This September 27, 201

7, a file photo of a droplet capsule displayed in Albany, the NYUS Healthcare Authority ordered a Las Vegas company to pull his grasses & Supplements from the market, as some of its products have passed a positive Salmonella test. (Photo 11: Mary Esch, AP)

The poisoning received after receiving a chromosome of the herbal drug sold as a counter increased as the substance became an increasingly popular method of treatment for the discontinuation of opioids and drug addiction.

Phone calls about the exposure to the control centers of poisonous substances throughout the country increased more than 50 times from 13 in 2011 to 682 in 2017, According to a new study published Thursday and published in clinical toxicology . During this period, 11 people died after the exposure in a short, including two people, who were exposed only to a crust, in contrast to the combination of substances.

More: The FDA Chief warns you against treating opioid dependence; will seek more regulatory powers

"There is a significant increase in the number of cases," said Henry Spiller, director of the Central Ogah Poison Center, who led the study with the Center for Research and Policy on Trauma, the National Institute of Children's Hospital Research and others

He said that the spike is likely to be the result of greater use and, possibly, higher doses of a substance that has only recently become more widespread.

"There is a general feeling, I think it's a natural substance, so it's safe, but we have to experience the existence of risks with it. If use continues to grow, we will see these problems because it is a real powerful substance."

What Kratom is a plant that is naturally grown in Southeast Asia, including Thailand and Malaysia, where it has been widely used for centuries. It is sold as a powder, usually in capsules that can be used in tea. to facilitate the abolition of opioids, and tactics fatigue, pain, cough and diarrhea.

In the United States, the herbal supplement is usually purchased at smoke shops, gas stations or the Internet.

More: Kratom – Opioid Removal Plant – Full & # 39; Salmonella in 20 states

But the check is from the Office of Food and Drug Administration, which said that, like opioids, it carries similar risks of abuse, drug addiction, and in some cases deaths. The American association Kratom dismissed the dangers of the substance, citing previous analyzes that show that it has low toxicity and has more waste than opiates. They compare the characteristics of crat drug abuse with caffeine in coffee.

"Watch out for science. Kratom himself is safe, "said Charles Huddh, Senior Research Fellow at the State Policy Group last month.

Who uses a crater? New research has shown that 89 per cent of poisonings associated with short duration were among people aged at least 20 years old and 71 per cent among men.

The average age of users was a fraction of 31 years. But with 1807 exposures abrupt from 2011 to 2017, 137 were among adolescents aged 13 to 19 years, and 48 were among children under the age of 12 years or younger.

Thirty two percent of exposure to short-term exposure to adults resulted in admission to a medical facility, while 52% resulted in a serious medical outcome

What are the possible consequences? Udi Story states that small doses of chromium give a stimulant effect, while opioid-like effects occur after moderately high doses and sedation effects are associated with very high doses. Clinical implications were agitation and irritability, tachycardia, nausea, drowsiness and lethargy, vomiting, confusion and hypertension


How and where is the drug used?

Three-quarters of the cases of exposure to crater came after intentional drug intake. But in children aged 12 years or less, 81 percent of the calls to the survey came after unintentional use.

Among adults, 60 percent of registered poisons were reported after a drug has been intentionally violated. The share of adolescents was higher – 76%. About 1 in 10 cases, both adults and adolescents, were suicide attempts. In 83 percent of the exposures in short, the drug was taken by ingestion, followed by swallowing through other routes and inhalation in the nose.

Most cases, 86 percent, occurred at the place of residence. The states with the highest exposure are Idaho, Oregon, Minnesota, New Hampshire and Maine. The lowest exposure indicators were found in Wisconsin and Delaware.

Why is not a bridle regulated?

The Department of Health and Social Services at the end of 2017 recommended that the crat be referred to as drug 1, which would ban this substance and put it in the same classification as heroin and LSD.

But such a move should have come from the Office of Drug Control, and no action was taken. The proposal is currently in the public discussion period.

Several states reviewed the ktratom regulator at the state level.

The American Association of Kratom is fighting for the prohibition of this substance, arguing that the FDA failed to show that the crater is dangerously addictive and that it poses a risk to public safety. The group said a ban on catfish could potentially increase mortality, as many users would turn to dangerous and addictive drugs.

Contact Joey Harrison at and Twitter @joeygarrison.

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