The current report summarises the work performed in the context of the European Food Risk Assessment Fellowship Programme (EU‐FORA), which included the evaluation of health risks associated with the consumption of botanical preparations of Mitragyna ...
Georgia Papadi +2 more
doaj +2 more sources
Evaluating kratom alkaloids using PHASE
Kratom is a botanical substance that is marketed and promoted in the US for pharmaceutical opioid indications despite having no US Food and Drug Administration approved uses.
David G Strauss +19 more
core +2 more sources
Genotoxicity risk assessment of a 7-hydroxymitragynine-enriched Kratom preparation: An integrated in silico and in vitro approach. [PDF]
The increasing global use of Mitragyna speciosa (Kratom) necessitates a thorough safety assessment, particularly regarding the genotoxic potential of its key alkaloids. This study employed an integrated in silico and in vitro approach to evaluate the genotoxicity of a well-characterized, semi-synthetically enhanced Kratom preparation (SKP) enriched in ...
Harnkit N +7 more
europepmc +3 more sources
Interactive Effects of <i>µ</i>-Opioid and Adrenergic-<i>α</i> <sub>2</sub> Receptor Agonists in Rats: Pharmacological Investigation of the Primary Kratom Alkaloid Mitragynine and Its Metabolite 7-Hydroxymitragynine. [PDF]
The primary kratom alkaloid mitragynine is proposed to act through multiple mechanisms, including actions at -opioid receptors (MORs) and adrenergic- receptors (A Rs), as well as conversion in vivo to a MOR agonist metabolite (i.e., 7-hydroxymitragynine)
Obeng S +16 more
europepmc +2 more sources
Management of acute withdrawal from 7-hydroxymitragynine after high-dose chronic use: A case report
To report acute opioid withdrawal following abrupt cessation of high-dose 7-hydroxymitragynine (7-OH) in a patient who transitioned from kratom, and to outline pharmacist-focused assessment, management, and regulatory counseling strategies including a formal causality assessment.A 43-year-old male with opioid use disorder presented with nausea ...
Noah Lybik +3 more
openaire +3 more sources
Effects of Botanical Variation, Plant Part, and Extraction Technique on Mitragynine and 7-Hydroxymitragynine in Kratom (<i>Mitragyna speciosa</i>) Extracts Quantified by a Validated HPLC-DAD Method. [PDF]
Mitragyna speciosa (kratom) is a traditionally consumed botanical rich in the bioactive alkaloids mitragynine (MG) and 7-hydroxymitragynine (7OH-MG).
Krongrawa W +5 more
europepmc +2 more sources
Commentary on Comstock et al.: Here we go again-Kratom and the failure to learn from the opioid crisis. [PDF]
Addiction, Volume 121, Issue 9, Page 2468-2469, September 2026.
Kolodny A.
europepmc +2 more sources
Biosynthesis of kratom opioids
Summary Mitragynine, an analgesic alkaloid from the plant Mitragyna speciosa (kratom), offers a safer alternative to clinical opioids such as morphine, owing to its more favorable side effect profile. Although kratom has been traditionally used for stimulation and pain management in Southeast Asia, the mitragynine biosynthesis pathway has remained ...
Kyunghee Kim +6 more
wiley +1 more source
Transient Sensorineural Hearing Loss and Rhabdomyolysis, Associated With Chronic Kratom Use. [PDF]
Kratom is a colloquial name for products derived from the mitragyna plant species originating in Southeast Asia and now widely available in the United States as a dietary supplement. Kratom is used primarily for self‐management of pain, anxiety, and opioid withdrawal due to its partial agonist activity on mu opioid receptors, as well as other ...
Watanabe H, Zhang K, Shapiro Y.
europepmc +2 more sources
Clinical Assessment of the Drug Interaction Potential of the Psychotropic Natural Product Kratom
Oral formulations prepared from the leaves of the kratom (Mitragyna speciosa) plant are increasingly used for their opioid‐like effects to self‐manage opioid withdrawal and pain. Calls to US poison centers involving kratom exposures increased >50‐fold from 2011–2017, one‐third of which reported concomitant use of kratom with drugs of abuse.
Rakshit S. Tanna +9 more
wiley +1 more source

