Diep Jack, Chin David Tian, Gupta Somdatta, Syed Faraz, Xiong Ming, Cheng Jianguo
From the Department of Pain Management, Cleveland Clinic, Cleveland, Ohio; Rutgers New Jersey Medical School, Newark, New Jersey; Department of Anesthesiology and Perioperative Medicine, Rutgers New Jersey Medical School, Newark, New Jersey; and Department of Critical Care Medicine, Englewood Hospital and Medical Center, Englewood, New Jersey.
A A Pract. 2018 Apr 15;10(8):192-194. doi: 10.1213/XAA.0000000000000658.
Kratom is an herb indigenous to Southeast Asia with psychoactive opioid compounds, often used as a treatment for chronic pain or opiate withdrawal symptoms. It is legally and readily available via Internet sales and has been identified as an emerging drug of abuse in the United States. Kratom use has been associated with psychosis, seizures, and even death. At lower doses, kratom acts as a stimulant, while at higher doses, it produces analgesia and euphoria. Here, we describe the successful management of kratom overdose and withdrawal in a young man with negative toxicology screens.
kratom是一种原产于东南亚的草药,含有具有精神活性的阿片类化合物,常用于治疗慢性疼痛或阿片类药物戒断症状。它通过网络销售合法且容易获得,在美国已被确认为一种新兴的滥用药物。使用kratom与精神病、癫痫发作甚至死亡有关。在较低剂量下,kratom起兴奋剂作用,而在较高剂量下,它会产生镇痛和欣快感。在此,我们描述了一名毒理学筛查呈阴性的年轻男子kratom过量和戒断的成功处理情况。