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What you're saying sounds amazing but ultimately anecdotal. Do you know if there are any studies that back this up? I'd love to read them.

The article states that the DEA can put any substance into schedule 1 category. This is unfortunate because that schedule makes things much more difficult to study.




I've seen a couple of case studies about single users using kratom to get off of stronger opioids, but no at-scale studies. But there is a reasonable amount of other literature relating to kratom and its primary alkaloids, mitragynine and 7-hydroxymitragynine.

Of particular interest is that these alkaloids are G-protein-biased agonists of the mu-opioid receptor - which also do not recruit β-arrestin[1] following receptor activation. It is β-arrestin recruitment that is responsible for the main side effects of opiates - respiratory depression, constipation, histamine release and build up of tolerance (which is what leads to withdrawals upon cessation). This is a very big deal.

I am a kratom user myself, using it to treat bad neuropathic pain. I am prescribed opiates, but kratom doesn't space me out like they do, there is no respiratory depression, no apparent histamine release, the constipation is much less, and I've been at the same dose for over a year. Honestly, for me it's a wonderdrug.

[1] http://pubs.acs.org/doi/abs/10.1021/jacs.6b00360?journalCode...


> no apparent histamine release

a lot of people, including myself, get very itchy from kratom, and i've always attributed that to histamine release. could it be something else?


I have actually have a condition that means I naturally release too much histamine, so I take a lot of antihistamines. When I take prescribed opioid drugs, e.g. tramadol, dihydrocodeine, mophine, the itching can be absolutely unbearable.

With kratom I don't notice much extra itching at all, but I suppose we all act differently to things.


That's fascinating, I've never heard of that before. Is it your throat that gets itchy?


Skin. It's where the cliche of the junky scratching his arms comes from.


Have you been prescribed and tried Gabapentin?

I have heard of that being used to treat neuropathy, but also anecdotes of it being abused recreationally.


Gabapentin is used for anti-seizure, I was prescribed it 25mg 3x per day. It definitely caused memory issues for me, I literally couldn't remember people's names. After taking it for a few weeks to ensure I wouldn't have another seizure, I was taken off of it. After about a day and a half it was entirely out of my system and I felt back to normal. Some people's results may vary, but I couldn't see doing any complex coding with that in my system.


Are you sure it wasn't either more than 25mg or a different drug? I'm not sure if doses that low are even used for humans (seems they are for pets), but certainly when prescribed for seizures daily doses would range from 300mg to several thousand mg.


I think it was 325 3x a day.


I think you may be misremembering the medication. I take 1200mg of Gabaptentin/day for ulnar neuropathy; I don't think that 75mg would accomplish anything.

And FWIW I code all day long.


Yes, I've tried various drugs in the class, gabapentin, pregbalin and baclofen. Unfortunately I can't tolerate the side effects - they make me feel like I am drunk, so I can't work, drive, or generally live normally. It's annoying, because most evidence says these are the best drugs for neuropathic pain :(


Has there been any paid studies into a herbal cure with no opportunity to patent, own, exploit, I say no, I could ask Google but I get the feeling I don't need to. This has no bearing on it's efficacy, round here people throw 'anecdotal' around as if they believe it to be synonymous with meaningless, this is nonsense, much research has been inspired by a wealth of anecdotes, in fact, afaik off label use of pharmaceuticals is also kind of 'anecdotal', these drugs have not been tested for the off label use, it's a body of anecdotal evidence, albeit supplied by 'trusted' professionals that allows physicians to use it to treat conditions it was never designed for.


If this reasoning is valid, we might as well accuse you and the grand parent of being internet kratom sellers, who have a vested interest in convincing HN readers of the benign nature of Kratom.

In any case, your reasoning is completely invalid. Here, for example, is an article from pubmed which argues:

"While several cases of toxicity and death have emerged in the West, such reports have been non-existent in South East Asia where kratom has had a longer history of use. We highlight the possible reasons for this as discussed in the literature. More importantly, it should be borne in mind that the individual clinical case-reports emerging from the West that link kratom use to adverse reactions or fatalities frequently pertained to kratom used together with other substances. Therefore, there is a danger of these reports being used to strengthen the case for legal sanction against kratom. This would be unfortunate since the experiences from South East Asia suggest considerable potential for therapeutic use among people who use drugs."

http://www.ncbi.nlm.nih.gov/pubmed/27178014


The sheer amount of bullshit that gets peddled by charlatans and hucksters is the very reason people don't trust anecdotal evidence around here. Or individual testimony. Look at any scam product, how its claims are supported and compare them to your cause du jour. What makes your claims more or less valid than previous scams? What gives your cause the credibility that those ones lacked?

Your claims could very well be true, but if you can't support them, then I'm going to just file them into the 'Snake Oil' drawer and move on.


That sounds fair, but to be honest I don't trust the government's official bullshit either.

What gets accepted as the officially-sanctioned wisdom is too easily influenced by special interests ("bootleggers and Baptists"), power grabs, and political convenience (marijuana laws and minorities).


Oh, I agree with you and the classification of marijuana is a great example. The government line on that seems totally divorced from reality, even if it is to remain illegal.


> This is unfortunate because that schedule makes things much more difficult to study.

I'd think it goes the other way too. I've worked in a lab as a data entry helper for studies of opiods on different tissues. They had no problem getting funding for their studies. I would imagine it was because it was related to War On Drugs. So there was an element of "let's show the world how terrible these drugs are, here is some money".

Experiments used fentanyl and naloxone. Aside from keeping fenanyl locked and logging/auditing its usage and waste, don't remember professors or grad students complaining about it being hard to study.


Fentanyl is Schedule II, though.

Ulterior motives aside, how about if you wanted to run that same study with LSD?

Would a Schedule I drug have been as accessible as a Schedule II drug?


Ah, I didn't know, it seemed dangerous enough by the amount of logging and tracking we had to do.


Fentanyl is incredibly dangerous (it's what killed Prince). Here's a depressing vice episode about its use in Canada: https://www.youtube.com/watch?v=28rJqj-7pEY


Then why is it near impossible to study Marijuana?


It is classified as Schedule I, not Schedule II.

The drug or other substance has a high potential for abuse.

The drug or other substance has no currently accepted medical treatment use in the U.S.

There is a lack of accepted safety for use of the drug or substance under medical supervision.

Schedule I drugs:

    Heroin (diacetylmorphine)

    LSD (Lysergic acid diethylamide)

    Marijuana (cannabis, THC)
    Mescaline (Peyote)

    MDMA (3,4-methylenedioxymethamphetamine or “ecstasy”)

    GHB (gamma-hydroxybutyric acid)

    Ecstasy (MDMA or 3,4-Methylenedioxymethamphetamine)

    Psilocybin

    Methaqualone (Quaalude)

    Khat (Cathinone)

    Bath Salts (3,4-methylenedioxypyrovalerone or MDPV)


Done forget beta-carbolines and a handful of tryptamines that are always present in the human body, and also Schedule I.


Because Marijuana is very dangerous. Sometimes even one snort can land you in jail for life... I don't think anyone in a right mind would like to risk it.


Poe's law?


Here's the part that made his point clear: "in jail for life" - it's the law that causes the danger.



The article states that the DEA can put any substance into schedule 1 category.

I imagine this is a likely scenario.

Its continued use could threaten all sorts of business models.




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