>> Schedule I substances are those that have the following >>findings:
>> 1. The drug or other substance has a high potential for >>abuse.
>> 2. The drug or other substance has no currently accepted >>medical use in treatment in the United States.
>> 3. There is a lack of accepted safety for use of the >>drug or other substance under medical supervision
>Kratom doesn't meet any of those requirements, let alone >all three. The scheduling process requires reform, and >this impacts a large part of the world since drug >scheduling (and patent protection on pharma) are part of >American trade agreements.
Mitragynine, the major alkaloid identified from Kratom, has been reported as a partial opioid agonist producing similar or more potent effects than morphine. An interesting minor alkaloid of Kratom, 7-hydroxymitragynine, has been reported to be significantly more potent than morphine. (Actually, in studies, mitragynine was shown to be 13x more potent than morphine, and 7-hydroxymitragynine to be 4x more potent than mitragynine, as per Vicknasingam et al 2010 in the International Journal of Drug Policy, and Matsumoto et al., 2005, Life Sciences). Both Kratom alkaloids are reported to activate supraspinal mu- and delta- opioid receptors, explaining their use by chronic narcotics users to ameliorate opioid withdrawal symptoms.
The problem here isn't getting rid of a "legal high." Kratom should not be: it carries all the risks of opiates, and may have an independent mechanism of seizure activity. Physiologic dependence has also been reported, as well as thyroid dysfunction, liver damage, and if mixed with another opioid agonist (tramadol is easy to score on the street, as a very common med for diabetic neuropathic pain) it'll put you right in the ground, as has been seen in a number of deaths in Sweden.
You're right it doesn't meet all three criteria, although it certainly meets 1 and 2. 3 is a valid basis for conducting for medical research, to determine proper pharmacokinetics and see what safe usage scenarios are.
However, it's a serious drug, and needs to be regulated as such. It should not be Schedule I, the DEA's favorite way of creating job security for itself, but it seems like the opposition position that has developed is yelling "keep it freely available," which is unconscionable.
The delivery method matters. It's not accurate to consider the dangers of kratom just by looking at the dangers of the active chemicals. One important difference is that when consuming the kratom leaf, you will get nauseous and throw up before you can overdose, assuming kratom is the only depressant you're taking.
You talk about chemicals being "stronger" than others, but what that means is that it requires lower doses to achieve the same effect, not that its inherently more dangerous. My understanding is that mitrogynine opioids cause less respiratory depression than comparable levels of morphine. I think that there is a pharmaceutical product derived from some mitrogynine opioid that's prescribed because of its relatively low risk of making users stop breathing.
I don't know what you mean by "serious drug", but why are you so keen to regulate something that doesn't have much evidence of causing damage? The purpose of regulation should not be to stop people from getting high. I'd prefer much less regulation of all drugs, but I can understand regulating for the sake of the collective good: to avoid public health crises, to limit the number of addicts who become burdens of the state. There isn't evidence that kratom is hurting the collective good though, so why limit people's freedom?
It is extremely misleading to compare the binding affinity of a partial mu opioid agonist with profoundly different molecular structure to the binding affinity of a full mu opioid agonist. Mitragynine is not 13x more potent than morphine in any effect observed in vivo. Preliminary research shows that the novel binding mechanism of mitragynine results in drastically different effects (supposedly by selective avoidance of beta arrestin activation). For instance, it does not cause respiratory depression to a significant extent in mammals.
Thyroid dysfunction and liver damage have never been demonstrated in a study, and anecdotal reports do not seem to suggest that they occur.
The deaths in Sweden were attributed to an isolated metabolite of tramadol that is sold as a research chemical and was mixed into powdered kratom leaf. There is no evidence that kratom contributed to those deaths.
I encourage you to read the "Talk" section of the Wikipedia page before repeating claims in the article without context.
The effects of kratom are extremely mild, you vomit quickly if you take too much, the withdrawal symptoms are comparable to caffeine, and there has never been a death attributed to kratom alone.
Sorry, but as someone who has used Kratom many times I will tell you that I get more high off a morning espresso than off of Kratom. It's far less of a serious drug than alcohol or marijuana, I can say that much.
>> 1. The drug or other substance has a high potential for >>abuse.
>> 2. The drug or other substance has no currently accepted >>medical use in treatment in the United States.
>> 3. There is a lack of accepted safety for use of the >>drug or other substance under medical supervision
>Kratom doesn't meet any of those requirements, let alone >all three. The scheduling process requires reform, and >this impacts a large part of the world since drug >scheduling (and patent protection on pharma) are part of >American trade agreements.
Mitragynine, the major alkaloid identified from Kratom, has been reported as a partial opioid agonist producing similar or more potent effects than morphine. An interesting minor alkaloid of Kratom, 7-hydroxymitragynine, has been reported to be significantly more potent than morphine. (Actually, in studies, mitragynine was shown to be 13x more potent than morphine, and 7-hydroxymitragynine to be 4x more potent than mitragynine, as per Vicknasingam et al 2010 in the International Journal of Drug Policy, and Matsumoto et al., 2005, Life Sciences). Both Kratom alkaloids are reported to activate supraspinal mu- and delta- opioid receptors, explaining their use by chronic narcotics users to ameliorate opioid withdrawal symptoms.
The problem here isn't getting rid of a "legal high." Kratom should not be: it carries all the risks of opiates, and may have an independent mechanism of seizure activity. Physiologic dependence has also been reported, as well as thyroid dysfunction, liver damage, and if mixed with another opioid agonist (tramadol is easy to score on the street, as a very common med for diabetic neuropathic pain) it'll put you right in the ground, as has been seen in a number of deaths in Sweden.
You're right it doesn't meet all three criteria, although it certainly meets 1 and 2. 3 is a valid basis for conducting for medical research, to determine proper pharmacokinetics and see what safe usage scenarios are.
However, it's a serious drug, and needs to be regulated as such. It should not be Schedule I, the DEA's favorite way of creating job security for itself, but it seems like the opposition position that has developed is yelling "keep it freely available," which is unconscionable.