Abstract

Kratom is a substance similar to opioids that is often used for its euphoric effects, however it can be obtained legally in most of the United States. The substance is often not assessed on routine urine drug screen, however it is estimated that millions of people engage in kratom use each year and level of use is rising. Given the increasing prevalence of kratom use, and its potentially lethal consequences, it is imperative that primary care physicians be familiar with this substance and have a framework to approach identification and treatment of individuals with kratom use disorder. This manuscript offers a review of the epidemiology and pharmacology of kratom, along with guidance for care of individuals with kratom use disorder in the primary care setting.

摘要

Kratom 是一种类似于阿片类药物的物质，通常用于其欣快效果，但它可以在美国大部分地区合法获得。该物质通常不会在常规尿液药物筛查中进行评估，但据估计，每年有数百万人使用 kratom，并且使用水平正在上升。鉴于使用 kratom 的日益流行及其潜在的致命后果，初级保健医生必须熟悉这种物质​​并有一个框架来识别和治疗患有 kratom 使用障碍的个体。这份手稿回顾了 kratom 的流行病学和药理学，以及在初级保健环境中对 kratom 使用障碍患者的护理指导。