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Kratom is sold legally and widely at vape shops, gas stations and convenience stores in liquid, tablet or powder form. Kratom was the cause of 91 overdose deaths from July to December , according to a report from the Centers for Disease Control and Prevention. But some estimates put the toll far higher: An analysis by The Washington Post found kratom listed as the leading or partial cause of death in at least 4, deaths from to , and an investigation by the Tampa Bay Times last year found that more than people in Florida alone had died from kratom-related overdoses since The paper suggests that as of , roughly 1. The DEA sought to temporarily reclassify kratom as a schedule 1 substance in , but reversed course following a backlash. So in lieu of federal oversight, a growing number of states and cities have been cracking down on kratom on their own. At least six states — Alabama, Arkansas, Indiana, Rhode Island, Vermont and Wisconsin — had banned kratom entirely as of late last year, according to a report from the Congressional Research Service. Some cities have recently, as well: Tinley Park, Illinois, a suburb of Chicago, passed a ban in June. Newport Beach, California, did the same in Ma y. More common, however, are age-related restrictions. More than 15 states prohibit kratom sales to minors or to those under Kentucky was a recent addition to the list: A state law went into effect last month that bans the sale of kratom to anyone under 21, limits the ingredients that can go into kratom products and requires ingredients to be listed on labels. Georgia passed a similar law in May that will tighten regulations on kratom products and raise the minimum purchasing age to 21 when it goes into effect next year. Rick Townsend, a Republican who sponsored the bill. Townsend said he was inspired to push for the policy after two constituents told him that they had lost their son, in part, due to kratom. Oklahoma also recently passed legislation instituting labeling requirements for kratom products. The state has banned kratom sales to minors since Oklahoma Rep. Oliver Grundmann, a clinical professor in the department of medicinal chemistry at the University of Florida, has been studying kratom since Although greater regulation is needed, he said, a federal ban might be ill-advised, given that the substance appears to help some people with opioid withdrawal. He added that the lack of federal regulation also means there is no reporting requirement for kratom overdose deaths, making its impact difficult to piece together. The American Kratom Association said it would welcome more regulation. Kratom contains a chemical compound called mitragynine, which can stimulate the same brain receptors as opioids. That is partially why it can become addictive, according to experts. At high concentrations, the substance can cause nausea, seizures, vomiting, difficulty breathing and, in the most extreme cases, death. The FDA has issued advisories about the health risks of kratom and taken action against manufacturers who make misleading claims. But given the overall lack of regulation, the packaging on many kratom products does not include information about dosing, the concentration of active compounds or the other ingredients mixed in. The first is people with opioid use disorder who buy kratom either to tide them over until they can get more opiates or as an attempt to wean themselves off even harder stuff. The second is people who say kratom helps them with pain management. Then there are users with anxiety, depression or some other mood disorder, and finally a group that simply enjoys the stimulant effects. Emmy Hartman, a TikTok influencer who has posted about kratom , fits into that last group. She said she started using it to concentrate. So I kept drinking them. Hartman admitted that she did not know much about what was in kratom when she first tried it. He had struggled with drug and alcohol abuse, she said, and also had chronic shoulder pain from a surgery. IE 11 is not supported. For an optimal experience visit our site on another browser. Skip to Content. NBC News Logo. Search Search. Profile My News Sign Out. Sign In Create your free profile. Sections U. Follow NBC News. Latest Stories Election Politics U. Get more news Live on. By Marquise Francis. It can be fatal in very high doses but is not subject to much federal regulation. So states and cities have been banning kratom sales or enacting rules and restrictions. Marquise Francis is a correspondent for 'Stay Tuned.

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