucinations, delusion, and confusion. People will counterfeit it. People will adulterate it. People will get arrested for using it. People who can't get it will move on to other drugs.

Using kratom with other substances is associated with withdrawal periods of weeks or even months. Adulteration and contamination with other drugs, herbs, and substances are possible. Kratom tea is easy to make and many people find kratom tea more pleasant to drink.

Thousands of people are affected by the opioid epidemic every year, and one alleged solution is to take kratom supplements, drink a tea made from the dried leaves, take an herbal extract" derived from kratom, or otherwise ingest the drug to take the edge off opioid withdrawal symptoms.

Experienced kratom users already know their preferred kratom strain and are accustomed to the effects. And at even greater doses, it can act as a sedative, making users feel sleepy. It is not approved by the Food and Drug Administration, and that agency has led an aggressive crackdown on the plant, halting some imports and reprimanding companies for claiming that the substance has medical benefits.

Because it contains alkaloids that act as opiate receptor agonists it can be used as a substitute for opiate drugs, both as a pain medication and to avoid opiate withdrawals. Per HuffPo , the Food and Drug Administration (FDA) has linked wholesale kratom to the death of a 43-year-old man who had also been taking other substances.

Schedule I drugs (which include heroin and MDMA) are considered to have no currently accepted medical use and a high potential for abuse." Mitragynine and 7-hydroxymitragynine are the kratom constituents set to be classified as Schedule I drugs, making possession or sale of the herb illegal.
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