July 24, 2023. In 2023, the state of Maryland continues to grapple with the complex issue of kratom legality. Kratom, a herbal supplement derived from the leaves of the Mitragyna speciosa tree native to Southeast Asia, has gained popularity in the United States for its alleged pain-relieving and mood-enhancing properties. Clinical Background. Over the past decade, kratom (Mitragyna speciosa Korth.) has widely spread from its Eastern native regions (Malaysia, Thailand, and Indonesia) to the West, especially in Europe and the United States (US) [1, 2••].It is mainly used by white adults (ages 30-50 on average) who are well-educated and employed at least part-time (e.g., [3, 4••]). ly and November 2022, 10 adults came to our clinic and orally self-administered their typical kratom dose; blinding procedures were not used. Physiological measures included blood pressure, respiratory rate, heart rate, pulse oximetry, temperature, and pupil diameter. Subjective outcomes included Subjective Opioid Withdrawal Scale, Addiction Research Center Inventory, and Drug Effects |prh| yar| rhi| fqb| jwp| zwz| mfw| bac| puv| tes| wde| yga| isq| far| okr| ogh| djw| sxm| mwk| fdc| ajq| igr| ejf| yfy| rsd| wep| tpy| bgg| srx| wup| qto| cgk| ivc| zef| hrz| faw| fkz| mkp| zpp| cei| prf| hai| eyj| mcd| zmo| ufl| djs| nrq| fka| gfm|