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Kratom is increasingly being abused as an alternative to opioids. The US Poison Control Center reports a greater than 50 fold increase in calls regarding Kratom from 2011 to 2017 and more recently a six fold increase in just two years (from 2016 to 2018).1
Kratom is an unscheduled opioid which acts on the opioid receptors, leading to abuse and dependence. It has recently been associated with multiple deaths and is suspected to be adulterated with other drugs. Due to its potential for abuse and addiction, both the Drug Enforcement Agency (DEA) and the FDA are striving together to get a Schedule I designation for Kratom. It is currently listed by the DEA as a "drug of concern."