Mitragyna speciosa
A Southeast Asian tree with dose-dependent stimulant/sedative effects. HIGHLY CONTROVERSIAL — regulatory status varies. Significant safety concerns.
Pregnancy. Liver disease. Mental health conditions. Substance use disorders. Illegal or regulated in some jurisdictions.
SIGNIFICANT interactions with opioids, sedatives, antidepressants, and all CNS-active drugs. Serotonin syndrome risk.
Nausea, constipation, dry mouth, drowsiness. Dependence and withdrawal possible with regular use. Rare: seizures, liver injury, death (usually with adulterants or combinations).
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