Leaves from the tropical tree Kratom in Southeast Asia which causes stimulant and sedative effects in different doses. More commonly abused in the Asia Pacific region than the United States.
Thang, kakuam, thom, ketum, and biak
Swallowed as a pill, crushed and smoked, brewed as a tea, chewed raw leaves
- At low doses, increased alertness, physical energy, and talkativeness
- At high doses, sedation
- Addictive: causes hallucinations, delusion, and confusion
- Nausea, itching, sweating, dry mouth, constipation, increased urination, and loss of appetite
- Long-term use can cause anorexia, weight loss, and insomnia