Cold turkey vs tapering discussion. A mother of five and an EMT, Natalie started using kratom seven years ago and took a year to prepare to quit by making exercise and nutritional lifestyle changes to reinforce a transition to being kratom free.

RESOURCES OF THE WEEK

Andrew Huberman AMA Kratom

https://www.youtube.com/watch?v=HoH93judXmE

KRATOM IN THE HEADLINES

News story with kratom related seizure

Scientific article with info about kratom related seizures

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Krista and Charlie discuss tips for using alcohol and drug recovery meetings for kicking kratom.  Overview of Decima’s story:

* Moderator of large quitting kratom Facebook group

* Nearly decade of use & former pro-kratom advocate 

* Experienced 3 seizures from kratom earlier in 2023

* Prescribed Vivitrol to support this kratom quit

* Best advice: start supplements six weeks before CT or taper

* Quitting Kratom Support Private FB Group: https://www.facebook.com/groups/129777827629141 

RESOURCES OF THE WEEK

The Slippery Slope of Kava, Kratom, and CBD

https://www.thetemper.com/kava-kratom-cbd/ 

Medicated Assisted Treatment: some evidence a longer period is better than rapid detox

* Compares people on a 6 day detox with Suboxone vs people maintained at 16mg a day; 100% failure rate and relapse rate for the detox patients vs 25% with the patients maintained on Buprenorphine. https://nida.nih.gov/publications/research-reports/medications-to-treat-opioid-addiction/efficacy-medications-opioid-use-disorder. 

* Different study showing much better success rates of abstinence when maintained on subs for 12 weeks vs using only for a short term detox period - https://www.nih.gov/news-events/news-releases/extended-suboxone-treatment-substantially-improves-outcomes-opioid-addicted-young-adults

KRATOM IN THE HEADLINES

https://www.cbsnews.com/video/kratom-products-continue-to-draw-criticism-from-health-experts/ 

https://www.nytimes.com/2023/07/26/well/mind/kratom-health-risks.html 

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Krista and Charlie talk about alternatives to the 12 steps.  In the interview, Jacob from Maine shares how he used SMART Recovery and MAT to manage to get and stay off extract shots for over 90 days after a hard struggle.

RESOURCE OF THE WEEK

Clonidine prescription for withdrawals

https://www.ncbi.nlm.nih.gov/books/NBK459124/

https://www.drugs.com/comments/clonidine/for-opiate-withdrawal.html

https://pubmed.ncbi.nlm.nih.gov/27057581/

KRATOM IN THE HEADLINES

https://www.npr.org/2023/07/08/1186632829/the-readily-available-herbal-supplement-kratom-is-facing-wrongful-death-lawsuits

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Caught up in the Florida kratom bar scene, Krista explains how after finishing a 30 day residential treatment program in August 2022, she is working the 12 steps with a sponsor and tapping into her own expertise as an addiction counselor to stay off kratom.  Article about kratom risks looking at Florida autopsy data:

https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4495146

RESOURCE OF THE WEEK

Quit Kratom app in Google Play

https://play.google.com/store/apps/details?id=com.michaljanecek.quitkratom 

KRATOM IN THE HEADLINES

Utah Mountain Express: “How kratom, a legal 'herbal opioid,' tore one local family apart”

https://www.mtexpress.com/news/health/how-kratom-a-legal-herbal-opioid-tore-one-local-family-apart/article_7d5d01a6-1767-11ee-83f5-6bb06325e72d.html

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Should I count days while quitting kratom?

RESOURCE OF THE WEEK

Bird and the Bee: Interpreting the Masters Volume 1: A Tribute to Daryl Hall and John Oates

https://open.spotify.com/album/6Bh8grVrJlDIJ0vJKtakTi?si=4ThijOzcS36kdTUYeYd9Iw&context=spotify%3Aalbum%3A6Bh8grVrJlDIJ0vJKtakTi

KRATOM IN THE HEADLINES

Heart health risks and kratom recent study:

https://www.jacc.org/doi/10.1016/j.jacc.2023.04.009 

https://www.medpagetoday.com/cardiology/arrhythmias/104851 

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After a three-day inpatient medical detox for kratom, Rob talks about how he's fighting for his recovery after a lifelong struggle.  If you have developed tolerance and dependence related to your kratom use, and have trouble quitting because of severe withdrawals or due to addiction, this podcast may help you with kicking kratom and maintaining long-term abstinence.

RESOURCES OF THE WEEK

Everything You Know About Addiction Is Wrong - Ted Talk: https://www.youtube.com/watch?v=PY9DcIMGxMs

Rob's book suggestion: https://www.abebooks.com/9781590030721/Twenty-Five-Words-Serenity-Prayer-Save-1590030729/plp

Handbook of Addiction Disorders (2004):

https://www.academia.edu/download/39758328/Handbook_of_Addictive_Disorders_-_A_Practical_Guide_to_Diag._and_Trtmt_-_R._Coombs_Wiley__2004_WW.pdf

KRATOM IN THE HEADLINES

https://www.psychologytoday.com/us/blog/from-addiction-to-recovery/202306/exploring-the-complexities-of-kratom

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Joey's kratom addiction landed him in the psych ward and drug rebab, and after many attempted quits, he has finally found success over the last three months.  Beating the odds so far, this peer-reviewed study found Kratom Use Disorder has a relapse rate "as high as 78% to 89% at 3 months post-cessation."

https://pubmed.ncbi.nlm.nih.gov/33974767/

RESOURCE OF THE WEEK

Truth About Kratom - Five Years Off Kratom

https://youtu.be/4evMaPJqUjE

KRATOM IN THE HEADLINES

Ban, ignore or regulate? Kratom and the Whac-A-Mole world of soft drugs

https://www.politico.eu/article/kratom-czech-republic-ban-ignore-or-regulate-and-the-whac-a-mole-world-of-soft-drugs/ 

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Addicted to the noxious a popular kratom / kava product, Savanna shares how she got hooked on the "wellness" drink and struggled for nearly a year to overcome her expensive daily habit with the help of an online community, therapy and exercise.  Reflecting on the claim people can get addicted to anything, "I've had coffee a million times and I've never lied to my partner about going and getting a coffee...Like I didn't want to drive to the store. I didn't want to be making up excuses, sneaking behind my family...to go get a dose. But I truly would be dope sick without it."

RESOURCE OF THE WEEK

Savanna's book recommendations:

William Porter's Alcohol Explained

https://www.goodreads.com/en/book/show/25374689 

Allen Carr's Easy Way to Quit Vaping: https://www.goodreads.com/en/book/show/57922494

Hypnosis App

https://www.hypnosisdownloads.com/sleep-problems/back-to-sleep 

KRATOM IN THE HEADLINES

Always Sunny in Philadelphia guys talk about "Feel Free"

https://wegotthiscovered.com/celebrities/it-just-gets-you-high-always-sunny-in-philadelphia-fans-issue-psa-after-rob-mcelhenney-name-drops-feel-free/

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Izzy turned to white strains of kratom to help with her ADHD and to get off other substances.  Admitting to having an addictive personality, she (@rejectclown) also found she also had to abstain from kratom as it wasn’t an herbal remedy that improved her life. 

Izzy says “Don't let anybody silence you or trick you into thinking that you are alone in this kratom struggle, that you're wrong, that you're what you're feeling is not valid. Your addiction is valid. How you choose to recover is valid.”

Medicated Assisted Treatment & Kratom select research studies:

https://pubmed.ncbi.nlm.nih.gov/33226096/

https://pubmed.ncbi.nlm.nih.gov/35112990/ 

RESOURCE OF THE WEEK

Interview on Recovery in the Middle Ages Podcast

https://recoveryinthemiddleages.podbean.com/e/from-monkster-to-master-unraveling-the-kratom-knot-with-charlie-x/ 

Kratom special on Recovery in the Middle Ages Podcast (about 48 minutes in)

https://recoveryinthemiddleages.podbean.com/e/rma-nights-the-kratom-withdrawal-nightmare-with-jeff-bianca-d/ 

KRATOM IN THE HEADLINES

https://filtermag.org/quitting-kratom-addiction/

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Mike found his kratom addiction to be "the progressive narrowing of things that brought him joy".  

RESOURCE OF THE WEEK

Doctor gives an overview of kratom: https://www.youtube.com/watch?v=RxvYfD6bs3c 

KRATOM IN THE HEADLINES

https://twitter.com/lawdotcom/status/1664756316030529542 

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