Kratom

Mitragyna speciosa

Also known as Ketum.

DryingNeutralTaste: Bitter

Traditional Southeast Asian use for labor endurance and opioid withdrawal dose-dependent effects (low: stimulant high: sedative/opioid-like) lacks formal pharmacopoeia monograph due to regulatory concerns potential for dependence/withdrawal milder than opioids

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AnalgesicStimulantAntidiarrhealAnti-inflammatoryAntidepressantAntioxidantAntipyretic

Indications what the tradition reached for it in

Increase appetite
Musculoskeletal pain
Wounds
Chronic pain
Diabetes
Diarrhea
Toothache
Hypertension
Fever
Headache
Rheumatism
Cough
Increase energy
Increase stamina
Increase sexual desire
Opioid withdrawal symptoms
Intestinal infections
Fatigue
Depression
Inflammation
Pain
Lethargy
Oxidative stress
Infection

Safety

Low dose botanical. Used in drop doses in the classical practice; not a plant to dose freely.

Pregnancy: Pregnancy Caution

Breastfeeding: Lactation (source flag notSafeInLactation)

The record lists 4 contraindications; open the plate in the library to read them in full.

Dosing as the sources wrote it

Preparation	As written	Metric
dried leaf powder or tea	dried leaf powder or tea (low 1-5g stimulant	1000-5000 mg
moderate-high	moderate-high 5-15g opioid-like	5000-15000 mg
tea decoction	tea decoction 3 glasses/day
	chewed fresh leaves (10-30/day)

Doses are reproduced from the sources for practitioners and are not a recommendation for any person.

From the sources

Clinical Notes. Traditional Southeast Asian use for labor endurance and opioid withdrawal dose-dependent effects (low: stimulant high: sedative/opioid-like) lacks formal pharmacopoeia monograph due to regulatory concerns potential for dependence/withdrawal milder than opioids

indications. Kratom is traditionally indicated for: Increase appetite, Musculoskeletal pain, Wounds, Chronic pain, Diabetes, Diarrhea, Toothache, Hypertension, Fever, Headache, Rheumatism, Cough, Increase energy, Increase stamina, Increase sexual desire, and 9 further conditions.

dose-reference. Reference preparation/dosing for Kratom: chewed fresh leaves (10-30/day); dried leaf powder or tea (low 1-5g stimulant; moderate-high 5-15g opioid-like; tea decoction 3 glasses/day

safety-cautions. Kratom - Contraindications: neurologic disorders, concurrent CNS depressants (alcohol, sedatives, opioids), stimulants (caffeine, cocaine), CYP2D6/3A4 substrates | Side effects: anxiety, irritability, insomnia, constipation, increased urination, tongue numbness, hyperpigmentation (chronic), dependence | Safety flags: not considered safe in pregnancy; not considered safe during lactation; low-dose / narrow therapeutic window (use caution).

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